Average Medicaid Nursing Facility Care Payments
Typical Medicaid Nursing Facility Care reimbursement across 7,188 cities
Avg. Medicaid Paid
$16.08
Price Range
$0.00 – $380.00
Total Claims
97.6M
Cities
7188
Typical Payment Range
Typical Medicaid Nursing Facility Care payments fall between $5.92 and $20.86 per claim (median: $11.60). The top 10% of payments exceed $35.86.
Based on per-provider averages across all Medicaid claims in this category.
About This Procedure
Skilled nursing facility services for patients who need 24-hour nursing care and rehabilitation services.
Why do these costs look low?
These figures represent Medicaid reimbursement rates — the amounts that state Medicaid programs actually paid providers. Medicaid typically reimburses significantly less than private insurance or out-of-pocket prices. If you have private insurance or are paying cash, expect higher costs. See the cost components below for per-code averages.
Costs by City
| City | Avg. Paid | Min / Max | Claims | Providers |
|---|---|---|---|---|
| Pompton Plains, NJ | $13.69 | $0.05 – $16.91 | 6,733 | 8 |
| Danville, IL | $18.27 | $0.12 – $37.42 | 6,735 | 11 |
| Lithia Springs, GA | $7.50 | $7.50 – $7.50 | 6,745 | 1 |
| Davenport, IA | $16.14 | $5.25 – $48.78 | 6,747 | 13 |
| Duncan, OK | $20.28 | $9.26 – $56.89 | 6,749 | 8 |
| Lincoln, CA | $27.60 | $1.37 – $51.75 | 6,749 | 5 |
| Manalapan, NJ | $15.27 | $0.28 – $19.71 | 6,755 | 13 |
| Titusville, FL | $6.70 | $0.00 – $8.98 | 6,762 | 6 |
| Melrose Park, IL | $16.32 | $0.00 – $32.85 | 6,768 | 7 |
| Medina, NY | $8.65 | $8.27 – $25.80 | 6,768 | 2 |
| Palmetto, FL | $2.79 | $0.29 – $4.60 | 6,770 | 4 |
| Sevierville, TN | $14.79 | $0.00 – $32.67 | 6,776 | 7 |
| Tuscumbia, AL | $3.83 | $3.18 – $4.16 | 6,776 | 2 |
| Centralia, IL | $6.67 | $0.00 – $14.13 | 6,796 | 9 |
| Westfield, MA | $16.34 | $6.16 – $20.65 | 6,804 | 5 |
| Martinsville, NJ | $8.62 | $8.57 – $9.05 | 6,805 | 2 |
| Mount Prospect, IL | $23.58 | $5.78 – $41.11 | 6,820 | 6 |
| Hockessin, DE | $10.37 | $0.09 – $10.66 | 6,822 | 2 |
| Ventura, CA | $24.13 | $8.30 – $77.90 | 6,832 | 6 |
| Marlborough, MA | $12.94 | $6.38 – $33.53 | 6,834 | 4 |
| Lancaster, SC | $19.85 | $7.44 – $26.12 | 6,837 | 6 |
| Pleasant View, TN | $9.71 | $9.20 – $18.33 | 6,855 | 2 |
| Cedarhurst, NY | $9.60 | $1.68 – $42.64 | 6,861 | 8 |
| Farmville, VA | $11.35 | $0.19 – $16.42 | 6,862 | 11 |
| Lexington, NE | $13.90 | $13.90 – $13.90 | 6,867 | 1 |
| Pleasant Grove, AL | $2.85 | $2.85 – $2.85 | 6,873 | 1 |
| Bridgeton, NJ | $11.35 | $2.81 – $18.30 | 6,877 | 5 |
| Wappingers Falls, NY | $6.48 | $2.16 – $17.91 | 6,878 | 4 |
| Jennings, LA | $5.91 | $0.00 – $13.38 | 6,883 | 5 |
| Clintwood, VA | $20.61 | $6.60 – $22.80 | 6,890 | 3 |
| Sheboygan, WI | $23.54 | $4.76 – $35.16 | 6,897 | 11 |
| Mount Pleasant, WI | $18.87 | $13.65 – $35.15 | 6,900 | 5 |
| Waconia, MN | $44.67 | $30.98 – $60.53 | 6,919 | 7 |
| Jamesburg, NJ | $7.87 | $2.10 – $14.70 | 6,966 | 3 |
| Carrollton, MO | $30.66 | $14.72 – $31.06 | 6,967 | 4 |
| Port Saint Lucie, FL | $3.35 | $0.00 – $32.69 | 6,975 | 14 |
| Maurice, LA | $2.19 | $2.19 – $2.19 | 6,979 | 1 |
| Smiths Station, AL | $0.70 | $0.70 – $0.70 | 6,980 | 1 |
| Playa Del Rey, CA | $9.10 | $9.10 – $9.10 | 6,989 | 1 |
| Chesterton, IN | $11.54 | $5.49 – $12.24 | 7,013 | 3 |
| South Charleston, WV | $11.30 | $9.43 – $14.01 | 7,020 | 4 |
| Palatka, FL | $7.14 | $0.00 – $25.33 | 7,022 | 7 |
| Arden, NC | $12.75 | $11.65 – $14.30 | 7,024 | 2 |
| Mystic, CT | $4.71 | $0.00 – $20.85 | 7,029 | 5 |
| East Patchogue, NY | $7.95 | $0.00 – $15.43 | 7,032 | 7 |
| Cottonwood, AZ | $48.53 | $20.41 – $81.62 | 7,036 | 5 |
| Whitney Point, NY | $10.54 | $10.54 – $10.54 | 7,041 | 1 |
| Clackamas, OR | $17.74 | $14.71 – $24.12 | 7,044 | 3 |
| Herndon, VA | $41.53 | $6.76 – $62.82 | 7,044 | 5 |
| Granite City, IL | $17.63 | $10.04 – $21.23 | 7,049 | 3 |
Cost Components
National averages for each billing code in this procedure category. Sorted by claim volume.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| 99309 | Nursing facility subseq mod-hi | $17.88 | 43,693,341 | 34,328 |
| 99308 | Nursing facility subseq mod | $12.62 | 42,495,079 | 33,407 |
| 99307 | Nursing facility subsequent low | $8.86 | 6,770,015 | 11,425 |
| 99310 | Nursing facility subseq high | $31.06 | 4,780,807 | 10,125 |
| 99306 | Nursing facility initial high | $40.91 | 1,364,289 | 6,538 |
| 99305 | Nursing facility initial mod | $25.42 | 1,050,487 | 5,595 |
| 99304 | Nursing facility initial compl | $28.74 | 440,459 | 2,566 |
| 99318 | Nursing facility annual assess | $43.42 | 99,072 | 1,360 |
| 99316 | Nursing facility discharge >30 | $36.42 | 66,463 | 505 |
| 99315 | Nursing facility discharge 30m | $32.35 | 39,754 | 273 |
These averages group common billing codes used when providers bill Medicaid for this procedure. Individual costs will vary.