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 |
|---|---|---|---|---|
| Gary, WV | $23.25 | $23.25 – $23.25 | 7,051 | 1 |
| Pocomoke City, MD | $13.53 | $8.11 – $20.36 | 7,055 | 3 |
| Turlock, CA | $12.42 | $1.95 – $77.79 | 7,066 | 6 |
| Auburn, WA | $20.40 | $0.53 – $41.72 | 7,070 | 9 |
| Mamou, LA | $8.87 | $6.39 – $9.05 | 7,073 | 2 |
| French Camp, CA | $27.77 | $0.00 – $94.81 | 7,074 | 7 |
| Bates City, MO | $14.04 | $14.04 – $14.04 | 7,078 | 1 |
| The Woodlands, TX | $10.26 | $0.70 – $19.84 | 7,080 | 11 |
| Rockdale, TX | $9.18 | $0.00 – $11.87 | 7,093 | 3 |
| Canton, CT | $30.49 | $1.14 – $39.03 | 7,096 | 2 |
| Winchester, TN | $7.15 | $2.76 – $11.69 | 7,108 | 3 |
| Norton, OH | $13.64 | $10.48 – $15.80 | 7,136 | 2 |
| Castro Valley, CA | $31.04 | $12.09 – $36.44 | 7,144 | 5 |
| Wooster, OH | $7.87 | $0.00 – $13.54 | 7,149 | 7 |
| Gainesville, VA | $9.49 | $2.31 – $11.56 | 7,157 | 6 |
| Counce, TN | $8.20 | $8.16 – $10.20 | 7,159 | 2 |
| Markham, IL | $22.46 | $8.71 – $30.50 | 7,160 | 2 |
| Girard, OH | $5.95 | $4.65 – $15.70 | 7,169 | 6 |
| Athens, TN | $12.89 | $3.50 – $40.73 | 7,170 | 8 |
| Murphy, TX | $9.77 | $3.39 – $21.78 | 7,185 | 5 |
| Helena, AL | $3.79 | $3.39 – $4.45 | 7,187 | 2 |
| Oswego, NY | $10.38 | $4.52 – $24.13 | 7,200 | 6 |
| Eight Mile, AL | $6.05 | $6.05 – $6.05 | 7,201 | 1 |
| Vernon Hills, IL | $12.93 | $0.81 – $25.35 | 7,215 | 10 |
| Chardon, OH | $8.79 | $6.37 – $21.54 | 7,234 | 8 |
| Coshocton, OH | $7.87 | $3.22 – $9.75 | 7,234 | 3 |
| Urbandale, IA | $10.79 | $10.15 – $12.38 | 7,238 | 4 |
| Oskaloosa, IA | $8.77 | $8.22 – $9.48 | 7,239 | 3 |
| Kinsman, OH | $15.56 | $15.56 – $15.56 | 7,239 | 1 |
| Valencia, CA | $25.22 | $0.00 – $43.49 | 7,241 | 8 |
| West Plains, MO | $22.26 | $10.80 – $32.79 | 7,245 | 7 |
| Surgoinsville, TN | $7.93 | $7.93 – $7.93 | 7,252 | 1 |
| Canon City, CO | $12.54 | $5.97 – $16.42 | 7,254 | 5 |
| West Orange, NJ | $12.52 | $2.29 – $27.06 | 7,270 | 13 |
| Rosharon, TX | $6.29 | $6.29 – $6.29 | 7,275 | 1 |
| Chatom, AL | $0.04 | $0.00 – $0.06 | 7,281 | 3 |
| Sun Valley, CA | $18.14 | $6.01 – $494.79 | 7,289 | 5 |
| Federal Way, WA | $16.93 | $0.00 – $49.85 | 7,302 | 16 |
| Flint, MI | $23.43 | $5.64 – $83.42 | 7,306 | 12 |
| Lansing, MI | $17.23 | $12.96 – $40.53 | 7,312 | 4 |
| Harwich, MA | $18.04 | $6.02 – $18.25 | 7,315 | 3 |
| Munfordville, KY | $4.84 | $0.00 – $9.66 | 7,317 | 5 |
| Eunice, LA | $3.19 | $0.00 – $8.56 | 7,322 | 9 |
| Brownsville, TN | $9.64 | $3.55 – $15.30 | 7,326 | 5 |
| Raytown, MO | $16.65 | $0.81 – $18.70 | 7,329 | 4 |
| Wernersville, PA | $11.17 | $0.56 – $41.09 | 7,341 | 15 |
| Reform, AL | $8.55 | $8.01 – $9.21 | 7,348 | 2 |
| La Grange Highlands, IL | $21.68 | $21.68 – $21.68 | 7,349 | 1 |
| Fairlawn, OH | $6.13 | $1.98 – $11.97 | 7,352 | 7 |
| Peterborough, NH | $3.95 | $3.11 – $8.59 | 7,357 | 2 |
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.