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 |
|---|---|---|---|---|
| Matteson, IL | $34.03 | $7.20 – $34.58 | 7,664 | 3 |
| Durant, OK | $18.82 | $6.37 – $41.43 | 7,675 | 12 |
| Danville, PA | $9.32 | $1.79 – $47.11 | 7,678 | 12 |
| Water Valley, MS | $22.41 | $22.41 – $22.41 | 7,678 | 1 |
| Falfurrias, TX | $4.77 | $4.77 – $4.77 | 7,683 | 1 |
| Franklin, MA | $7.41 | $1.27 – $40.04 | 7,691 | 6 |
| Monett, MO | $19.81 | $19.55 – $49.37 | 7,695 | 2 |
| Ennis, TX | $2.11 | $1.35 – $3.41 | 7,698 | 4 |
| Ruidoso, NM | $8.68 | $8.68 – $8.68 | 7,705 | 1 |
| Sudbury, MA | $9.00 | $3.52 – $10.55 | 7,728 | 2 |
| Bernice, LA | $2.84 | $0.00 – $6.06 | 7,735 | 2 |
| Sacaton, AZ | $29.50 | $16.16 – $34.75 | 7,742 | 4 |
| Grants Pass, OR | $5.88 | $2.89 – $19.69 | 7,743 | 5 |
| Greensburg, PA | $13.17 | $3.94 – $20.62 | 7,744 | 6 |
| Broussard, LA | $5.93 | $5.93 – $5.93 | 7,745 | 1 |
| Oak Hill, WV | $19.84 | $12.92 – $26.77 | 7,752 | 4 |
| Sallisaw, OK | $17.37 | $7.63 – $37.45 | 7,756 | 4 |
| Belmont, CA | $3.45 | $2.02 – $4.02 | 7,758 | 2 |
| Eupora, MS | $16.59 | $12.06 – $16.92 | 7,759 | 3 |
| Front Royal, VA | $11.28 | $1.19 – $18.47 | 7,762 | 5 |
| Clarksdale, MS | $16.56 | $7.87 – $31.31 | 7,763 | 4 |
| Middleton, ID | $37.49 | $23.98 – $39.24 | 7,763 | 2 |
| Scottsboro, AL | $0.18 | $0.00 – $22.39 | 7,766 | 5 |
| Augusta, KS | $5.47 | $2.53 – $18.34 | 7,771 | 4 |
| Nags Head, NC | $13.32 | $11.94 – $29.43 | 7,778 | 2 |
| Rose Hill, NC | $22.68 | $22.68 – $22.68 | 7,778 | 1 |
| Webb City, MO | $15.71 | $12.56 – $19.20 | 7,781 | 3 |
| Cocoa Beach, FL | $6.87 | $1.29 – $7.80 | 7,784 | 3 |
| Pearisburg, VA | $8.04 | $8.04 – $8.04 | 7,785 | 1 |
| Harvard, IL | $11.16 | $11.07 – $23.68 | 7,787 | 2 |
| Middlesboro, KY | $5.02 | $0.00 – $22.34 | 7,791 | 7 |
| Monterey, CA | $12.81 | $0.00 – $37.49 | 7,797 | 8 |
| La Grange, TX | $11.02 | $3.86 – $56.21 | 7,808 | 6 |
| Spruce Pine, NC | $12.17 | $9.62 – $16.14 | 7,811 | 4 |
| Egg Harbor Twp, NJ | $2.38 | $2.38 – $2.38 | 7,812 | 1 |
| Middle Village, NY | $13.54 | $5.02 – $20.95 | 7,819 | 4 |
| Medford, NY | $3.85 | $0.88 – $5.09 | 7,819 | 3 |
| Roanoke, AL | $2.66 | $0.00 – $13.26 | 7,821 | 3 |
| Cantonment, FL | $5.55 | $0.49 – $6.42 | 7,832 | 3 |
| Highlands Ranch, CO | $26.33 | $12.37 – $125.52 | 7,833 | 6 |
| Fairhope, AL | $3.50 | $0.00 – $15.26 | 7,834 | 6 |
| Largo, MD | $52.57 | $3.28 – $58.46 | 7,847 | 6 |
| Mission Viejo, CA | $18.69 | $9.92 – $18.93 | 7,848 | 3 |
| Napa, CA | $34.30 | $0.00 – $346.87 | 7,852 | 13 |
| Wewoka, OK | $59.29 | $57.52 – $59.44 | 7,856 | 2 |
| Lebanon, KY | $5.12 | $2.31 – $35.71 | 7,865 | 5 |
| Prospect, KY | $12.44 | $8.75 – $18.62 | 7,871 | 3 |
| Springhill, LA | $1.33 | $0.00 – $2.01 | 7,880 | 2 |
| Salem, WV | $20.07 | $0.00 – $20.11 | 7,886 | 2 |
| Fincastle, VA | $20.16 | $17.81 – $21.81 | 7,891 | 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.