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 |
|---|---|---|---|---|
| Slaughter, LA | $4.91 | $1.92 – $14.50 | 7,898 | 3 |
| Bellflower, CA | $15.35 | $0.00 – $28.64 | 7,914 | 11 |
| Appleton, WI | $17.96 | $5.59 – $62.12 | 7,922 | 25 |
| Arnaudville, LA | $5.45 | $5.45 – $5.45 | 7,931 | 1 |
| North Vernon, IN | $6.86 | $4.79 – $7.32 | 7,935 | 4 |
| Hermitage, PA | $21.57 | $0.00 – $35.00 | 7,958 | 7 |
| Mason, OH | $13.50 | $-38.57 – $22.20 | 7,963 | 8 |
| Benton, AR | $16.12 | $11.46 – $17.97 | 7,965 | 6 |
| Olympia Fields, IL | $18.00 | $4.87 – $32.60 | 7,966 | 6 |
| Hingham, MA | $13.03 | $6.67 – $14.14 | 7,973 | 3 |
| Augusta, GA | $21.21 | $0.00 – $69.18 | 7,996 | 7 |
| Conway, AR | $25.78 | $11.45 – $37.57 | 8,003 | 9 |
| Ankeny, IA | $8.22 | $0.00 – $33.17 | 8,017 | 10 |
| Oktaha, OK | $17.47 | $17.47 – $17.47 | 8,021 | 1 |
| Thomaston, CT | $21.45 | $14.36 – $32.10 | 8,021 | 2 |
| Cedarville, OH | $19.75 | $3.15 – $47.16 | 8,021 | 3 |
| Beaver, PA | $23.78 | $13.40 – $40.22 | 8,034 | 4 |
| Nellis Afb, NV | $22.41 | $13.29 – $44.12 | 8,038 | 2 |
| Eldon, MO | $47.66 | $37.20 – $48.63 | 8,044 | 3 |
| Malone, NY | $7.48 | $6.00 – $31.14 | 8,047 | 5 |
| Livingston, NJ | $13.44 | $3.03 – $30.77 | 8,055 | 12 |
| Kew Gardens, NY | $16.94 | $1.38 – $25.03 | 8,059 | 6 |
| Rocky Mount, VA | $18.39 | $1.32 – $27.12 | 8,061 | 8 |
| Porterville, CA | $23.60 | $0.00 – $41.53 | 8,073 | 11 |
| La Crosse, WI | $20.84 | $0.00 – $62.49 | 8,074 | 13 |
| Morgantown, KY | $4.04 | $3.58 – $8.61 | 8,089 | 6 |
| Katonah, NY | $19.90 | $7.26 – $22.53 | 8,098 | 2 |
| Palos Hills, IL | $6.36 | $4.96 – $14.32 | 8,099 | 2 |
| Uniontown, PA | $16.00 | $0.00 – $27.91 | 8,103 | 7 |
| Wenonah, NJ | $7.38 | $7.38 – $7.38 | 8,109 | 1 |
| Whittier, CA | $10.92 | $0.00 – $22.50 | 8,118 | 13 |
| Iuka, MS | $22.85 | $4.15 – $28.17 | 8,119 | 5 |
| Jackson, NJ | $6.93 | $0.94 – $17.42 | 8,120 | 11 |
| Jacksonville, AL | $13.54 | $0.00 – $21.07 | 8,121 | 3 |
| Fiddletown, CA | $27.14 | $27.14 – $27.14 | 8,135 | 1 |
| Bedford, VA | $11.19 | $8.09 – $20.72 | 8,141 | 5 |
| Ranson, WV | $12.13 | $12.11 – $12.85 | 8,149 | 2 |
| Bellingham, MA | $10.36 | $10.36 – $10.36 | 8,153 | 1 |
| Wappinger Falls, NY | $5.02 | $5.02 – $5.02 | 8,157 | 1 |
| Flagstaff, AZ | $25.93 | $0.41 – $62.76 | 8,178 | 12 |
| Bullhead City, AZ | $12.00 | $10.65 – $44.21 | 8,182 | 3 |
| Elk Grove, CA | $13.82 | $0.00 – $68.81 | 8,182 | 11 |
| Ridgefield Park, NJ | $5.92 | $1.71 – $7.73 | 8,187 | 8 |
| Dekalb, IL | $19.73 | $19.73 – $19.73 | 8,201 | 1 |
| Red Lake, MN | $12.25 | $12.25 – $12.25 | 8,202 | 1 |
| Port Royal, SC | $11.23 | $11.03 – $11.37 | 8,204 | 2 |
| Visalia, CA | $6.67 | $0.00 – $16.43 | 8,214 | 16 |
| Peekskill, NY | $2.31 | $1.20 – $2.86 | 8,228 | 4 |
| Hammond, IN | $13.44 | $9.92 – $27.47 | 8,237 | 5 |
| Binghamton, NY | $10.86 | $0.00 – $28.69 | 8,242 | 16 |
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.