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 |
|---|---|---|---|---|
| Kirkland, IL | $18.93 | $18.93 – $18.93 | 10,105 | 1 |
| La Vergne, TN | $18.86 | $5.32 – $23.68 | 10,113 | 2 |
| Troy, OH | $14.59 | $7.64 – $28.86 | 10,116 | 10 |
| Hueytown, AL | $11.24 | $0.96 – $21.03 | 10,120 | 4 |
| Boscawen, NH | $2.73 | $0.71 – $3.51 | 10,128 | 2 |
| Deerfield Beach, FL | $3.87 | $0.70 – $59.07 | 10,136 | 12 |
| North Wales, PA | $33.94 | $8.44 – $75.05 | 10,144 | 7 |
| Galion, OH | $15.51 | $0.00 – $86.37 | 10,173 | 8 |
| El Dorado, AR | $12.44 | $9.45 – $16.85 | 10,174 | 6 |
| Colquitt, GA | $12.89 | $12.89 – $12.89 | 10,201 | 1 |
| Troy, IL | $24.01 | $22.28 – $29.88 | 10,202 | 3 |
| Sellersburg, IN | $6.84 | $4.99 – $7.85 | 10,206 | 2 |
| Deltona, FL | $5.28 | $1.19 – $9.21 | 10,210 | 8 |
| Perryville, AR | $15.21 | $13.71 – $23.90 | 10,230 | 5 |
| Upper Marlboro, MD | $42.85 | $17.78 – $87.27 | 10,236 | 10 |
| Findlay, OH | $8.74 | $3.28 – $16.06 | 10,239 | 8 |
| El Cajon, CA | $12.63 | $0.00 – $105.95 | 10,243 | 11 |
| Mount Vernon, NY | $12.26 | $0.00 – $43.01 | 10,264 | 15 |
| La Jolla, CA | $16.41 | $0.00 – $33.43 | 10,275 | 19 |
| Newton Highlands, MA | $8.56 | $7.40 – $25.11 | 10,284 | 3 |
| Danville, KY | $12.20 | $1.87 – $62.78 | 10,298 | 6 |
| East Palestine, OH | $10.61 | $4.08 – $10.80 | 10,305 | 5 |
| Mattoon, IL | $14.73 | $6.70 – $38.42 | 10,313 | 10 |
| Decatur, IL | $11.30 | $2.72 – $35.19 | 10,330 | 12 |
| Elk Grove Village, IL | $10.80 | $0.00 – $27.99 | 10,339 | 17 |
| Winfield, IL | $12.40 | $3.86 – $24.53 | 10,343 | 8 |
| Edenton, NC | $16.30 | $3.50 – $16.55 | 10,346 | 3 |
| South Holland, IL | $15.39 | $3.38 – $26.24 | 10,359 | 6 |
| Wenatchee, WA | $13.34 | $5.17 – $33.42 | 10,363 | 7 |
| Centerville, IA | $8.55 | $0.00 – $21.64 | 10,364 | 22 |
| Islamorada, FL | $4.64 | $4.64 – $4.64 | 10,366 | 1 |
| Martinsville, VA | $9.81 | $7.31 – $16.28 | 10,367 | 11 |
| Hollins, VA | $14.55 | $14.55 – $14.55 | 10,375 | 1 |
| Maryland Heights, MO | $23.67 | $14.77 – $26.47 | 10,391 | 4 |
| Mt Pleasant, SC | $15.79 | $0.00 – $22.92 | 10,410 | 5 |
| Ashland, VA | $22.67 | $22.67 – $22.67 | 10,432 | 1 |
| Norwalk, CA | $19.11 | $2.45 – $34.03 | 10,453 | 17 |
| Huntley, IL | $18.65 | $3.01 – $24.72 | 10,468 | 4 |
| Urbana, IL | $12.18 | $0.32 – $22.70 | 10,476 | 12 |
| Radford, VA | $5.20 | $5.05 – $23.63 | 10,477 | 3 |
| Carlisle, MA | $66.00 | $66.00 – $66.00 | 10,480 | 1 |
| Floyd, VA | $5.70 | $3.28 – $5.71 | 10,487 | 2 |
| Greenville, TX | $16.47 | $0.01 – $37.96 | 10,499 | 7 |
| Twin Falls, ID | $27.26 | $10.76 – $39.72 | 10,502 | 8 |
| Canandaigua, NY | $10.69 | $0.00 – $13.26 | 10,507 | 6 |
| Brandenburg, KY | $5.81 | $2.27 – $9.63 | 10,511 | 4 |
| Groves, TX | $3.86 | $3.36 – $9.47 | 10,520 | 4 |
| Matawan, NJ | $11.32 | $5.10 – $29.42 | 10,541 | 8 |
| Westland, MI | $26.71 | $13.56 – $50.19 | 10,549 | 6 |
| Auburn, IN | $6.68 | $0.00 – $16.62 | 10,552 | 6 |
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.