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 |
|---|---|---|---|---|
| Sycamore, IL | $11.52 | $3.99 – $16.95 | 10,555 | 9 |
| Woods Cross, UT | $42.32 | $42.32 – $42.32 | 10,556 | 1 |
| Baldwyn, MS | $22.26 | $0.00 – $25.07 | 10,575 | 4 |
| Kalamazoo, MI | $37.45 | $8.42 – $43.11 | 10,581 | 7 |
| Coconut Creek, FL | $6.76 | $5.09 – $35.99 | 10,588 | 6 |
| Annandale, VA | $17.51 | $8.00 – $20.46 | 10,612 | 6 |
| Harrison, OH | $11.44 | $7.79 – $15.97 | 10,613 | 2 |
| Springfield, PA | $16.74 | $0.00 – $22.15 | 10,620 | 8 |
| Phila, PA | $21.64 | $0.00 – $39.97 | 10,633 | 10 |
| Seminole, FL | $10.61 | $0.46 – $15.15 | 10,640 | 10 |
| Media, PA | $15.11 | $6.06 – $83.44 | 10,665 | 14 |
| Garnerville, NY | $5.38 | $2.79 – $5.51 | 10,677 | 4 |
| Short Hills, NJ | $10.30 | $6.65 – $18.12 | 10,682 | 9 |
| Kaplan, LA | $5.77 | $4.44 – $8.55 | 10,687 | 3 |
| Stoneham, MA | $11.21 | $3.87 – $24.24 | 10,690 | 5 |
| South Miami, FL | $10.14 | $1.15 – $18.02 | 10,709 | 11 |
| Niles, OH | $15.47 | $4.92 – $28.82 | 10,718 | 7 |
| Caneyville, KY | $5.62 | $5.62 – $5.62 | 10,730 | 1 |
| Colonia, NJ | $43.58 | $5.47 – $49.43 | 10,744 | 3 |
| Fullerton, CA | $18.82 | $3.21 – $222.00 | 10,745 | 13 |
| Bensalem, PA | $22.52 | $6.14 – $33.22 | 10,748 | 5 |
| Portage, IN | $30.50 | $3.63 – $47.61 | 10,764 | 7 |
| Pocahontas, AR | $16.92 | $11.43 – $26.30 | 10,765 | 7 |
| Amherst, VA | $10.57 | $8.93 – $11.34 | 10,787 | 3 |
| Lansing, IL | $15.55 | $4.15 – $27.17 | 10,792 | 5 |
| Tuckahoe, NY | $9.87 | $9.87 – $9.87 | 10,793 | 1 |
| Margate, FL | $2.72 | $2.55 – $7.40 | 10,799 | 3 |
| Allen, TX | $6.59 | $2.98 – $16.01 | 10,803 | 6 |
| Excelsior, MN | $56.40 | $51.07 – $71.45 | 10,811 | 5 |
| Dover, FL | $2.08 | $2.08 – $2.08 | 10,813 | 1 |
| Minnetonka, MN | $8.19 | $0.00 – $58.11 | 10,821 | 16 |
| Hudson, FL | $11.72 | $0.00 – $65.39 | 10,830 | 15 |
| Chester, NY | $11.44 | $11.44 – $11.44 | 10,836 | 1 |
| Sierra Vista, AZ | $23.61 | $18.90 – $24.45 | 10,865 | 6 |
| Great Falls, MT | $26.42 | $13.81 – $61.17 | 10,876 | 10 |
| Ottawa, KS | $5.68 | $5.68 – $5.68 | 10,891 | 1 |
| Mayfield Hts, OH | $11.73 | $5.08 – $18.83 | 10,893 | 7 |
| Valhalla, NY | $9.80 | $4.86 – $48.23 | 10,897 | 6 |
| Brunswick, OH | $13.40 | $12.00 – $18.74 | 10,904 | 2 |
| Chino, CA | $13.92 | $1.30 – $44.66 | 10,909 | 11 |
| Lewiston, ME | $23.45 | $8.98 – $29.31 | 10,920 | 15 |
| Trumbull, CT | $23.81 | $18.03 – $37.56 | 10,925 | 4 |
| Winnie, TX | $3.74 | $0.00 – $4.17 | 10,927 | 3 |
| Crofton, KY | $38.28 | $38.28 – $38.28 | 10,929 | 1 |
| Marlborough, CT | $7.14 | $2.28 – $9.32 | 10,982 | 2 |
| Miami Lakes, FL | $4.99 | $0.00 – $15.45 | 10,984 | 12 |
| Broomall, PA | $15.96 | $2.25 – $37.24 | 10,987 | 5 |
| Kenneth City, FL | $7.69 | $5.80 – $7.91 | 10,989 | 3 |
| Langhorne, PA | $21.73 | $1.90 – $37.69 | 10,990 | 13 |
| Flat Rock, NC | $14.49 | $0.00 – $44.45 | 10,990 | 24 |
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.