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 |
|---|---|---|---|---|
| Larchmont, NY | $6.56 | $3.41 – $11.40 | 11,715 | 4 |
| Windermere, FL | $2.08 | $0.75 – $2.10 | 11,726 | 3 |
| Hazel Crest, IL | $17.06 | $3.92 – $31.79 | 11,728 | 12 |
| North Charleston, SC | $29.34 | $0.69 – $67.49 | 11,754 | 10 |
| Bedford, IN | $6.74 | $0.00 – $14.60 | 11,758 | 8 |
| Enid, OK | $31.04 | $5.16 – $58.19 | 11,759 | 11 |
| Blackwood, NJ | $19.99 | $3.01 – $31.19 | 11,759 | 7 |
| Elkins Park, PA | $25.17 | $2.75 – $40.67 | 11,783 | 5 |
| Panama City Beach, FL | $12.62 | $0.00 – $83.44 | 11,821 | 5 |
| Canton, MS | $21.13 | $8.69 – $29.65 | 11,823 | 7 |
| Starke, FL | $9.64 | $5.51 – $11.06 | 11,823 | 4 |
| Mccomb, MS | $21.39 | $0.00 – $110.07 | 11,827 | 6 |
| Orchard Park, NY | $18.25 | $0.00 – $43.68 | 11,838 | 13 |
| Woodbourne, NY | $3.78 | $3.78 – $3.78 | 11,839 | 1 |
| Saint Charles, MO | $17.67 | $0.00 – $33.97 | 11,861 | 8 |
| Hemet, CA | $11.93 | $0.00 – $39.18 | 11,869 | 12 |
| Sulphur, LA | $3.48 | $1.16 – $13.56 | 11,870 | 5 |
| Perth Amboy, NJ | $12.58 | $8.13 – $30.81 | 11,891 | 11 |
| Antioch, TN | $12.91 | $1.29 – $34.07 | 11,898 | 6 |
| Davie, FL | $9.93 | $0.00 – $52.29 | 11,903 | 8 |
| Ronceverte, WV | $8.48 | $2.23 – $22.75 | 11,954 | 4 |
| La Grange, KY | $4.15 | $2.33 – $22.81 | 11,966 | 6 |
| Saugus, MA | $6.56 | $5.41 – $16.54 | 11,976 | 3 |
| Flemington, NJ | $15.50 | $0.00 – $25.07 | 11,988 | 13 |
| Beaufort, SC | $11.82 | $4.04 – $31.42 | 12,025 | 7 |
| Burtonsville, MD | $36.31 | $0.00 – $60.54 | 12,032 | 6 |
| Washington, MO | $19.92 | $7.52 – $41.64 | 12,037 | 10 |
| Laredo, TX | $5.51 | $1.52 – $12.20 | 12,041 | 10 |
| Oak Grove, LA | $1.40 | $0.00 – $7.76 | 12,047 | 5 |
| Moneta, VA | $4.31 | $4.21 – $7.95 | 12,070 | 3 |
| Emporia, VA | $10.04 | $4.13 – $13.60 | 12,089 | 8 |
| Rural Hall, NC | $16.95 | $16.94 – $22.52 | 12,125 | 2 |
| Springfield, IL | $15.11 | $0.00 – $48.96 | 12,129 | 25 |
| Slc, UT | $9.46 | $3.85 – $50.58 | 12,132 | 2 |
| Texarkana, AR | $13.46 | $0.00 – $21.87 | 12,138 | 12 |
| Watertown, MA | $20.57 | $2.12 – $32.59 | 12,142 | 5 |
| Natchez, MS | $9.55 | $4.15 – $36.48 | 12,144 | 9 |
| Peru, IN | $9.36 | $1.38 – $31.42 | 12,150 | 8 |
| Fredericktown, MO | $31.05 | $8.42 – $91.86 | 12,154 | 7 |
| Woodbridge, CT | $6.29 | $2.63 – $7.74 | 12,159 | 4 |
| Gilroy, CA | $12.02 | $3.34 – $33.43 | 12,169 | 3 |
| Groesbeck, TX | $15.93 | $4.37 – $27.83 | 12,172 | 3 |
| Baldwinsville, NY | $16.46 | $12.39 – $16.50 | 12,174 | 2 |
| Nolensville, TN | $25.39 | $25.39 – $25.39 | 12,183 | 1 |
| Lauderdale Lakes, FL | $3.75 | $0.00 – $10.68 | 12,184 | 9 |
| Seven Hills, OH | $13.90 | $6.16 – $15.17 | 12,185 | 6 |
| Hays, KS | $4.03 | $0.00 – $19.09 | 12,192 | 4 |
| Shelby, OH | $9.27 | $1.42 – $10.53 | 12,198 | 4 |
| Grandview, MO | $23.81 | $15.18 – $32.69 | 12,232 | 3 |
| Billings, MT | $28.45 | $0.00 – $54.65 | 12,243 | 22 |
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.