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 |
|---|---|---|---|---|
| Mechanicsburg, PA | $25.22 | $0.00 – $41.92 | 13,946 | 9 |
| St. Louis, MO | $27.11 | $13.69 – $28.72 | 13,952 | 3 |
| Mayfield, KY | $4.39 | $0.00 – $22.64 | 13,955 | 11 |
| New Glarus, WI | $36.49 | $7.08 – $36.64 | 13,965 | 2 |
| Bluff City, TN | $5.68 | $4.94 – $6.93 | 14,015 | 3 |
| Narberth, PA | $24.22 | $0.00 – $26.43 | 14,015 | 5 |
| Pell City, AL | $4.99 | $0.00 – $17.36 | 14,036 | 11 |
| Hanover, MD | $60.10 | $48.50 – $75.86 | 14,054 | 5 |
| Cromwell, CT | $29.30 | $3.47 – $30.32 | 14,056 | 3 |
| Demotte, IN | $1.87 | $1.11 – $4.68 | 14,065 | 3 |
| Beaver Dam, KY | $4.38 | $0.00 – $4.81 | 14,066 | 6 |
| Abbeville, AL | $4.31 | $0.00 – $8.72 | 14,112 | 4 |
| Alliance, OH | $9.41 | $4.49 – $27.08 | 14,129 | 12 |
| Dickson, TN | $7.79 | $5.95 – $10.94 | 14,158 | 6 |
| Niceville, FL | $4.82 | $2.26 – $30.38 | 14,160 | 6 |
| Temple, TX | $6.76 | $0.00 – $26.29 | 14,162 | 19 |
| Grand Junction, CO | $18.04 | $4.02 – $23.38 | 14,171 | 6 |
| Brick, NJ | $6.78 | $1.11 – $18.49 | 14,187 | 21 |
| Ludlow, MA | $14.64 | $1.34 – $20.25 | 14,209 | 7 |
| Franklin, OH | $15.41 | $12.98 – $16.79 | 14,243 | 3 |
| Jellico, TN | $30.94 | $14.33 – $33.92 | 14,263 | 2 |
| Hollis, NY | $7.04 | $0.00 – $9.27 | 14,264 | 5 |
| Columbus, IN | $9.61 | $0.19 – $12.76 | 14,283 | 8 |
| Winchester, KY | $8.37 | $5.85 – $39.05 | 14,283 | 6 |
| Gloucester, MA | $7.05 | $0.87 – $20.75 | 14,296 | 8 |
| Huntington Park, CA | $18.18 | $0.71 – $47.70 | 14,299 | 10 |
| Alabaster, AL | $3.40 | $2.68 – $8.23 | 14,307 | 6 |
| Bourbonnais, IL | $17.02 | $6.88 – $25.19 | 14,310 | 9 |
| Henderson, KY | $6.86 | $0.00 – $33.55 | 14,322 | 8 |
| St Louis Park, MN | $84.26 | $9.38 – $186.59 | 14,371 | 27 |
| Bellbrook, OH | $14.36 | $12.67 – $19.21 | 14,377 | 5 |
| Moore, OK | $23.19 | $6.83 – $24.23 | 14,404 | 6 |
| Wheaton, IL | $16.23 | $0.00 – $43.90 | 14,408 | 14 |
| Turnersville, NJ | $11.49 | $0.55 – $27.14 | 14,412 | 9 |
| Sanford, NC | $12.32 | $0.00 – $27.45 | 14,433 | 9 |
| Bryn Mawr, PA | $14.97 | $5.86 – $26.25 | 14,438 | 8 |
| Phillipsburg, NJ | $13.55 | $0.00 – $33.09 | 14,450 | 11 |
| Bryson City, NC | $17.07 | $0.00 – $19.09 | 14,457 | 5 |
| Fairhaven, MA | $8.55 | $3.89 – $12.18 | 14,468 | 9 |
| Wauwatosa, WI | $11.53 | $2.44 – $80.26 | 14,470 | 14 |
| Bismarck, ND | $18.30 | $6.39 – $33.98 | 14,487 | 18 |
| Saint Joseph, MO | $19.59 | $1.93 – $32.61 | 14,526 | 18 |
| Nathalie, VA | $8.16 | $6.08 – $12.26 | 14,531 | 3 |
| Mount Vernon, MO | $18.06 | $15.14 – $19.66 | 14,544 | 3 |
| Lake Oswego, OR | $31.12 | $0.00 – $37.08 | 14,551 | 8 |
| Dolton, IL | $26.27 | $22.28 – $31.48 | 14,580 | 3 |
| Springdale, AR | $15.70 | $5.12 – $44.99 | 14,596 | 11 |
| Pomona, NY | $11.50 | $6.48 – $36.56 | 14,599 | 6 |
| Ruston, LA | $8.18 | $2.83 – $18.80 | 14,606 | 11 |
| Eugene, OR | $13.87 | $2.31 – $39.97 | 14,649 | 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.