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 |
|---|---|---|---|---|
| Hasbrouck Heights, NJ | $11.49 | $6.30 – $13.08 | 16,632 | 3 |
| Madera, CA | $15.44 | $0.00 – $29.54 | 16,654 | 5 |
| Houlton, ME | $26.24 | $26.24 – $26.24 | 16,672 | 1 |
| Shelby, NC | $16.27 | $9.35 – $32.99 | 16,692 | 11 |
| Manakin Sabot, VA | $13.49 | $13.49 – $13.49 | 16,706 | 1 |
| Elkhart, IN | $6.74 | $3.01 – $10.75 | 16,724 | 8 |
| Deer Park, NY | $4.45 | $0.00 – $22.16 | 16,740 | 8 |
| Brunswick, ME | $19.62 | $8.29 – $26.96 | 16,741 | 8 |
| Garden City, NY | $9.38 | $2.40 – $11.97 | 16,754 | 5 |
| Live Oak, CA | $8.71 | $1.54 – $9.27 | 16,767 | 3 |
| Grand Forks, ND | $27.99 | $0.00 – $63.82 | 16,780 | 20 |
| Albemarle, NC | $26.12 | $3.98 – $35.94 | 16,789 | 10 |
| Roselle Park, NJ | $23.24 | $0.95 – $40.61 | 16,791 | 10 |
| Gardena, CA | $11.29 | $5.25 – $27.92 | 16,796 | 12 |
| Sparks, NV | $19.31 | $8.61 – $67.83 | 16,838 | 12 |
| Middle River, MD | $24.90 | $16.04 – $42.46 | 16,845 | 2 |
| Rowlett, TX | $16.62 | $13.84 – $27.25 | 16,861 | 5 |
| Salyersville, KY | $7.07 | $3.65 – $9.41 | 16,867 | 4 |
| Ft Worth, TX | $8.11 | $0.39 – $30.67 | 16,893 | 6 |
| Aurora, OH | $9.26 | $5.91 – $9.26 | 16,896 | 2 |
| Denton, TX | $7.70 | $0.00 – $64.81 | 16,897 | 16 |
| East Rockaway, NY | $8.69 | $5.29 – $11.16 | 16,900 | 2 |
| Logan, OH | $10.15 | $3.79 – $22.69 | 16,901 | 3 |
| Barrington, IL | $11.59 | $3.29 – $44.60 | 16,936 | 8 |
| Bedford, TX | $5.70 | $0.00 – $363.40 | 16,945 | 7 |
| Lakewood, CA | $17.41 | $4.08 – $26.37 | 16,951 | 8 |
| Petal, MS | $12.58 | $4.06 – $28.41 | 16,997 | 5 |
| Agawam, MA | $8.87 | $7.52 – $26.67 | 16,998 | 5 |
| Mandeville, LA | $2.09 | $0.00 – $2.94 | 17,010 | 5 |
| Oak Creek, WI | $12.09 | $3.42 – $12.95 | 17,030 | 2 |
| Union, OH | $20.38 | $20.38 – $20.38 | 17,051 | 1 |
| Massillon, OH | $11.31 | $1.39 – $30.12 | 17,076 | 15 |
| Santa Barbara, CA | $14.59 | $0.00 – $60.19 | 17,081 | 18 |
| Powell, TN | $24.71 | $9.08 – $30.95 | 17,083 | 3 |
| Alpena, MI | $30.87 | $0.00 – $39.62 | 17,115 | 3 |
| New Bern, NC | $37.89 | $3.14 – $47.18 | 17,117 | 7 |
| Deland, FL | $5.46 | $0.30 – $13.24 | 17,118 | 10 |
| Durango, CO | $32.71 | $3.02 – $67.80 | 17,136 | 11 |
| Wilson, NC | $8.42 | $7.78 – $9.71 | 17,149 | 4 |
| Collinsville, VA | $14.07 | $14.07 – $14.07 | 17,242 | 1 |
| Newport, TN | $9.39 | $3.65 – $34.51 | 17,254 | 7 |
| Poplarville, MS | $21.60 | $16.73 – $23.29 | 17,273 | 4 |
| Lancaster, NH | $24.98 | $20.47 – $26.34 | 17,276 | 3 |
| Greenbelt, MD | $21.16 | $8.66 – $54.95 | 17,289 | 9 |
| San Benito, TX | $10.81 | $0.94 – $12.69 | 17,290 | 4 |
| New Brunswick, NJ | $16.08 | $8.67 – $23.23 | 17,294 | 11 |
| Richmond, KY | $12.17 | $1.11 – $79.49 | 17,313 | 13 |
| Lathrup Village, MI | $30.88 | $23.41 – $32.03 | 17,315 | 3 |
| La Porte, IN | $8.77 | $4.22 – $17.55 | 17,317 | 9 |
| University Place, WA | $14.79 | $1.86 – $26.06 | 17,371 | 7 |
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.