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 |
|---|---|---|---|---|
| Old Lyme, CT | $4.41 | $2.81 – $12.76 | 22,668 | 7 |
| Ashville, OH | $24.70 | $24.70 – $24.70 | 22,724 | 1 |
| Montclair, CA | $36.33 | $9.19 – $212.34 | 22,727 | 24 |
| San Leandro, CA | $19.31 | $0.00 – $84.18 | 22,795 | 18 |
| Portsmouth, OH | $6.36 | $0.00 – $29.76 | 22,802 | 23 |
| Chula Vista, CA | $29.63 | $0.00 – $115.31 | 22,930 | 22 |
| Eaton, OH | $17.04 | $2.54 – $25.74 | 22,963 | 4 |
| Madison, WI | $11.01 | $0.00 – $35.88 | 22,994 | 26 |
| Worthington, IN | $9.42 | $2.75 – $10.03 | 22,994 | 4 |
| Pontiac, MI | $24.18 | $23.44 – $62.97 | 23,021 | 5 |
| Clyde, OH | $10.18 | $6.72 – $23.10 | 23,102 | 9 |
| Bay St Louis, MS | $32.77 | $4.56 – $40.73 | 23,117 | 4 |
| Palestine, TX | $7.54 | $0.50 – $24.74 | 23,126 | 5 |
| Bethlehem, PA | $17.62 | $0.00 – $39.67 | 23,133 | 28 |
| Northborough, MA | $20.97 | $0.00 – $21.88 | 23,155 | 5 |
| Kingwood, TX | $9.46 | $0.00 – $19.34 | 23,161 | 13 |
| Bowling Green, OH | $13.06 | $1.34 – $21.48 | 23,176 | 7 |
| Winter Garden, FL | $4.00 | $2.69 – $9.57 | 23,250 | 8 |
| Wellington, FL | $4.03 | $1.57 – $62.75 | 23,263 | 17 |
| Xenia, OH | $15.31 | $12.35 – $24.21 | 23,323 | 7 |
| Tupelo, MS | $12.31 | $0.00 – $140.56 | 23,458 | 23 |
| Gideon, MO | $35.61 | $35.61 – $35.61 | 23,462 | 1 |
| Williamsburg, VA | $12.41 | $0.37 – $26.06 | 23,482 | 21 |
| Paris, TX | $4.44 | $0.00 – $20.65 | 23,510 | 12 |
| Palm City, FL | $9.15 | $0.00 – $17.36 | 23,512 | 8 |
| Rogersville, MO | $27.89 | $20.10 – $96.47 | 23,558 | 8 |
| Marion, AL | $0.00 | $0.00 – $0.00 | 23,577 | 5 |
| Alpharetta, GA | $12.59 | $0.05 – $15.79 | 23,586 | 3 |
| San Jacinto, CA | $18.73 | $2.95 – $46.93 | 23,605 | 7 |
| Waco, TX | $7.90 | $0.00 – $42.79 | 23,632 | 24 |
| Draper, UT | $20.80 | $5.08 – $73.65 | 23,644 | 8 |
| Rolling Meadows, IL | $10.08 | $5.08 – $34.25 | 23,660 | 7 |
| Trenton, NJ | $10.44 | $1.14 – $32.23 | 23,666 | 15 |
| Des Plaines, IL | $21.78 | $3.69 – $29.80 | 23,703 | 11 |
| Ridgeland, MS | $18.18 | $0.00 – $34.30 | 23,771 | 9 |
| Blaine, TN | $25.96 | $3.08 – $26.77 | 23,807 | 2 |
| Cicero, IL | $10.38 | $4.35 – $48.74 | 23,817 | 5 |
| Hazard, KY | $23.23 | $0.00 – $141.23 | 23,832 | 17 |
| Magnolia, MS | $21.07 | $0.03 – $32.19 | 23,832 | 7 |
| Oakland Park, FL | $7.79 | $1.28 – $8.91 | 23,882 | 5 |
| Bristol, CT | $22.06 | $0.00 – $34.30 | 23,928 | 17 |
| Lebanon, TN | $9.58 | $4.67 – $26.63 | 23,944 | 11 |
| Leesburg, FL | $6.79 | $0.00 – $30.01 | 23,963 | 18 |
| Laurel, MS | $12.58 | $10.32 – $29.92 | 24,000 | 5 |
| New Lenox, IL | $8.89 | $2.43 – $51.42 | 24,019 | 12 |
| Danielson, CT | $13.86 | $6.85 – $21.56 | 24,063 | 7 |
| Glasgow, KY | $5.72 | $0.00 – $13.23 | 24,093 | 15 |
| Texarkana, TX | $9.00 | $0.00 – $29.91 | 24,164 | 15 |
| Oberlin, LA | $7.58 | $7.58 – $7.58 | 24,186 | 1 |
| Ruleville, MS | $35.38 | $11.25 – $197.55 | 24,190 | 4 |
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.