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 |
|---|---|---|---|---|
| Mansfield, TX | $9.20 | $2.92 – $27.58 | 24,203 | 14 |
| Vincennes, IN | $8.40 | $2.78 – $12.21 | 24,207 | 8 |
| Ridgewood, NY | $9.19 | $4.03 – $14.63 | 24,230 | 4 |
| Westminster, MD | $32.92 | $2.46 – $83.01 | 24,237 | 10 |
| Boise, ID | $28.77 | $0.00 – $110.90 | 24,248 | 41 |
| Redwood City, CA | $19.90 | $5.01 – $37.15 | 24,249 | 5 |
| Carol Stream, IL | $14.38 | $0.00 – $22.40 | 24,290 | 7 |
| Washington, IN | $11.25 | $6.97 – $30.35 | 24,320 | 6 |
| Lawton, OK | $7.41 | $1.67 – $43.58 | 24,440 | 7 |
| Plant City, FL | $8.56 | $0.00 – $48.39 | 24,520 | 13 |
| Kenner, LA | $7.16 | $3.32 – $15.73 | 24,549 | 10 |
| Jefferson City, TN | $16.72 | $10.01 – $30.20 | 24,593 | 5 |
| Maywood, IL | $20.08 | $4.89 – $57.60 | 24,692 | 12 |
| Coeur D Alene, ID | $21.71 | $0.02 – $46.42 | 24,710 | 26 |
| Burbank, IL | $22.61 | $3.81 – $29.00 | 24,741 | 5 |
| Syracuse, NY | $11.41 | $0.00 – $30.87 | 24,853 | 27 |
| Nashua, NH | $6.35 | $0.00 – $28.77 | 24,933 | 23 |
| Sayre, PA | $16.68 | $0.00 – $45.97 | 24,952 | 15 |
| Yakima, WA | $25.01 | $4.42 – $56.35 | 24,953 | 11 |
| Peoria, IL | $17.56 | $1.45 – $363.40 | 25,023 | 28 |
| Neptune, NJ | $12.19 | $0.26 – $40.92 | 25,070 | 15 |
| Saint Paul, MN | $51.86 | $6.18 – $380.00 | 25,091 | 46 |
| Orange City, FL | $5.14 | $0.00 – $18.70 | 25,104 | 12 |
| Brookhaven, MS | $15.69 | $0.00 – $105.02 | 25,113 | 20 |
| Hercules, CA | $15.24 | $1.75 – $20.29 | 25,141 | 4 |
| Providence, RI | $18.46 | $0.00 – $69.93 | 25,166 | 30 |
| Basking Ridge, NJ | $10.24 | $0.00 – $17.43 | 25,200 | 13 |
| Noblesville, IN | $12.82 | $6.67 – $22.57 | 25,216 | 10 |
| Suffern, NY | $10.90 | $0.00 – $21.81 | 25,249 | 6 |
| Staunton, VA | $7.98 | $5.19 – $12.91 | 25,252 | 6 |
| Port Jefferson Station, NY | $4.83 | $2.34 – $13.54 | 25,263 | 3 |
| Morton Grove, IL | $14.82 | $0.32 – $67.00 | 25,316 | 7 |
| Hackettstown, NJ | $14.06 | $1.11 – $25.95 | 25,337 | 15 |
| Henderson, NC | $13.69 | $0.00 – $16.68 | 25,366 | 7 |
| Modesto, CA | $13.43 | $0.00 – $72.13 | 25,404 | 30 |
| Newport News, VA | $8.32 | $1.10 – $21.39 | 25,484 | 38 |
| Allentown, PA | $20.72 | $0.00 – $51.64 | 25,542 | 50 |
| Bellingham, WA | $15.14 | $3.96 – $41.67 | 25,661 | 19 |
| Warren, OH | $12.60 | $0.00 – $22.80 | 25,680 | 21 |
| Jefferson City, MO | $17.31 | $3.82 – $52.29 | 25,682 | 17 |
| Leominster, MA | $11.57 | $6.57 – $34.26 | 25,763 | 13 |
| Sparta, MO | $50.17 | $37.40 – $76.69 | 25,899 | 3 |
| Scottsburg, IN | $9.91 | $3.78 – $12.84 | 25,927 | 6 |
| Madisonville, KY | $9.95 | $3.21 – $107.79 | 25,934 | 18 |
| Hallandale Beach, FL | $9.12 | $0.00 – $20.86 | 26,137 | 6 |
| Shelbyville, IN | $21.27 | $5.32 – $56.90 | 26,151 | 11 |
| Richardson, TX | $8.00 | $0.00 – $13.69 | 26,181 | 15 |
| Snow Hill, NC | $16.40 | $0.00 – $16.50 | 26,183 | 3 |
| Plainfield, IL | $15.38 | $2.25 – $33.04 | 26,211 | 15 |
| Williamston, NC | $18.25 | $4.60 – $20.68 | 26,278 | 5 |
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.