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 |
|---|---|---|---|---|
| Parsippany, NJ | $10.96 | $1.95 – $17.36 | 28,447 | 13 |
| Valley Stream, NY | $6.62 | $0.00 – $32.02 | 28,509 | 14 |
| Mineola, NY | $8.89 | $2.25 – $34.53 | 28,595 | 13 |
| Princeton, WV | $12.77 | $0.81 – $14.27 | 28,614 | 6 |
| Old Bridge, NJ | $13.24 | $1.88 – $29.48 | 28,627 | 20 |
| Chapin, SC | $22.82 | $8.06 – $43.87 | 28,627 | 7 |
| Clarksville, TN | $10.49 | $1.74 – $46.04 | 28,668 | 20 |
| Southaven, MS | $15.09 | $4.12 – $137.85 | 28,716 | 14 |
| Newton, MA | $10.76 | $2.95 – $19.55 | 28,719 | 7 |
| Vineland, NJ | $7.52 | $0.00 – $22.32 | 28,730 | 16 |
| Woodbridge, VA | $12.87 | $2.00 – $36.94 | 28,752 | 18 |
| Greenville, MS | $32.29 | $0.00 – $181.47 | 28,861 | 16 |
| Zephyrhills, FL | $4.00 | $0.00 – $17.19 | 28,868 | 21 |
| Denver, NC | $18.91 | $5.64 – $25.92 | 28,883 | 6 |
| Niagara Falls, NY | $14.15 | $3.87 – $17.71 | 28,895 | 9 |
| Springfield, OR | $9.32 | $8.38 – $25.96 | 28,902 | 6 |
| Ansted, WV | $17.45 | $11.46 – $19.97 | 28,943 | 3 |
| Schaumburg, IL | $18.11 | $1.82 – $43.71 | 28,958 | 24 |
| Milton, MA | $11.84 | $10.43 – $21.77 | 29,009 | 7 |
| Collinsville, IL | $13.15 | $5.00 – $15.22 | 29,032 | 3 |
| Hickory, NC | $9.00 | $0.77 – $22.08 | 29,054 | 11 |
| Mc Kenzie, TN | $11.47 | $0.00 – $15.28 | 29,088 | 9 |
| North Miami, FL | $8.64 | $1.75 – $46.69 | 29,266 | 20 |
| Westerville, OH | $13.47 | $4.64 – $37.98 | 29,333 | 17 |
| Randallstown, MD | $43.30 | $6.32 – $74.25 | 29,419 | 14 |
| Elkridge, MD | $32.69 | $8.65 – $81.59 | 29,437 | 14 |
| Enterprise, AL | $8.78 | $0.47 – $20.65 | 29,452 | 18 |
| Chipley, FL | $7.42 | $4.19 – $9.13 | 29,468 | 2 |
| Cape Girardeau, MO | $18.99 | $1.70 – $61.13 | 29,637 | 15 |
| Lilburn, GA | $7.65 | $3.35 – $32.58 | 29,693 | 3 |
| Erie, PA | $13.45 | $0.00 – $32.36 | 29,721 | 29 |
| Wadsworth, OH | $13.78 | $7.34 – $21.19 | 29,775 | 8 |
| Parkville, MD | $68.34 | $0.00 – $100.83 | 29,821 | 23 |
| Brentwood, TN | $15.63 | $0.00 – $60.79 | 29,846 | 22 |
| Sunnyvale, CA | $8.96 | $1.87 – $12.82 | 29,848 | 7 |
| Pinehurst, NC | $14.40 | $3.11 – $21.32 | 29,870 | 11 |
| Denison, TX | $9.08 | $7.08 – $23.44 | 29,908 | 5 |
| Corbin, KY | $16.19 | $0.48 – $97.86 | 29,945 | 16 |
| Northbrook, IL | $9.91 | $0.00 – $33.90 | 29,953 | 28 |
| Tamarac, FL | $6.11 | $0.00 – $21.18 | 29,969 | 23 |
| Ardsley, NY | $12.51 | $12.48 – $14.79 | 29,970 | 2 |
| Springfield, OH | $11.86 | $2.59 – $29.59 | 30,070 | 15 |
| Bloomfield, NJ | $10.44 | $1.74 – $34.24 | 30,073 | 12 |
| Houma, LA | $6.13 | $0.11 – $15.74 | 30,124 | 13 |
| Canal Winchester, OH | $16.39 | $0.37 – $20.14 | 30,127 | 7 |
| Opelika, AL | $7.60 | $0.00 – $13.18 | 30,156 | 6 |
| Fairfield, CA | $23.55 | $1.37 – $215.97 | 30,174 | 12 |
| Greeneville, TN | $11.57 | $4.40 – $38.46 | 30,177 | 11 |
| Kingman, AZ | $42.06 | $12.24 – $48.22 | 30,289 | 13 |
| Greenville, DE | $22.73 | $22.73 – $22.73 | 30,368 | 1 |
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.