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 |
|---|---|---|---|---|
| Venice, FL | $21.20 | $0.00 – $97.88 | 32,918 | 13 |
| Fair Lawn, NJ | $7.27 | $0.00 – $21.91 | 32,969 | 23 |
| Rockingham, VA | $10.99 | $3.97 – $30.23 | 32,982 | 9 |
| Glendale, AZ | $37.00 | $0.00 – $61.33 | 33,009 | 25 |
| Cullman, AL | $2.20 | $0.00 – $4.92 | 33,137 | 13 |
| Troy, MI | $26.73 | $0.28 – $51.70 | 33,191 | 13 |
| Chesapeake, VA | $13.06 | $0.00 – $42.82 | 33,250 | 36 |
| Camden, NJ | $42.89 | $0.00 – $113.32 | 33,276 | 28 |
| East Orange, NJ | $17.18 | $4.28 – $33.91 | 33,304 | 22 |
| Lantana, FL | $2.68 | $2.68 – $2.68 | 33,315 | 1 |
| Missouri City, TX | $8.24 | $0.38 – $44.72 | 33,521 | 10 |
| Renton, WA | $12.73 | $0.00 – $59.71 | 33,606 | 25 |
| Hamilton, OH | $14.87 | $4.18 – $25.20 | 33,750 | 17 |
| Marrero, LA | $13.64 | $0.00 – $25.96 | 33,753 | 14 |
| Cape Coral, FL | $5.34 | $0.00 – $76.98 | 33,776 | 32 |
| Lawrenceburg, TN | $18.37 | $0.00 – $30.26 | 33,805 | 12 |
| Harriman, TN | $14.44 | $2.57 – $32.29 | 33,878 | 6 |
| Manchester, CT | $25.89 | $2.62 – $32.89 | 33,973 | 13 |
| Royal Oak, MI | $34.81 | $10.63 – $55.53 | 34,059 | 10 |
| Huntsville, AL | $4.56 | $0.00 – $23.77 | 34,072 | 28 |
| Woodside, NY | $12.83 | $3.31 – $22.59 | 34,321 | 9 |
| Asheboro, NC | $12.22 | $0.00 – $36.48 | 34,337 | 23 |
| Blanchester, OH | $10.30 | $9.77 – $15.39 | 34,355 | 3 |
| Chapel Hill, NC | $14.17 | $0.00 – $54.16 | 34,366 | 28 |
| Marietta, OH | $8.41 | $3.41 – $33.89 | 34,394 | 16 |
| Spring Valley, NY | $14.33 | $4.77 – $61.29 | 34,399 | 8 |
| Glendora, CA | $21.71 | $0.00 – $50.53 | 34,400 | 33 |
| Long Beach, NY | $9.86 | $1.46 – $16.18 | 34,412 | 9 |
| Culver City, CA | $65.42 | $5.37 – $179.60 | 34,499 | 17 |
| Fishers, IN | $21.15 | $2.30 – $56.51 | 34,753 | 22 |
| Hot Springs, AR | $14.28 | $0.00 – $39.12 | 34,754 | 17 |
| Frankfort, KY | $7.28 | $1.36 – $25.64 | 34,755 | 20 |
| Crete, IL | $18.33 | $4.28 – $26.45 | 34,864 | 2 |
| Zanesville, OH | $8.55 | $1.13 – $12.08 | 34,906 | 14 |
| Deptford, NJ | $21.35 | $0.45 – $22.55 | 34,935 | 5 |
| El Monte, CA | $18.11 | $8.56 – $43.37 | 35,038 | 12 |
| Irving, TX | $8.34 | $0.00 – $61.35 | 35,175 | 18 |
| Mount Airy, NC | $8.46 | $0.09 – $27.45 | 35,233 | 7 |
| New Hartford, NY | $7.81 | $0.14 – $16.70 | 35,239 | 20 |
| Norridge, IL | $6.26 | $4.98 – $32.28 | 35,311 | 3 |
| Lehi, UT | $30.66 | $13.33 – $46.82 | 35,336 | 8 |
| Topeka, KS | $8.61 | $0.00 – $26.67 | 35,411 | 30 |
| Union City, TN | $6.75 | $0.00 – $22.51 | 35,420 | 11 |
| Brownsburg, IN | $6.86 | $5.46 – $53.18 | 35,474 | 8 |
| Loma Linda, CA | $24.83 | $0.00 – $97.41 | 35,476 | 29 |
| Washington Court House, OH | $18.37 | $9.28 – $21.12 | 35,516 | 9 |
| Oxon Hill, MD | $38.03 | $0.00 – $51.93 | 35,546 | 11 |
| Point Reyes Station, CA | $12.21 | $4.85 – $13.03 | 35,685 | 2 |
| Chandler, AZ | $34.68 | $2.71 – $100.13 | 35,807 | 33 |
| Downers Grove, IL | $15.40 | $2.00 – $86.81 | 35,863 | 29 |
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.