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 |
|---|---|---|---|---|
| Teaneck, NJ | $11.89 | $0.00 – $41.39 | 40,276 | 25 |
| New Rochelle, NY | $8.18 | $0.00 – $71.49 | 40,441 | 19 |
| Madison, AL | $1.98 | $0.00 – $16.56 | 40,490 | 21 |
| Quincy, MA | $11.50 | $0.00 – $33.32 | 40,507 | 19 |
| Spartanburg, SC | $15.68 | $0.00 – $45.96 | 40,525 | 23 |
| North Babylon, NY | $19.47 | $0.00 – $41.18 | 40,541 | 17 |
| Stratford, CT | $15.93 | $4.36 – $39.32 | 40,579 | 16 |
| Chesterfield, VA | $8.42 | $4.25 – $24.36 | 40,595 | 8 |
| Middletown, NY | $6.54 | $0.45 – $78.32 | 40,700 | 29 |
| Moseley, VA | $13.16 | $13.16 – $13.16 | 40,784 | 1 |
| Granger, IN | $8.94 | $3.76 – $15.11 | 40,795 | 9 |
| Hoffman Estates, IL | $18.62 | $4.98 – $63.02 | 40,821 | 15 |
| Florence, SC | $10.66 | $0.39 – $27.10 | 40,827 | 26 |
| Columbia, TN | $8.92 | $0.00 – $32.59 | 40,845 | 19 |
| Southfield, MI | $38.75 | $4.36 – $66.99 | 41,163 | 22 |
| Frisco, TX | $7.85 | $0.00 – $24.07 | 41,241 | 24 |
| Delray Beach, FL | $7.94 | $0.00 – $94.10 | 41,258 | 23 |
| Morgantown, WV | $16.92 | $0.00 – $55.73 | 41,476 | 41 |
| West Des Moines, IA | $11.04 | $2.73 – $21.48 | 41,507 | 24 |
| Morristown, NJ | $13.27 | $0.00 – $26.41 | 41,515 | 26 |
| Portland, ME | $22.64 | $0.00 – $60.17 | 41,534 | 54 |
| Hinsdale, IL | $30.31 | $2.50 – $48.67 | 41,547 | 13 |
| Beaumont, TX | $4.59 | $0.00 – $22.58 | 41,670 | 24 |
| Owings Mills, MD | $35.69 | $0.00 – $88.17 | 41,677 | 16 |
| North Haven, CT | $17.49 | $5.44 – $97.76 | 41,736 | 9 |
| Old Saybrook, CT | $10.80 | $3.45 – $53.54 | 41,743 | 16 |
| New Albany, IN | $7.21 | $0.00 – $36.37 | 41,781 | 21 |
| Panama City, FL | $4.94 | $0.00 – $49.91 | 42,037 | 23 |
| Marion, IN | $10.21 | $0.59 – $19.39 | 42,086 | 10 |
| Blue Ash, OH | $15.61 | $2.95 – $29.70 | 42,117 | 18 |
| Las Cruces, NM | $42.42 | $0.00 – $76.27 | 42,187 | 27 |
| Avon, IN | $10.31 | $5.79 – $16.71 | 42,262 | 5 |
| Oakwood, OH | $18.05 | $2.55 – $20.24 | 42,300 | 12 |
| Brownsville, TX | $5.96 | $0.00 – $12.83 | 42,380 | 21 |
| Pinellas Park, FL | $10.57 | $0.00 – $19.32 | 42,650 | 11 |
| Temple Terrace, FL | $6.75 | $0.00 – $32.24 | 42,702 | 26 |
| Marina Del Rey, CA | $24.65 | $0.00 – $27.56 | 42,923 | 8 |
| Vero Beach, FL | $7.93 | $0.00 – $26.63 | 42,934 | 30 |
| Greenwood, IN | $19.94 | $1.31 – $57.63 | 42,942 | 29 |
| Willowbrook, IL | $29.20 | $8.65 – $119.63 | 42,993 | 16 |
| Shelby Township, MI | $23.82 | $23.82 – $23.82 | 43,252 | 1 |
| Abingdon, VA | $10.58 | $2.71 – $22.58 | 43,367 | 9 |
| Mayfield Heights, OH | $12.78 | $1.12 – $21.26 | 43,402 | 10 |
| Wolcott, CT | $25.82 | $4.98 – $36.34 | 43,465 | 7 |
| Bristol, TN | $12.07 | $3.72 – $20.28 | 43,470 | 10 |
| Poplar Bluff, MO | $27.52 | $8.58 – $65.84 | 43,550 | 23 |
| Lanham, MD | $24.57 | $0.00 – $80.71 | 43,559 | 18 |
| Fair Oaks, CA | $9.43 | $0.00 – $16.59 | 43,636 | 12 |
| Palm Bay, FL | $7.30 | $1.62 – $32.68 | 43,821 | 15 |
| Danville, VA | $7.76 | $2.12 – $22.66 | 43,827 | 16 |
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.