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 |
|---|---|---|---|---|
| Lakewood, NJ | $11.27 | $0.00 – $31.80 | 43,900 | 39 |
| Muncie, IN | $8.70 | $0.00 – $19.40 | 43,984 | 20 |
| Beavercreek, OH | $11.71 | $0.00 – $24.62 | 44,288 | 12 |
| Old Tappan, NJ | $13.61 | $7.56 – $13.61 | 44,581 | 2 |
| East Hartford, CT | $36.32 | $5.23 – $56.88 | 44,644 | 13 |
| Newport Beach, CA | $12.02 | $0.00 – $53.95 | 44,768 | 19 |
| Franklin Square, NY | $16.70 | $4.93 – $24.40 | 44,778 | 8 |
| Carson City, NV | $19.19 | $11.00 – $80.91 | 44,935 | 16 |
| Terre Haute, IN | $11.50 | $0.00 – $21.65 | 44,938 | 22 |
| Hawthorne, CA | $10.98 | $0.40 – $24.11 | 44,971 | 7 |
| Casa Grande, AZ | $37.37 | $16.90 – $56.95 | 44,982 | 8 |
| Fishersville, VA | $9.97 | $2.45 – $16.72 | 45,386 | 16 |
| Canton, MA | $13.24 | $4.46 – $24.31 | 45,418 | 13 |
| Franklin, TN | $14.16 | $2.40 – $36.73 | 45,508 | 23 |
| Kansas City, KS | $10.72 | $0.00 – $37.71 | 45,550 | 27 |
| Stafford, VA | $10.39 | $3.03 – $22.62 | 45,605 | 11 |
| Petaluma, CA | $23.40 | $0.00 – $248.31 | 45,638 | 9 |
| Rocky Hill, CT | $22.45 | $0.00 – $54.82 | 45,750 | 22 |
| Pleasanton, TX | $3.53 | $0.00 – $6.05 | 46,178 | 4 |
| Hopkinsville, KY | $16.72 | $0.19 – $72.20 | 46,215 | 10 |
| Fairfax, VA | $10.46 | $1.32 – $136.55 | 46,225 | 26 |
| Lombard, IL | $10.51 | $0.00 – $46.94 | 46,424 | 20 |
| Burr Ridge, IL | $15.06 | $4.16 – $98.44 | 46,598 | 19 |
| Voorhees, NJ | $12.12 | $0.00 – $51.09 | 46,728 | 52 |
| Fountain Valley, CA | $22.96 | $0.68 – $222.00 | 46,742 | 21 |
| Salem, MA | $15.27 | $1.21 – $32.66 | 46,827 | 16 |
| Rockville Centre, NY | $9.05 | $0.00 – $51.24 | 46,851 | 18 |
| Odessa, TX | $6.19 | $1.71 – $42.27 | 47,082 | 10 |
| Independence, MO | $16.87 | $1.43 – $74.27 | 47,126 | 20 |
| Trinity, FL | $6.64 | $0.00 – $60.20 | 47,129 | 22 |
| Westlake, OH | $12.60 | $3.81 – $30.64 | 47,131 | 32 |
| Fort Pierce, FL | $7.03 | $0.00 – $110.37 | 47,247 | 24 |
| Centerville, OH | $15.94 | $5.95 – $26.11 | 47,404 | 23 |
| Hamden, CT | $22.40 | $0.00 – $46.06 | 47,471 | 27 |
| Inglewood, CA | $26.83 | $2.66 – $59.94 | 47,510 | 27 |
| Concord, NH | $4.24 | $0.00 – $34.18 | 47,661 | 28 |
| Fayetteville, NC | $17.82 | $0.00 – $44.70 | 47,764 | 29 |
| Tucker, GA | $11.11 | $4.24 – $41.58 | 47,821 | 8 |
| Sikeston, MO | $30.66 | $7.51 – $83.41 | 47,883 | 21 |
| Jackson Heights, NY | $8.34 | $0.00 – $28.93 | 47,894 | 13 |
| Ellicott City, MD | $36.74 | $15.56 – $69.33 | 47,959 | 11 |
| Goodyear, AZ | $41.02 | $5.47 – $61.39 | 48,510 | 21 |
| Levittown, PA | $17.89 | $2.24 – $35.53 | 48,681 | 18 |
| Alice, TX | $5.12 | $2.49 – $5.35 | 48,876 | 4 |
| Lancaster, OH | $7.79 | $0.83 – $10.90 | 49,081 | 14 |
| Waukegan, IL | $26.50 | $4.49 – $40.22 | 49,146 | 10 |
| Abilene, TX | $9.24 | $1.76 – $23.11 | 49,202 | 20 |
| Edison, NJ | $14.42 | $0.00 – $51.92 | 49,227 | 53 |
| Hackensack, NJ | $8.85 | $1.12 – $19.61 | 49,297 | 33 |
| Bloomington, IN | $9.79 | $0.00 – $17.25 | 49,490 | 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.