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 |
|---|---|---|---|---|
| Fresh Meadows, NY | $13.34 | $0.00 – $24.90 | 55,823 | 18 |
| Chester, MD | $15.61 | $15.61 – $25.97 | 56,217 | 2 |
| Brockton, MA | $13.77 | $0.00 – $42.56 | 56,233 | 40 |
| Inverness, FL | $5.08 | $2.66 – $8.59 | 56,362 | 12 |
| Evergreen Park, IL | $19.26 | $1.89 – $41.35 | 56,389 | 11 |
| Joliet, IL | $17.71 | $0.00 – $36.02 | 56,539 | 26 |
| Sacramento, CA | $17.65 | $0.00 – $103.21 | 56,816 | 67 |
| Utica, NY | $8.96 | $0.00 – $24.07 | 57,016 | 22 |
| New Braunfels, TX | $8.30 | $0.00 – $35.97 | 57,127 | 25 |
| Norman, OK | $21.87 | $5.65 – $56.65 | 57,229 | 23 |
| Spokane, WA | $10.59 | $0.00 – $78.93 | 57,290 | 77 |
| Homewood, IL | $26.93 | $1.30 – $28.48 | 57,349 | 9 |
| Valrico, FL | $9.05 | $0.00 – $19.85 | 57,382 | 11 |
| Hammond, LA | $3.71 | $0.00 – $186.69 | 57,389 | 29 |
| Plantation, FL | $6.58 | $0.00 – $46.48 | 57,454 | 29 |
| Paramus, NJ | $12.93 | $0.93 – $30.54 | 57,515 | 26 |
| Daly City, CA | $28.64 | $1.56 – $129.41 | 57,868 | 23 |
| Dublin, OH | $10.11 | $0.00 – $25.06 | 57,929 | 64 |
| Tuscaloosa, AL | $2.52 | $0.00 – $30.90 | 58,159 | 35 |
| Framingham, MA | $8.28 | $0.00 – $29.27 | 58,403 | 35 |
| St Augustine, FL | $5.36 | $0.50 – $25.55 | 58,421 | 22 |
| Miami Beach, FL | $6.69 | $0.00 – $24.70 | 58,652 | 18 |
| Amityville, NY | $11.53 | $4.15 – $45.97 | 58,659 | 13 |
| Gallatin, TN | $10.56 | $0.43 – $34.77 | 58,672 | 17 |
| Safety Harbor, FL | $7.51 | $2.26 – $70.83 | 58,682 | 12 |
| Cookeville, TN | $11.55 | $0.00 – $35.22 | 58,950 | 19 |
| Barrington, NJ | $9.43 | $1.87 – $25.23 | 59,054 | 27 |
| North Miami Beach, FL | $6.03 | $0.00 – $98.00 | 59,061 | 24 |
| Spring Hill, FL | $4.66 | $1.27 – $12.55 | 59,145 | 18 |
| North Chesterfield, VA | $19.35 | $5.06 – $42.21 | 59,177 | 16 |
| Chesterfield, MO | $17.26 | $0.00 – $34.56 | 59,562 | 30 |
| Danbury, CT | $12.84 | $1.54 – $27.39 | 59,584 | 15 |
| Greensboro, NC | $18.27 | $0.00 – $36.64 | 59,803 | 52 |
| Mcallen, TX | $8.51 | $0.00 – $25.00 | 60,062 | 57 |
| Livonia, MI | $30.77 | $0.00 – $43.09 | 60,176 | 11 |
| Monroe, LA | $5.53 | $0.00 – $27.06 | 60,464 | 37 |
| Marion, OH | $9.30 | $0.00 – $18.47 | 60,544 | 17 |
| Englewood, NJ | $10.12 | $1.35 – $34.26 | 60,604 | 38 |
| Wilmington, DE | $13.97 | $0.00 – $77.68 | 60,667 | 51 |
| Lutherville, MD | $35.88 | $5.65 – $123.64 | 60,839 | 19 |
| Arlington, VA | $21.72 | $4.08 – $86.32 | 60,974 | 24 |
| Oakland, CA | $19.24 | $0.00 – $151.72 | 61,008 | 43 |
| Orange, CA | $17.29 | $0.00 – $68.01 | 61,175 | 31 |
| Ashburn, VA | $15.61 | $0.00 – $34.02 | 61,398 | 29 |
| Dartmouth, MA | $11.25 | $1.09 – $17.87 | 61,452 | 11 |
| Charleston, WV | $14.07 | $0.30 – $41.77 | 61,580 | 32 |
| Alameda, CA | $20.83 | $0.00 – $52.00 | 61,735 | 21 |
| Wallingford, CT | $15.08 | $0.00 – $35.38 | 61,889 | 9 |
| Gulfport, MS | $12.48 | $0.00 – $67.58 | 61,948 | 36 |
| East Ridge, TN | $14.00 | $5.52 – $26.85 | 61,997 | 12 |
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.