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Based on public Medicaid payment data.

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
Novi, MI $32.08 $0.00 – $60.99 296,342 18
Columbia, MO $24.02 $5.40 – $34.89 296,470 70
Memphis, TN $9.85 $0.00 – $80.49 300,977 89
Crown Point, IN $14.43 $0.00 – $50.81 300,981 64
Charlotte, NC $17.89 $0.00 – $50.18 308,276 147
West Haven, CT $17.08 $1.26 – $42.17 309,972 70
Roanoke, VA $12.22 $0.00 – $66.50 310,285 114
Raleigh, NC $15.10 $0.00 – $40.05 312,718 109
Tucson, AZ $39.91 $0.00 – $96.10 313,976 151
Philadelphia, PA $22.42 $0.00 – $97.75 314,491 227
Silver Spring, MD $18.02 $0.00 – $126.51 318,176 69
Knoxville, TN $13.13 $0.00 – $32.67 319,777 114
San Diego, CA $49.85 $0.00 – $345.00 328,181 138
Saint Louis, MO $19.98 $0.00 – $62.72 381,628 188
Cleveland, OH $13.73 $0.00 – $65.74 389,018 215
Cincinnati, OH $15.95 $0.00 – $41.14 414,195 190
Dallas, TX $8.10 $0.00 – $72.47 418,194 205
San Antonio, TX $8.81 $0.00 – $80.18 438,546 192
Baton Rouge, LA $7.48 $0.00 – $23.08 443,825 98
Columbus, OH $15.93 $0.00 – $39.95 448,954 206
New York, NY $11.05 $0.00 – $69.66 498,754 240
Houston, TX $8.84 $0.00 – $114.98 532,202 293
Louisville, KY $9.76 $0.00 – $64.12 551,162 244
Asheville, NC $12.55 $0.00 – $42.00 568,782 112
Fort Wayne, IN $10.07 $0.00 – $66.22 584,581 188
Baltimore, MD $30.68 $-0.72 – $126.75 640,028 207
Los Angeles, CA $24.52 $0.00 – $725.57 652,704 305
Miami, FL $5.69 $0.00 – $89.83 708,431 263
Orlando, FL $5.85 $0.00 – $89.43 764,097 237
Miramar, FL $11.91 $0.00 – $74.59 830,785 146
Indianapolis, IN $12.89 $0.00 – $73.93 832,589 253
Jacksonville, FL $6.44 $0.00 – $61.66 918,615 266
Tampa, FL $5.95 $0.00 – $84.28 973,086 275
Phoenix, AZ $42.43 $0.00 – $107.08 1,002,914 272
Brooklyn, NY $13.63 $0.00 – $146.68 1,130,919 415
Las Vegas, NV $32.97 $0.00 – $124.30 1,247,209 318
Bronx, NY $12.93 $0.00 – $92.58 1,370,824 374
Chicago, IL $21.36 $0.00 – $90.93 1,738,984 558

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.