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 |
|---|---|---|---|---|
| Maysville, OK | $20.73 | $20.73 – $20.73 | 97 | 1 |
| Streetsboro, OH | $7.94 | $4.20 – $10.30 | 98 | 2 |
| Bloomer, WI | $15.34 | $10.88 – $17.30 | 98 | 2 |
| East Point, GA | $0.00 | $0.00 – $0.00 | 98 | 1 |
| Baker City, OR | $0.00 | $0.00 – $0.00 | 98 | 1 |
| Pittsburg, TX | $5.40 | $0.00 – $24.60 | 98 | 3 |
| Mia, FL | $1.68 | $1.68 – $1.68 | 98 | 1 |
| Kailua, HI | $23.38 | $23.38 – $23.38 | 99 | 1 |
| Fulton, NY | $0.81 | $0.81 – $0.81 | 100 | 1 |
| Huron, SD | $19.45 | $8.89 – $47.48 | 100 | 3 |
| Cut Off, LA | $9.69 | $9.69 – $9.69 | 100 | 1 |
| Montpelier, OH | $5.82 | $0.00 – $12.94 | 100 | 2 |
| Berwyn Heights, MD | $48.64 | $41.94 – $63.56 | 100 | 2 |
| Parlin, NJ | $3.04 | $3.04 – $3.04 | 101 | 1 |
| Roslyn, NY | $46.35 | $5.04 – $57.19 | 101 | 2 |
| Piedmont, MO | $27.82 | $19.50 – $31.52 | 101 | 3 |
| Holyoke, CO | $59.47 | $49.60 – $62.89 | 101 | 2 |
| Springfield, CO | $67.49 | $67.49 – $67.49 | 101 | 1 |
| Montezuma, IA | $11.16 | $11.16 – $11.16 | 101 | 1 |
| Piedmont, OK | $9.69 | $9.69 – $9.69 | 101 | 1 |
| Ferndale, MI | $8.99 | $1.58 – $55.52 | 102 | 2 |
| Tremont, IL | $24.18 | $24.18 – $24.18 | 102 | 1 |
| Sealy, TX | $9.69 | $9.69 – $9.69 | 102 | 1 |
| Wellington, TX | $29.37 | $29.37 – $29.37 | 102 | 1 |
| Rosebud, TX | $3.82 | $3.82 – $3.82 | 102 | 1 |
| Dalu City, CA | $3.72 | $3.72 – $3.72 | 102 | 1 |
| Mount Morris, PA | $6.75 | $6.75 – $6.75 | 102 | 1 |
| Atascadero, CA | $8.86 | $0.00 – $69.23 | 103 | 4 |
| Herreid, SD | $45.35 | $45.35 – $45.35 | 103 | 1 |
| Lake City, MN | $265.49 | $250.19 – $270.07 | 104 | 2 |
| Harper, KS | $0.32 | $0.32 – $0.32 | 104 | 1 |
| Monaca, PA | $13.68 | $13.29 – $14.85 | 105 | 2 |
| Collinwood, TN | $2.46 | $2.46 – $2.46 | 105 | 1 |
| Falls City, NE | $16.24 | $14.69 – $20.92 | 105 | 2 |
| Okolona, MS | $18.53 | $17.95 – $18.94 | 105 | 2 |
| Glenville, NY | $5.94 | $5.94 – $5.94 | 105 | 1 |
| Plainview, TX | $5.94 | $5.94 – $5.94 | 106 | 1 |
| Chanute, KS | $8.68 | $8.68 – $8.68 | 106 | 1 |
| Castleton, NY | $21.52 | $21.52 – $21.52 | 106 | 1 |
| Mecca, CA | $26.40 | $26.40 – $26.40 | 106 | 1 |
| Saltillo, MS | $9.21 | $9.21 – $9.21 | 106 | 1 |
| West Enfield, ME | $0.67 | $0.67 – $0.67 | 106 | 1 |
| Montevideo, MN | $56.43 | $53.43 – $57.40 | 107 | 2 |
| Garden City, MI | $25.32 | $25.32 – $25.32 | 107 | 1 |
| Wilmer, AL | $5.65 | $5.65 – $5.65 | 107 | 1 |
| Qulin, MO | $7.81 | $7.81 – $7.81 | 107 | 1 |
| Ship Bottom, NJ | $11.89 | $11.89 – $11.89 | 108 | 1 |
| Upland, PA | $24.98 | $19.00 – $26.51 | 108 | 2 |
| Elizabethtown, NC | $49.20 | $49.20 – $49.20 | 108 | 1 |
| Arlington, OH | $8.33 | $8.33 – $8.33 | 108 | 1 |
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.