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 |
|---|---|---|---|---|
| Waitsfield, VT | $25.34 | $25.34 – $25.34 | 108 | 1 |
| Solomons, MD | $11.52 | $0.00 – $59.27 | 108 | 2 |
| Glandorf, OH | $4.22 | $4.22 – $4.22 | 109 | 1 |
| Labelle, FL | $1.63 | $1.63 – $1.63 | 109 | 1 |
| Hines, IL | $6.01 | $6.01 – $6.01 | 109 | 1 |
| Long Pond, PA | $4.52 | $4.52 – $4.52 | 109 | 1 |
| Paradise Valley, AZ | $30.95 | $30.95 – $30.95 | 110 | 1 |
| East Chicago, IN | $7.98 | $7.98 – $7.98 | 110 | 1 |
| Dove Creek, CO | $11.77 | $11.77 – $11.77 | 110 | 1 |
| Grand Marais, MN | $87.01 | $87.01 – $87.01 | 110 | 1 |
| Prairie Village, KS | $6.44 | $0.00 – $25.59 | 110 | 3 |
| Ware Shoals, SC | $39.66 | $39.66 – $39.66 | 110 | 1 |
| Laramie, WY | $13.53 | $5.82 – $15.32 | 111 | 2 |
| Princeton, KY | $4.24 | $4.24 – $4.24 | 111 | 1 |
| Farmville, NC | $12.40 | $12.40 – $12.40 | 111 | 1 |
| Blue Island, IL | $11.90 | $11.90 – $11.90 | 111 | 1 |
| Torrington, WY | $16.67 | $0.00 – $19.08 | 111 | 2 |
| Anaconda, MT | $15.81 | $15.81 – $15.81 | 111 | 1 |
| Waynesville, MO | $17.27 | $17.27 – $17.27 | 111 | 1 |
| Richwood, WV | $0.76 | $0.76 – $0.76 | 111 | 1 |
| Amery, WI | $41.31 | $19.17 – $69.77 | 112 | 2 |
| Fort Edward, NY | $19.95 | $19.30 – $20.52 | 112 | 2 |
| Oldsmar, FL | $1.65 | $0.00 – $3.20 | 112 | 3 |
| Milford, IN | $4.46 | $4.46 – $4.46 | 113 | 1 |
| Sibley, IA | $7.74 | $7.74 – $7.74 | 114 | 1 |
| Crum Lynne, PA | $14.35 | $0.00 – $17.56 | 114 | 3 |
| Lemmon, SD | $45.86 | $45.86 – $45.86 | 114 | 1 |
| Fredericktown, OH | $8.22 | $0.00 – $9.19 | 114 | 2 |
| Curwensville, PA | $13.51 | $13.51 – $13.51 | 115 | 1 |
| Fogelsville, PA | $7.04 | $7.04 – $7.04 | 115 | 1 |
| Garner, IA | $0.00 | $0.00 – $0.00 | 115 | 1 |
| Cotulla, TX | $9.09 | $9.09 – $9.09 | 115 | 1 |
| West Haverstraw, NY | $0.20 | $0.20 – $0.20 | 115 | 1 |
| Millport, AL | $0.00 | $0.00 – $0.00 | 115 | 1 |
| Rumford, ME | $27.35 | $3.35 – $30.38 | 116 | 2 |
| Seaman, OH | $2.55 | $2.55 – $2.55 | 116 | 1 |
| Clarinda, IA | $3.26 | $3.26 – $3.26 | 116 | 1 |
| T Or C, NM | $39.50 | $39.50 – $39.50 | 116 | 1 |
| Dickson City, PA | $6.00 | $6.00 – $6.00 | 117 | 1 |
| North Haledon, NJ | $29.89 | $29.89 – $29.89 | 117 | 1 |
| Ft Carson, CO | $11.47 | $11.47 – $11.47 | 117 | 1 |
| Lakeville, MA | $21.38 | $21.38 – $21.38 | 117 | 1 |
| Rocky Ford, CO | $22.72 | $22.72 – $22.72 | 117 | 1 |
| Union, ME | $27.49 | $27.49 – $27.49 | 117 | 1 |
| Polk City, FL | $2.79 | $2.79 – $2.79 | 117 | 1 |
| Fenton, MO | $10.57 | $5.83 – $23.49 | 118 | 3 |
| Red Oak, IA | $9.46 | $8.84 – $9.75 | 118 | 2 |
| Brewster, MA | $15.83 | $15.83 – $15.83 | 118 | 1 |
| Center Moriches, NY | $0.14 | $0.14 – $0.14 | 118 | 1 |
| Salado, TX | $5.54 | $5.54 – $5.54 | 118 | 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.