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 |
|---|---|---|---|---|
| Balsam Lake, WI | $37.76 | $37.76 – $37.76 | 118 | 1 |
| Little Falls, MN | $21.69 | $21.69 – $21.69 | 119 | 1 |
| Marcus Hook, PA | $0.00 | $0.00 – $0.00 | 119 | 1 |
| Dillon, MT | $4.18 | $0.00 – $9.13 | 120 | 2 |
| West Hazleton, PA | $34.58 | $34.58 – $34.58 | 120 | 1 |
| Dublin, PA | $23.24 | $23.24 – $23.24 | 120 | 1 |
| Cowden, IL | $49.34 | $49.34 – $49.34 | 120 | 1 |
| Wadley, AL | $5.13 | $5.13 – $5.13 | 120 | 1 |
| Darien, IL | $1.16 | $1.16 – $1.16 | 121 | 1 |
| Poquoson, VA | $7.42 | $7.42 – $7.42 | 121 | 1 |
| Tuscola, IL | $12.68 | $12.68 – $12.68 | 121 | 1 |
| Riverside, IL | $16.71 | $16.71 – $16.71 | 122 | 1 |
| Northlake, IL | $14.24 | $14.24 – $14.24 | 122 | 1 |
| Iberia, MO | $18.99 | $18.99 – $18.99 | 122 | 1 |
| Sammamish, WA | $61.60 | $61.60 – $61.60 | 123 | 1 |
| Sheffield Village, OH | $6.23 | $1.73 – $9.31 | 123 | 2 |
| Seabrook, NH | $3.25 | $3.25 – $3.25 | 123 | 1 |
| Cherokee, NC | $6.56 | $6.56 – $6.56 | 124 | 1 |
| Montgomery City, MO | $30.48 | $30.48 – $30.48 | 124 | 1 |
| Ridgway, CO | $12.44 | $12.44 – $12.44 | 124 | 1 |
| Peachtree Corners, GA | $5.15 | $5.15 – $5.15 | 124 | 1 |
| Kingman, KS | $19.60 | $19.60 – $19.60 | 125 | 1 |
| Worthington, MN | $53.57 | $38.64 – $60.40 | 125 | 3 |
| Pulaski, WI | $14.85 | $14.85 – $14.85 | 125 | 1 |
| Velma, OK | $9.85 | $9.85 – $9.85 | 125 | 1 |
| San Marcos, CA | $11.34 | $7.74 – $17.59 | 126 | 2 |
| Midvale, UT | $12.65 | $9.89 – $16.98 | 126 | 2 |
| Kalona, IA | $3.37 | $3.37 – $3.37 | 126 | 1 |
| Wolf Point, MT | $4.02 | $0.00 – $5.63 | 126 | 2 |
| Morrisville, NC | $32.58 | $32.58 – $32.58 | 127 | 1 |
| Lake Stevens, WA | $18.93 | $18.93 – $18.93 | 127 | 1 |
| Foster, KY | $3.85 | $3.85 – $3.85 | 128 | 1 |
| Perryville, MO | $26.00 | $15.05 – $27.13 | 128 | 2 |
| Mill Creek, WV | $14.87 | $14.87 – $14.87 | 128 | 1 |
| Saddle Brook, NJ | $4.92 | $4.92 – $4.92 | 128 | 1 |
| Bolton, CT | $3.53 | $3.53 – $3.53 | 128 | 1 |
| Butler, KY | $35.63 | $2.85 – $64.54 | 128 | 2 |
| Patterson, LA | $0.35 | $0.35 – $0.35 | 128 | 1 |
| Durand, WI | $14.25 | $1.47 – $19.78 | 129 | 2 |
| Loogootee, IN | $9.77 | $9.03 – $14.31 | 129 | 2 |
| Newport, ME | $25.43 | $25.43 – $25.43 | 129 | 1 |
| New York City, NY | $14.54 | $14.54 – $14.54 | 129 | 1 |
| Tualatin, OR | $38.40 | $38.40 – $38.40 | 130 | 1 |
| Collegeville, PA | $16.45 | $7.81 – $20.41 | 130 | 4 |
| Morrison, TN | $7.43 | $7.43 – $7.43 | 130 | 1 |
| Spring Lake, NJ | $7.48 | $7.48 – $7.48 | 130 | 1 |
| East Corinth, VT | $0.00 | $0.00 – $0.00 | 130 | 1 |
| Bandon, OR | $17.54 | $17.54 – $17.54 | 131 | 1 |
| Winchester, IL | $0.00 | $0.00 – $0.00 | 131 | 1 |
| Ellsworth, KS | $10.11 | $10.11 – $10.11 | 132 | 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.