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 |
|---|---|---|---|---|
| Manson, IA | $0.00 | $0.00 – $0.00 | 13 | 1 |
| West Fargo, ND | $28.19 | $28.19 – $28.19 | 13 | 1 |
| Kershaw, SC | $12.71 | $12.71 – $12.71 | 13 | 1 |
| Mc Cook, NE | $1.18 | $1.18 – $1.18 | 13 | 1 |
| Fair Bluff, NC | $10.00 | $10.00 – $10.00 | 13 | 1 |
| Corona Del Mar, CA | $0.00 | $0.00 – $0.00 | 13 | 1 |
| Quincy, CA | $0.00 | $0.00 – $0.00 | 13 | 1 |
| Seminary, MS | $11.08 | $11.08 – $11.08 | 13 | 1 |
| Harbor Beach, MI | $43.58 | $43.58 – $43.58 | 13 | 1 |
| Payne, OH | $6.87 | $6.87 – $6.87 | 13 | 1 |
| Tresckow, PA | $1.79 | $1.79 – $1.79 | 13 | 1 |
| North Lauderdale, FL | $0.00 | $0.00 – $0.00 | 13 | 1 |
| Lovelock, NV | $0.00 | $0.00 – $0.00 | 13 | 1 |
| Ferron, UT | $11.97 | $11.97 – $11.97 | 13 | 1 |
| Eagle Lake, TX | $2.31 | $2.31 – $2.31 | 13 | 1 |
| Parkston, SD | $12.79 | $12.79 – $12.79 | 13 | 1 |
| Silver Creek, NY | $0.00 | $0.00 – $0.00 | 13 | 1 |
| North Pole, AK | $48.99 | $48.99 – $48.99 | 13 | 1 |
| Splendora, TX | $14.03 | $14.03 – $14.03 | 13 | 1 |
| Kamas, UT | $13.24 | $13.24 – $13.24 | 13 | 1 |
| Erda, UT | $68.55 | $68.55 – $68.55 | 13 | 1 |
| Sheffield, PA | $0.00 | $0.00 – $0.00 | 13 | 1 |
| Lexington, IN | $21.04 | $21.04 – $21.04 | 13 | 1 |
| Ida, MI | $0.00 | $0.00 – $0.00 | 14 | 1 |
| Vevay, IN | $0.00 | $0.00 – $0.00 | 14 | 1 |
| Liberal, KS | $6.53 | $6.53 – $6.53 | 14 | 1 |
| Decatur, TN | $2.40 | $2.40 – $2.40 | 14 | 1 |
| Kingwood, WV | $10.04 | $10.04 – $10.04 | 14 | 1 |
| White River Junction, VT | $12.81 | $12.81 – $12.81 | 14 | 1 |
| Wheaton, MN | $169.24 | $169.24 – $169.24 | 14 | 1 |
| Capitola, CA | $23.98 | $23.98 – $23.98 | 14 | 1 |
| Caledonia, MN | $23.20 | $23.20 – $23.20 | 14 | 1 |
| Moorpark, CA | $12.00 | $12.00 – $12.00 | 14 | 1 |
| Jefferson, WI | $4.78 | $4.78 – $4.78 | 14 | 1 |
| De Pere, WI | $19.04 | $19.04 – $19.04 | 14 | 1 |
| Fremont, NE | $19.46 | $19.46 – $19.46 | 14 | 1 |
| Mineral Wells, TX | $28.60 | $28.60 – $28.60 | 14 | 1 |
| Bay Harbor Islands, FL | $20.35 | $20.35 – $20.35 | 14 | 1 |
| Hampton, SC | $35.40 | $35.40 – $35.40 | 14 | 1 |
| Moraga, CA | $0.00 | $0.00 – $0.00 | 14 | 1 |
| Marlette, MI | $10.28 | $10.28 – $10.28 | 14 | 1 |
| Green Lake, WI | $8.78 | $8.78 – $8.78 | 14 | 1 |
| Vinton, IA | $0.00 | $0.00 – $0.00 | 14 | 1 |
| Versailles, KY | $16.14 | $16.14 – $16.14 | 14 | 1 |
| Eagle, CO | $2.40 | $2.40 – $2.40 | 14 | 1 |
| Sault Sainte Marie, MI | $49.82 | $49.82 – $49.82 | 14 | 1 |
| Lincroft, NJ | $0.00 | $0.00 – $0.00 | 14 | 1 |
| Manteo, NC | $25.01 | $25.01 – $25.01 | 14 | 1 |
| Grimes, IA | $0.00 | $0.00 – $0.00 | 14 | 1 |
| Barry, IL | $0.00 | $0.00 – $0.00 | 14 | 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.