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 |
|---|---|---|---|---|
| Windsor, MO | $62.96 | $62.96 – $62.96 | 146 | 1 |
| York Springs, PA | $14.25 | $14.25 – $14.25 | 146 | 1 |
| Calais, ME | $39.31 | $28.84 – $42.77 | 147 | 3 |
| Fountain Hills, AZ | $54.13 | $52.52 – $70.80 | 147 | 2 |
| Shillington, PA | $24.42 | $24.42 – $24.42 | 148 | 1 |
| Grafton, WI | $12.76 | $1.51 – $17.52 | 148 | 2 |
| Ottsville, PA | $21.85 | $21.85 – $21.85 | 148 | 1 |
| Cisco, TX | $8.76 | $4.00 – $37.56 | 148 | 2 |
| Wickliffe, KY | $8.90 | $8.90 – $8.90 | 148 | 1 |
| Colerain, NC | $6.94 | $6.94 – $6.94 | 148 | 1 |
| Winterset, IA | $14.20 | $14.20 – $14.20 | 149 | 1 |
| Holloman Afb, NM | $53.63 | $53.63 – $53.63 | 149 | 1 |
| Sunset Valley, TX | $9.61 | $9.61 – $9.61 | 149 | 1 |
| Norwich, NY | $2.31 | $1.21 – $2.57 | 151 | 2 |
| Sandy, OR | $15.02 | $3.03 – $20.43 | 151 | 2 |
| Greenwell Springs, LA | $0.00 | $0.00 – $0.00 | 151 | 1 |
| Coupeville, WA | $20.96 | $20.96 – $20.96 | 151 | 1 |
| Saltville, VA | $1.76 | $1.50 – $4.00 | 152 | 2 |
| Dwight, IL | $3.50 | $1.57 – $4.70 | 152 | 2 |
| Baltimore City, MD | $35.95 | $35.95 – $35.95 | 152 | 1 |
| Merrick, NY | $4.25 | $4.25 – $4.25 | 153 | 1 |
| West Chicago, IL | $74.92 | $74.92 – $74.92 | 153 | 1 |
| Harvest, AL | $0.00 | $0.00 – $0.00 | 153 | 1 |
| Lowville, NY | $1.92 | $0.00 – $18.59 | 154 | 3 |
| Mayfield, OH | $11.49 | $11.49 – $11.49 | 154 | 1 |
| Milford, NJ | $1.66 | $1.66 – $1.66 | 154 | 1 |
| Turner, ME | $23.97 | $23.97 – $23.97 | 154 | 1 |
| Benzonia, MI | $48.92 | $48.92 – $48.92 | 154 | 1 |
| Show Low, AZ | $25.14 | $15.16 – $26.62 | 155 | 2 |
| Palmer, AK | $23.07 | $3.30 – $26.77 | 155 | 3 |
| Sale Creek, TN | $10.90 | $10.90 – $10.90 | 155 | 1 |
| Mt Vernon, TX | $19.45 | $1.27 – $24.37 | 155 | 2 |
| Lake Ozark, MO | $65.21 | $65.21 – $65.21 | 156 | 1 |
| Sparta, IL | $0.00 | $0.00 – $0.00 | 156 | 1 |
| Bar Harbor, ME | $15.16 | $12.52 – $29.02 | 156 | 4 |
| Lanse, MI | $0.50 | $0.50 – $0.50 | 156 | 1 |
| Epsom, NH | $0.00 | $0.00 – $0.00 | 156 | 1 |
| Chevy Chase, MD | $51.96 | $51.96 – $51.96 | 158 | 1 |
| Sapulpa, OK | $17.29 | $17.29 – $17.29 | 158 | 1 |
| Richboro, PA | $52.54 | $52.54 – $52.54 | 158 | 1 |
| Randolph, VT | $9.89 | $8.73 – $10.53 | 158 | 2 |
| Cedar Crest, NM | $49.02 | $49.02 – $49.02 | 158 | 1 |
| Bridgman, MI | $6.02 | $6.02 – $6.02 | 158 | 1 |
| Emmett, ID | $22.09 | $22.09 – $22.09 | 159 | 1 |
| Clayton, NC | $0.00 | $0.00 – $0.00 | 159 | 1 |
| Unionville, MO | $6.76 | $6.76 – $6.76 | 159 | 1 |
| Champlin, MN | $70.56 | $70.56 – $70.56 | 160 | 1 |
| Gloversville, NY | $19.33 | $11.23 – $33.80 | 160 | 3 |
| Cedar Grove, TN | $0.00 | $0.00 – $0.00 | 160 | 1 |
| Leesburg, AL | $0.00 | $0.00 – $0.00 | 160 | 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.