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 |
|---|---|---|---|---|
| Saint Johns, MI | $58.89 | $51.70 – $61.10 | 248 | 3 |
| Red Bay, AL | $5.12 | $5.12 – $5.12 | 248 | 1 |
| Delmar, MD | $11.10 | $11.10 – $11.10 | 248 | 1 |
| Lakewood, NY | $8.22 | $8.22 – $8.22 | 249 | 1 |
| Pendleton, IN | $9.82 | $9.82 – $9.82 | 249 | 1 |
| Cahokia, IL | $0.24 | $0.24 – $0.24 | 249 | 1 |
| Tavernier, FL | $7.01 | $6.78 – $7.24 | 250 | 2 |
| Wellington, NV | $0.00 | $0.00 – $0.00 | 250 | 1 |
| Stillwater, MN | $185.44 | $3.35 – $375.82 | 251 | 5 |
| Claude, TX | $27.34 | $27.34 – $27.34 | 251 | 1 |
| Harvey, ND | $15.95 | $3.71 – $17.25 | 252 | 3 |
| Gunnison, CO | $23.21 | $14.09 – $50.72 | 253 | 2 |
| New Castle, VA | $6.91 | $6.91 – $6.91 | 253 | 1 |
| Rumson, NJ | $2.79 | $2.79 – $2.79 | 254 | 1 |
| Callaway, FL | $0.37 | $0.37 – $0.37 | 254 | 1 |
| Miami Shores, FL | $5.35 | $0.00 – $24.88 | 255 | 5 |
| Irondale, AL | $2.66 | $2.66 – $2.66 | 255 | 1 |
| Redford, MI | $20.51 | $20.51 – $20.51 | 255 | 1 |
| Prospect Park, NJ | $15.18 | $15.18 – $15.18 | 255 | 1 |
| Mexico, ME | $21.14 | $21.14 – $21.14 | 255 | 1 |
| Temple, PA | $13.53 | $12.11 – $20.39 | 257 | 2 |
| Mount Pleasant, MI | $57.82 | $57.82 – $57.82 | 258 | 1 |
| Smackover, AR | $15.66 | $15.66 – $15.66 | 258 | 1 |
| Jewett, OH | $12.58 | $12.58 – $12.58 | 258 | 1 |
| Glens Falls, NY | $17.54 | $9.64 – $19.49 | 259 | 3 |
| Camdenton, MO | $53.52 | $53.52 – $53.52 | 259 | 1 |
| Shakopee, MN | $36.83 | $36.24 – $37.04 | 259 | 2 |
| Quinton, VA | $19.23 | $19.23 – $19.23 | 259 | 1 |
| Webster Groves, MO | $10.92 | $10.92 – $10.92 | 259 | 1 |
| West Caldwell, NJ | $7.23 | $6.96 – $8.14 | 259 | 2 |
| Waipahu, HI | $14.55 | $8.35 – $28.26 | 260 | 2 |
| Hollis, Queens, NY | $5.29 | $5.29 – $5.29 | 261 | 1 |
| Webster, SD | $52.13 | $52.13 – $52.13 | 262 | 1 |
| Nicholson, PA | $7.43 | $0.39 – $33.95 | 262 | 2 |
| Lititz, PA | $9.41 | $8.65 – $22.81 | 263 | 2 |
| Garrettsville, OH | $7.96 | $7.96 – $7.96 | 263 | 1 |
| New Milford, NJ | $8.60 | $1.87 – $17.54 | 264 | 3 |
| Wamego, KS | $11.45 | $11.45 – $11.45 | 264 | 1 |
| Shelton, WA | $21.10 | $11.63 – $24.62 | 266 | 2 |
| Flora, IL | $10.91 | $0.00 – $23.40 | 266 | 2 |
| Clover, SC | $16.22 | $16.22 – $16.22 | 266 | 1 |
| Dallas, PA | $10.74 | $10.74 – $10.74 | 267 | 1 |
| Belvidere, NJ | $3.80 | $3.80 – $3.80 | 267 | 1 |
| Bulls Gap, TN | $3.78 | $3.78 – $3.78 | 268 | 1 |
| Fairless Hills, PA | $18.92 | $18.92 – $18.92 | 269 | 1 |
| Malad City, ID | $9.48 | $9.48 – $9.48 | 269 | 1 |
| Hurt, VA | $8.98 | $5.31 – $24.75 | 270 | 2 |
| Danville, OH | $13.28 | $13.28 – $13.28 | 270 | 1 |
| Perkasie, PA | $13.13 | $13.13 – $13.13 | 271 | 1 |
| Mullins, SC | $29.08 | $29.08 – $29.08 | 272 | 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.