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 |
|---|---|---|---|---|
| Lisbon, ME | $34.69 | $34.69 – $34.69 | 14 | 1 |
| Onamia, MN | $136.73 | $136.73 – $136.73 | 14 | 1 |
| Miller, SD | $27.63 | $27.63 – $27.63 | 14 | 1 |
| Lago Vista, TX | $11.74 | $11.74 – $11.74 | 14 | 1 |
| Sayreville, NJ | $2.99 | $2.99 – $2.99 | 14 | 1 |
| Lapel, IN | $13.64 | $13.64 – $13.64 | 14 | 1 |
| Fort Fairfield, ME | $49.24 | $49.24 – $49.24 | 14 | 1 |
| Milton, KY | $22.43 | $22.43 – $22.43 | 14 | 1 |
| Glenns Ferry, ID | $13.50 | $13.50 – $13.50 | 14 | 1 |
| Stephenson, MI | $68.85 | $68.85 – $68.85 | 14 | 1 |
| Menard, TX | $0.00 | $0.00 – $0.00 | 14 | 1 |
| Seneca, KS | $109.73 | $109.73 – $109.73 | 15 | 1 |
| Hallock, MN | $177.42 | $177.42 – $177.42 | 15 | 1 |
| Rock Springs, WY | $10.39 | $10.39 – $10.39 | 15 | 1 |
| Woodsfield, OH | $6.15 | $6.15 – $6.15 | 15 | 1 |
| Hartville, OH | $0.00 | $0.00 – $0.00 | 15 | 1 |
| Homer, AK | $31.03 | $31.03 – $31.03 | 15 | 1 |
| Fircrest, WA | $0.00 | $0.00 – $0.00 | 15 | 1 |
| South Lake Tahoe, CA | $23.00 | $23.00 – $23.00 | 15 | 1 |
| Kaneohe, HI | $39.94 | $39.94 – $39.94 | 15 | 1 |
| Churubusco, IN | $24.49 | $24.49 – $24.49 | 15 | 1 |
| Hometown, PA | $0.00 | $0.00 – $0.00 | 15 | 1 |
| South Chesterfield, VA | $20.69 | $20.69 – $20.69 | 15 | 1 |
| Edwardsville, IL | $0.00 | $0.00 – $0.00 | 15 | 1 |
| Damariscotta, ME | $92.18 | $92.18 – $92.18 | 15 | 1 |
| Osceola, MO | $15.40 | $15.40 – $15.40 | 15 | 1 |
| Lewisport, KY | $2.37 | $2.37 – $2.37 | 15 | 1 |
| Hastings On Hudson, NY | $15.99 | $15.99 – $15.99 | 15 | 1 |
| Dallastown, PA | $17.06 | $17.06 – $17.06 | 15 | 1 |
| Laurens, SC | $11.41 | $11.41 – $11.41 | 15 | 1 |
| Due West, SC | $41.44 | $41.44 – $41.44 | 15 | 1 |
| Eureka, MT | $25.54 | $25.54 – $25.54 | 15 | 1 |
| Mount Arlington, NJ | $9.17 | $9.17 – $9.17 | 15 | 1 |
| Jamestown, MI | $0.15 | $0.15 – $0.15 | 15 | 1 |
| Chestertown, NY | $4.26 | $4.26 – $4.26 | 15 | 1 |
| Washington, VA | $0.00 | $0.00 – $0.00 | 15 | 1 |
| Bayard, NE | $47.11 | $47.11 – $47.11 | 15 | 1 |
| Cardington, OH | $8.49 | $8.49 – $8.49 | 15 | 1 |
| Laurel, NE | $48.25 | $48.25 – $48.25 | 15 | 1 |
| Alford, FL | $0.00 | $0.00 – $0.00 | 15 | 1 |
| Hico, TX | $2.23 | $2.23 – $2.23 | 15 | 1 |
| Yoder, CO | $10.79 | $10.79 – $10.79 | 15 | 1 |
| Hudson, NH | $2.05 | $2.05 – $2.05 | 16 | 1 |
| Irwin, PA | $1.31 | $1.31 – $1.31 | 16 | 1 |
| Inverness, IL | $4.39 | $4.39 – $4.39 | 16 | 1 |
| Pittsford, NY | $0.00 | $0.00 – $0.00 | 16 | 1 |
| Andrews, SC | $33.47 | $33.47 – $33.47 | 16 | 1 |
| Larose, LA | $0.00 | $0.00 – $0.00 | 16 | 1 |
| Brownsville, OR | $20.17 | $20.17 – $20.17 | 16 | 1 |
| Lexington, MA | $43.33 | $43.33 – $43.33 | 16 | 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.