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 |
|---|---|---|---|---|
| Seville, OH | $35.54 | $35.54 – $35.54 | 296 | 1 |
| New Preston Marble Dale, CT | $8.05 | $8.05 – $8.05 | 296 | 1 |
| Blair, NE | $24.69 | $24.69 – $24.69 | 297 | 1 |
| Lynn Haven, FL | $2.44 | $2.44 – $2.44 | 297 | 1 |
| Upper Sandusky, OH | $7.15 | $7.15 – $7.15 | 297 | 1 |
| Algonquin, IL | $9.31 | $1.28 – $13.21 | 298 | 5 |
| Wellington, OH | $4.92 | $4.92 – $4.92 | 298 | 1 |
| Kempner, TX | $29.88 | $29.88 – $29.88 | 298 | 1 |
| Clarksville, VA | $13.33 | $8.43 – $45.91 | 298 | 2 |
| Lambertville, NJ | $4.55 | $4.55 – $4.55 | 298 | 1 |
| Willow Brook, IL | $10.50 | $10.50 – $10.50 | 300 | 1 |
| Long Prairie, MN | $181.44 | $2.67 – $199.13 | 300 | 2 |
| Montgomery, TX | $17.67 | $17.67 – $17.67 | 300 | 1 |
| Forest Park, IL | $70.60 | $46.95 – $79.31 | 301 | 2 |
| Farmingdale, NY | $0.00 | $0.00 – $0.00 | 302 | 1 |
| Neodesha, KS | $34.38 | $34.38 – $34.38 | 303 | 1 |
| Merritt Island, FL | $5.53 | $2.70 – $5.69 | 303 | 2 |
| Calera, AL | $0.53 | $0.00 – $0.55 | 303 | 2 |
| Marshall, AR | $2.72 | $2.72 – $2.72 | 304 | 1 |
| Whitestown, IN | $8.34 | $8.34 – $8.34 | 304 | 1 |
| New Johnsonville, TN | $0.78 | $0.78 – $0.78 | 305 | 1 |
| East Pembroke, NY | $4.71 | $4.71 – $4.71 | 305 | 1 |
| Fort Scott, KS | $24.87 | $24.87 – $24.87 | 306 | 1 |
| Wheaton, MD | $35.45 | $35.45 – $35.45 | 306 | 1 |
| Nappanee, IN | $8.74 | $8.74 – $8.74 | 306 | 1 |
| Crestwood, KY | $21.43 | $19.22 – $29.92 | 306 | 2 |
| Highland, CA | $17.06 | $0.00 – $20.80 | 306 | 2 |
| Corrigan, TX | $3.87 | $3.87 – $3.87 | 306 | 1 |
| Buena Park, CA | $14.55 | $7.71 – $56.22 | 307 | 3 |
| Bordentown, NJ | $11.28 | $11.28 – $11.28 | 307 | 1 |
| Williams, CA | $11.39 | $11.39 – $11.39 | 307 | 1 |
| Plantersville, MS | $21.06 | $21.06 – $21.06 | 308 | 1 |
| Wayland, NY | $4.43 | $4.43 – $4.43 | 308 | 1 |
| Mount Upton, NY | $10.06 | $10.06 – $10.06 | 308 | 1 |
| Deer Park, WA | $19.70 | $19.70 – $19.70 | 309 | 1 |
| Fort Sill, OK | $2.65 | $2.65 – $2.65 | 309 | 1 |
| Rancho Santa Margarita, CA | $6.62 | $6.62 – $6.62 | 309 | 1 |
| Carbon Hill, AL | $1.91 | $1.91 – $1.91 | 309 | 1 |
| Dracut, MA | $14.74 | $0.00 – $16.23 | 310 | 3 |
| Parkersburg, IA | $3.90 | $3.90 – $3.90 | 310 | 1 |
| Worcestor, MA | $11.92 | $11.92 – $11.92 | 310 | 1 |
| Kellogg, ID | $21.39 | $21.39 – $21.39 | 311 | 1 |
| Sandusky, MI | $43.63 | $43.63 – $43.63 | 311 | 1 |
| Waunakee, WI | $12.54 | $4.25 – $13.27 | 311 | 2 |
| Chestertown, MD | $40.74 | $0.00 – $69.45 | 312 | 6 |
| Morrow, GA | $1.34 | $1.34 – $1.34 | 312 | 1 |
| Winchester, CA | $18.18 | $18.18 – $18.18 | 312 | 1 |
| Minersville, PA | $7.05 | $7.05 – $7.05 | 312 | 1 |
| Panhandle, TX | $3.43 | $3.43 – $3.43 | 312 | 1 |
| Georgetown, MA | $3.51 | $3.51 – $3.51 | 312 | 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.