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 |
|---|---|---|---|---|
| Davis, CA | $15.88 | $0.00 – $23.67 | 363 | 4 |
| Hebron, KY | $9.24 | $6.25 – $25.94 | 363 | 2 |
| South Whitley, IN | $20.29 | $20.29 – $20.29 | 363 | 1 |
| Spencerport, NY | $19.61 | $19.61 – $19.61 | 364 | 1 |
| Webster City, IA | $35.58 | $28.95 – $67.38 | 365 | 2 |
| Newnan, GA | $13.83 | $6.72 – $23.34 | 365 | 2 |
| Butner, NC | $16.14 | $16.14 – $16.14 | 365 | 1 |
| Martinez, CA | $10.41 | $0.17 – $54.49 | 366 | 2 |
| Whitman, MA | $15.50 | $8.38 – $23.17 | 366 | 4 |
| Arlington, VT | $14.09 | $14.09 – $14.09 | 366 | 1 |
| Coeburn, VA | $8.06 | $8.06 – $8.06 | 367 | 1 |
| Berryville, AR | $18.08 | $18.08 – $18.08 | 367 | 1 |
| Cresco, IA | $32.69 | $4.26 – $42.02 | 368 | 2 |
| Eagle Butte, SD | $35.80 | $35.80 – $35.80 | 368 | 1 |
| Keosauqua, IA | $6.38 | $6.38 – $6.38 | 368 | 1 |
| Mount Ephraim, NJ | $4.11 | $4.11 – $4.11 | 369 | 1 |
| Buda, TX | $6.31 | $6.31 – $6.31 | 369 | 1 |
| Glade Hill, VA | $15.19 | $15.19 – $15.19 | 369 | 1 |
| Ripon, CA | $10.13 | $0.00 – $12.29 | 370 | 4 |
| Foxborough, MA | $3.24 | $0.62 – $34.05 | 370 | 2 |
| Thompsons Station, TN | $6.99 | $6.99 – $6.99 | 370 | 1 |
| Shaw Afb, SC | $6.29 | $6.29 – $6.29 | 370 | 1 |
| Blacksville, WV | $6.85 | $6.85 – $6.85 | 370 | 1 |
| Brawley, CA | $32.37 | $18.28 – $33.65 | 371 | 2 |
| Chaffee, MO | $9.93 | $9.93 – $9.93 | 371 | 1 |
| Wind Gap, PA | $4.24 | $4.24 – $4.24 | 371 | 1 |
| Berry, AL | $0.00 | $0.00 – $0.00 | 371 | 1 |
| Gordon, NE | $23.45 | $21.76 – $44.99 | 372 | 2 |
| Fowler, CA | $14.93 | $8.17 – $19.45 | 372 | 2 |
| Port Lavaca, TX | $26.76 | $26.76 – $26.76 | 373 | 1 |
| Waupun, WI | $22.75 | $22.75 – $22.75 | 373 | 1 |
| Dell Rapids, SD | $19.22 | $3.77 – $22.34 | 375 | 2 |
| Wabash, IN | $7.56 | $7.56 – $7.56 | 375 | 1 |
| Belleville, MI | $7.95 | $7.95 – $7.95 | 375 | 1 |
| Heartland, TX | $28.27 | $28.27 – $28.27 | 375 | 1 |
| Highland, NY | $0.39 | $0.39 – $0.39 | 376 | 1 |
| Orion, IL | $9.35 | $9.35 – $9.35 | 376 | 1 |
| Andover, KS | $3.62 | $3.62 – $3.62 | 376 | 1 |
| Castle Rock, CO | $26.59 | $26.59 – $26.59 | 377 | 1 |
| Flomaton, AL | $2.22 | $2.22 – $2.22 | 377 | 1 |
| Middletown, NJ | $11.60 | $4.69 – $21.80 | 378 | 4 |
| Livingston, AL | $0.09 | $0.09 – $0.09 | 378 | 1 |
| Red Oak, TX | $1.14 | $1.14 – $1.14 | 379 | 1 |
| New Richmond, OH | $13.51 | $13.51 – $13.51 | 379 | 1 |
| Jessup, PA | $4.38 | $1.07 – $47.61 | 379 | 2 |
| Soddy Daisy, TN | $11.78 | $11.78 – $11.78 | 380 | 1 |
| Cordova, AL | $4.10 | $3.90 – $4.61 | 380 | 2 |
| Elkton, MI | $5.56 | $5.56 – $5.56 | 382 | 1 |
| Petoskey, MI | $51.03 | $42.80 – $60.90 | 383 | 2 |
| Evergreen, CO | $14.74 | $14.74 – $14.74 | 383 | 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.