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 |
|---|---|---|---|---|
| Fairway, KS | $10.71 | $10.71 – $10.71 | 404 | 1 |
| Brisbane, CA | $16.82 | $16.82 – $16.82 | 405 | 1 |
| West Columbia, TX | $0.77 | $0.00 – $1.16 | 405 | 2 |
| Phoenix, NM | $28.11 | $28.11 – $28.11 | 406 | 1 |
| Western Springs, IL | $4.22 | $4.22 – $4.22 | 406 | 1 |
| Beech Creek, PA | $1.12 | $1.12 – $1.12 | 406 | 1 |
| Hallam, NE | $39.40 | $39.40 – $39.40 | 406 | 1 |
| Taylorville, IL | $3.46 | $0.00 – $21.85 | 407 | 5 |
| Batavia, NY | $16.77 | $16.77 – $16.77 | 408 | 1 |
| Whitehall, WI | $73.44 | $73.44 – $73.44 | 408 | 1 |
| Glen Mills, PA | $24.85 | $24.85 – $24.85 | 408 | 1 |
| Oak Ridge, NC | $2.49 | $0.29 – $13.54 | 408 | 3 |
| Shannon, NC | $30.76 | $30.76 – $30.76 | 408 | 1 |
| Brookings, OR | $9.67 | $8.63 – $10.14 | 409 | 2 |
| West Yarmouth, MA | $8.60 | $8.07 – $8.63 | 409 | 2 |
| Lyndon, VT | $19.14 | $19.14 – $19.14 | 409 | 1 |
| Pratt, KS | $2.92 | $2.30 – $18.00 | 410 | 2 |
| Lanesville, IN | $1.69 | $1.69 – $1.69 | 410 | 1 |
| Wyndmoor, PA | $32.16 | $9.49 – $38.09 | 410 | 2 |
| Greendale, WI | $2.51 | $2.51 – $2.51 | 410 | 1 |
| Black Mountain, NC | $17.39 | $17.39 – $17.39 | 410 | 1 |
| Laurium, MI | $38.34 | $0.00 – $39.60 | 410 | 2 |
| Lakeland, TN | $4.76 | $0.76 – $8.04 | 411 | 2 |
| Rittman, OH | $5.22 | $5.22 – $5.22 | 412 | 1 |
| Parma Heights, OH | $25.55 | $25.55 – $25.55 | 412 | 1 |
| Willisburg, KY | $3.06 | $3.06 – $3.06 | 412 | 1 |
| Crete, NE | $18.58 | $18.58 – $18.58 | 413 | 1 |
| Jamestown, NC | $19.38 | $19.38 – $19.38 | 413 | 1 |
| Vergennes, VT | $21.86 | $21.86 – $21.86 | 414 | 1 |
| Lower Burrell, PA | $28.42 | $28.42 – $28.42 | 414 | 1 |
| Westerly, RI | $0.93 | $0.93 – $0.93 | 415 | 1 |
| Pitman, NJ | $28.85 | $28.85 – $28.85 | 415 | 1 |
| Lomira, WI | $23.03 | $23.03 – $23.03 | 415 | 1 |
| Gosnell, AR | $36.45 | $36.45 – $36.45 | 415 | 1 |
| Clayton, NJ | $80.00 | $80.00 – $80.00 | 415 | 1 |
| Avon Lake, OH | $12.71 | $9.94 – $14.54 | 416 | 3 |
| Altoona, IA | $8.17 | $2.80 – $8.47 | 417 | 2 |
| Natrona Heights, PA | $9.06 | $9.06 – $9.06 | 418 | 1 |
| Bloomfield, IA | $15.57 | $7.73 – $65.25 | 418 | 2 |
| Roy, UT | $11.16 | $4.15 – $19.45 | 418 | 4 |
| Oregon, IL | $4.49 | $1.97 – $13.57 | 418 | 3 |
| La Crescenta, CA | $31.45 | $14.87 – $36.94 | 418 | 2 |
| Valley City, ND | $17.50 | $13.87 – $22.32 | 419 | 2 |
| Devens, MA | $5.91 | $2.53 – $6.66 | 419 | 2 |
| Rex, GA | $3.81 | $3.81 – $3.81 | 419 | 1 |
| Nebraska City, NE | $3.23 | $0.71 – $17.10 | 420 | 3 |
| Plummer, ID | $9.60 | $9.60 – $9.60 | 420 | 1 |
| Palm Beach, FL | $4.71 | $1.45 – $4.86 | 420 | 2 |
| Grover, MO | $13.38 | $13.38 – $13.38 | 420 | 1 |
| Medford, WI | $30.92 | $21.50 – $45.87 | 422 | 2 |
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.