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 |
|---|---|---|---|---|
| Woodland Park, CO | $8.78 | $8.78 – $8.78 | 448 | 1 |
| Eagle Mountain, UT | $29.30 | $29.30 – $29.30 | 448 | 1 |
| Durant, MS | $6.22 | $5.79 – $17.02 | 448 | 2 |
| Dunwoody, GA | $0.86 | $0.86 – $0.86 | 449 | 1 |
| Greensburg, LA | $7.97 | $0.00 – $9.98 | 450 | 3 |
| Kirtland, OH | $3.21 | $3.02 – $6.00 | 451 | 2 |
| Frederic, WI | $36.67 | $36.67 – $36.67 | 451 | 1 |
| Ledgewood, NJ | $7.46 | $7.46 – $7.46 | 451 | 1 |
| Okarche, OK | $46.79 | $46.79 – $46.79 | 451 | 1 |
| Grand Haven, MI | $13.62 | $9.15 – $14.26 | 452 | 2 |
| Lewistown, MO | $43.84 | $43.84 – $43.84 | 452 | 1 |
| Jackson, MI | $26.87 | $25.90 – $38.11 | 453 | 3 |
| Hopkinton, NH | $7.24 | $0.83 – $7.71 | 454 | 2 |
| Springtown, TX | $9.71 | $9.71 – $9.71 | 454 | 1 |
| Grove City, PA | $2.30 | $0.87 – $22.97 | 455 | 3 |
| Saint Albans, WV | $4.62 | $4.62 – $4.62 | 455 | 1 |
| Malvern, OH | $2.05 | $2.05 – $2.05 | 456 | 1 |
| Woodhaven, NY | $2.44 | $2.44 – $2.44 | 456 | 1 |
| Berlin, NJ | $14.73 | $2.12 – $15.31 | 457 | 2 |
| Willow Grove, PA | $19.01 | $19.01 – $19.01 | 457 | 1 |
| Boscobel, WI | $35.97 | $35.97 – $35.97 | 457 | 1 |
| Belfair, WA | $0.91 | $0.91 – $0.91 | 458 | 1 |
| Hyden, KY | $33.39 | $24.89 – $37.37 | 458 | 2 |
| Cheyenne, OK | $39.27 | $39.27 – $39.27 | 458 | 1 |
| Aston, PA | $22.03 | $0.52 – $22.60 | 459 | 2 |
| Valley, NE | $35.43 | $26.69 – $37.51 | 459 | 2 |
| Lorena, TX | $6.93 | $6.93 – $6.93 | 459 | 1 |
| Minden, NE | $33.42 | $24.91 – $40.67 | 459 | 2 |
| Johnson, RI | $11.20 | $11.20 – $11.20 | 459 | 1 |
| Succasunna, NJ | $11.22 | $4.25 – $13.54 | 460 | 3 |
| Sturgeon Bay, WI | $46.37 | $46.37 – $46.37 | 460 | 1 |
| Interlachen, FL | $0.97 | $0.52 – $1.12 | 461 | 2 |
| Ashland, PA | $3.05 | $3.05 – $3.05 | 462 | 1 |
| Youngtown, AZ | $48.56 | $48.56 – $48.56 | 462 | 1 |
| Crystal City, TX | $10.11 | $10.11 – $10.11 | 463 | 1 |
| Norway, MI | $26.69 | $3.56 – $62.50 | 463 | 3 |
| Naturita, CO | $11.66 | $11.66 – $11.66 | 464 | 1 |
| Sparta, WI | $14.72 | $14.72 – $14.72 | 465 | 1 |
| Pigeon, MI | $38.81 | $38.81 – $38.81 | 465 | 1 |
| Colorado City, CO | $33.67 | $11.95 – $36.56 | 466 | 3 |
| Incline Village, NV | $60.63 | $60.63 – $60.63 | 466 | 1 |
| Liberty, NY | $17.53 | $17.53 – $17.53 | 467 | 1 |
| Jamestown, NY | $4.89 | $1.29 – $25.67 | 469 | 3 |
| Coldwater, KS | $7.91 | $3.65 – $10.39 | 469 | 4 |
| Buffalo, MO | $31.44 | $14.21 – $31.90 | 469 | 2 |
| Blissfield, MI | $9.29 | $9.29 – $9.29 | 470 | 1 |
| Gardnerville, NV | $0.42 | $0.42 – $0.42 | 471 | 1 |
| Barre, VT | $12.76 | $12.76 – $12.76 | 472 | 1 |
| Meadville, PA | $24.30 | $2.21 – $43.47 | 475 | 4 |
| Adel, IA | $3.59 | $0.89 – $5.89 | 475 | 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.