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 |
|---|---|---|---|---|
| Chester, WV | $3.00 | $3.00 – $3.00 | 503 | 1 |
| Pacific Grove, CA | $15.41 | $15.41 – $15.41 | 503 | 1 |
| Henrietta, TX | $12.40 | $12.40 – $12.40 | 504 | 1 |
| Stillman Valley, IL | $8.55 | $8.55 – $8.55 | 504 | 1 |
| Rutherford, NJ | $5.25 | $5.25 – $5.25 | 505 | 1 |
| Grayson, KY | $5.63 | $5.63 – $5.63 | 505 | 1 |
| North Hampton, NH | $11.09 | $11.09 – $11.09 | 506 | 1 |
| Columbus, WI | $17.59 | $14.37 – $18.32 | 507 | 2 |
| Etters, PA | $3.58 | $3.58 – $3.58 | 507 | 1 |
| Johnston, RI | $18.14 | $3.62 – $34.11 | 507 | 5 |
| Winner, SD | $55.40 | $55.40 – $55.40 | 507 | 1 |
| Wall Township, NJ | $8.98 | $1.32 – $44.19 | 507 | 5 |
| Waldron, AR | $25.91 | $25.91 – $25.91 | 507 | 1 |
| W Bloomfield, MI | $56.00 | $56.00 – $56.00 | 507 | 1 |
| San Ramon, CA | $35.43 | $0.00 – $71.12 | 509 | 6 |
| Hesston, KS | $4.66 | $4.66 – $4.66 | 510 | 1 |
| Delta, OH | $7.30 | $7.30 – $7.30 | 510 | 1 |
| Crowley, LA | $9.36 | $0.00 – $11.00 | 511 | 4 |
| Marengo, OH | $19.78 | $19.78 – $19.78 | 511 | 1 |
| Independence, LA | $1.01 | $1.01 – $1.01 | 512 | 1 |
| Ft. Oglethorpe, GA | $15.87 | $15.87 – $15.87 | 512 | 1 |
| Yelm, WA | $22.64 | $16.30 – $24.84 | 513 | 2 |
| Fall River Mills, CA | $36.92 | $36.92 – $36.92 | 516 | 1 |
| Wakfield, VA | $4.66 | $4.66 – $4.66 | 516 | 1 |
| Landrum, SC | $23.01 | $23.01 – $23.01 | 517 | 1 |
| Lake Bluff, IL | $21.89 | $21.89 – $21.89 | 517 | 1 |
| Chestnut Ridge, NY | $4.20 | $4.20 – $4.20 | 517 | 1 |
| Troy, VA | $5.17 | $4.60 – $29.30 | 517 | 2 |
| Cavalier, ND | $24.67 | $24.67 – $24.67 | 520 | 1 |
| Saint Marys, PA | $5.36 | $0.00 – $5.63 | 521 | 2 |
| Dayton, PA | $29.30 | $29.30 – $29.30 | 521 | 1 |
| Sebastian, FL | $2.85 | $2.85 – $2.85 | 522 | 1 |
| Brewton, AL | $2.22 | $2.22 – $2.22 | 522 | 1 |
| New Ipswich, NH | $9.18 | $9.18 – $9.18 | 522 | 1 |
| Waynesville, OH | $13.16 | $5.76 – $16.00 | 523 | 2 |
| South St Paul, MN | $65.79 | $65.79 – $65.79 | 523 | 1 |
| Canyon, TX | $7.00 | $4.98 – $9.13 | 525 | 2 |
| Fort Washington, PA | $0.10 | $0.10 – $0.10 | 525 | 1 |
| Alachua, FL | $11.64 | $4.01 – $12.71 | 525 | 2 |
| Newberry, IN | $10.99 | $10.99 – $10.99 | 526 | 1 |
| Melber, KY | $5.91 | $5.91 – $5.91 | 526 | 1 |
| Fallbrook, CA | $17.47 | $10.09 – $36.04 | 527 | 2 |
| Mount Morris, MI | $61.36 | $61.36 – $61.36 | 527 | 1 |
| Millis, MA | $12.79 | $3.30 – $21.40 | 528 | 2 |
| Petrolia, PA | $13.17 | $13.17 – $13.17 | 529 | 1 |
| Richmond Heights, MO | $11.39 | $8.80 – $14.85 | 530 | 4 |
| Winder, GA | $0.97 | $0.00 – $3.80 | 532 | 2 |
| Port St Joe, FL | $5.19 | $5.19 – $5.19 | 533 | 1 |
| Pecatonica, IL | $10.02 | $10.02 – $10.02 | 533 | 1 |
| Hiawatha, KS | $51.36 | $3.99 – $56.47 | 534 | 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.