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 |
|---|---|---|---|---|
| Coraopolis, PA | $19.75 | $19.75 – $19.75 | 16 | 1 |
| Mt. Vernon, NY | $10.61 | $10.61 – $10.61 | 16 | 1 |
| Wahpeton, ND | $142.01 | $142.01 – $142.01 | 16 | 1 |
| Kahoka, MO | $65.47 | $65.47 – $65.47 | 16 | 1 |
| El Reno, OK | $50.18 | $50.18 – $50.18 | 16 | 1 |
| Auburn, NE | $3.33 | $3.33 – $3.33 | 16 | 1 |
| Marshall, NC | $0.00 | $0.00 – $0.00 | 16 | 1 |
| Gettysburg, SD | $30.07 | $30.07 – $30.07 | 16 | 1 |
| El Cerrito, CA | $0.00 | $0.00 – $0.00 | 16 | 1 |
| Independence, OR | $16.32 | $16.32 – $16.32 | 16 | 1 |
| Mosinee, WI | $36.56 | $36.56 – $36.56 | 16 | 1 |
| Crowley, TX | $6.07 | $6.07 – $6.07 | 16 | 1 |
| Sheridan, MT | $0.00 | $0.00 – $0.00 | 16 | 1 |
| Yorktown, TX | $22.00 | $22.00 – $22.00 | 16 | 1 |
| Dyess Afb, TX | $14.92 | $14.92 – $14.92 | 16 | 1 |
| Millcreek, UT | $16.28 | $16.28 – $16.28 | 16 | 1 |
| Roodhouse, IL | $97.28 | $97.28 – $97.28 | 16 | 1 |
| Agoural Hills, CA | $34.19 | $34.19 – $34.19 | 16 | 1 |
| Concordia, KS | $22.76 | $22.76 – $22.76 | 17 | 1 |
| Caguas, PR | $23.36 | $23.36 – $23.36 | 17 | 1 |
| Big Lake, TX | $16.12 | $16.12 – $16.12 | 17 | 1 |
| Harrisville, WV | $10.08 | $10.08 – $10.08 | 17 | 1 |
| New Paris, PA | $0.00 | $0.00 – $0.00 | 17 | 1 |
| Springfield, GA | $16.93 | $16.93 – $16.93 | 17 | 1 |
| New Cumberland, PA | $4.23 | $4.23 – $4.23 | 17 | 1 |
| Hatch, NM | $62.31 | $62.31 – $62.31 | 17 | 1 |
| Key Biscayne, FL | $0.00 | $0.00 – $0.00 | 17 | 1 |
| Pleasant View, UT | $26.17 | $26.17 – $26.17 | 17 | 1 |
| Lafayette, CA | $0.00 | $0.00 – $0.00 | 17 | 1 |
| Leon, IA | $0.00 | $0.00 – $0.00 | 17 | 1 |
| Medicine Lodge, KS | $12.68 | $12.68 – $12.68 | 17 | 1 |
| Fultonville, NY | $17.04 | $17.04 – $17.04 | 17 | 1 |
| Ennis, MT | $53.32 | $53.32 – $53.32 | 17 | 1 |
| Avella, PA | $18.45 | $18.45 – $18.45 | 17 | 1 |
| Mangham, LA | $9.64 | $9.64 – $9.64 | 17 | 1 |
| St Cloud, FL | $0.00 | $0.00 – $0.00 | 17 | 1 |
| Randolph, UT | $249.45 | $249.45 – $249.45 | 17 | 1 |
| Elk Horn, KY | $0.00 | $0.00 – $0.00 | 17 | 1 |
| International Falls, MN | $192.87 | $192.87 – $192.87 | 18 | 1 |
| West Union, IA | $5.82 | $5.82 – $5.82 | 18 | 1 |
| Rockport, ME | $21.11 | $21.11 – $21.11 | 18 | 1 |
| Loudonville, OH | $7.94 | $7.94 – $7.94 | 18 | 1 |
| Commerce, TX | $8.06 | $8.06 – $8.06 | 18 | 1 |
| St. Francisville, LA | $0.00 | $0.00 – $0.00 | 18 | 1 |
| Dulles, VA | $9.74 | $9.74 – $9.74 | 18 | 1 |
| Pleasantville, NY | $3.98 | $3.98 – $3.98 | 18 | 1 |
| Rector, AR | $22.50 | $22.50 – $22.50 | 18 | 1 |
| Burnham, PA | $0.00 | $0.00 – $0.00 | 18 | 1 |
| Philip, SD | $44.88 | $44.88 – $44.88 | 18 | 1 |
| Malvern, IA | $3.19 | $3.19 – $3.19 | 18 | 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.