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 |
|---|---|---|---|---|
| Union City, PA | $3.30 | $0.00 – $7.06 | 534 | 2 |
| Livingston, MT | $8.02 | $0.00 – $11.20 | 535 | 2 |
| North Conway, NH | $22.23 | $2.21 – $27.47 | 535 | 3 |
| Lancaster, WI | $2.14 | $0.00 – $4.31 | 536 | 3 |
| Holly, MI | $10.19 | $10.19 – $10.19 | 536 | 1 |
| Jensen Beach, FL | $58.81 | $0.00 – $82.11 | 537 | 3 |
| Homosassa, FL | $4.16 | $4.16 – $4.16 | 537 | 1 |
| Louisville, CO | $14.46 | $3.63 – $19.25 | 538 | 2 |
| Lake Ridge, VA | $8.32 | $8.32 – $8.32 | 538 | 1 |
| Johnstown, OH | $9.57 | $5.66 – $10.11 | 538 | 2 |
| Lagrange, KY | $9.35 | $9.35 – $9.35 | 538 | 1 |
| Riviera Beach, FL | $12.39 | $0.00 – $20.52 | 540 | 3 |
| Pacific, MO | $9.65 | $9.65 – $9.65 | 540 | 1 |
| Casey, IL | $10.83 | $10.83 – $10.83 | 540 | 1 |
| Coldwater, OH | $2.88 | $2.88 – $2.88 | 542 | 1 |
| Westville, IN | $8.80 | $8.80 – $8.80 | 544 | 1 |
| Gassville, AR | $14.36 | $14.36 – $14.36 | 546 | 1 |
| Hayward, WI | $54.41 | $54.41 – $54.41 | 546 | 1 |
| Rifle, CO | $16.62 | $11.82 – $38.50 | 546 | 4 |
| Wise, VA | $5.13 | $5.13 – $5.13 | 547 | 1 |
| Finleyville, PA | $14.68 | $14.68 – $14.68 | 547 | 1 |
| Wellington, CO | $9.75 | $9.75 – $9.75 | 548 | 1 |
| Fostoria, OH | $5.42 | $3.37 – $6.60 | 549 | 2 |
| Creston, IA | $10.98 | $10.09 – $34.98 | 550 | 3 |
| Miami Gardens, FL | $6.48 | $0.00 – $7.32 | 550 | 2 |
| Canby, MN | $95.63 | $33.42 – $167.10 | 551 | 3 |
| Georgetown, SC | $20.79 | $6.41 – $21.44 | 551 | 2 |
| Meadowlakes, TX | $4.72 | $4.72 – $4.72 | 551 | 1 |
| Princeton, MO | $21.07 | $21.07 – $21.07 | 551 | 1 |
| Brush, CO | $13.52 | $2.49 – $14.76 | 553 | 2 |
| Ontario, OR | $16.49 | $16.49 – $16.49 | 553 | 1 |
| Carteret, NJ | $14.66 | $0.00 – $19.41 | 553 | 4 |
| Oak Harbor, OH | $14.34 | $7.12 – $16.11 | 556 | 3 |
| Oaktown, IN | $14.82 | $14.82 – $14.82 | 559 | 1 |
| Converse, TX | $6.00 | $6.00 – $6.00 | 560 | 1 |
| North Quincy, MA | $6.13 | $6.13 – $6.13 | 560 | 1 |
| Springfield, LA | $0.00 | $0.00 – $0.00 | 562 | 1 |
| Dakota Dunes, SD | $16.06 | $3.96 – $25.75 | 563 | 3 |
| Bethalto, IL | $4.26 | $2.49 – $5.57 | 563 | 2 |
| Bad Axe, MI | $33.85 | $33.85 – $33.85 | 563 | 1 |
| Carlisle, AR | $16.96 | $16.96 – $16.96 | 563 | 1 |
| Warr Acres, OK | $22.90 | $22.90 – $22.90 | 564 | 1 |
| Hickory Hills, IL | $30.06 | $30.06 – $30.06 | 564 | 1 |
| Lutherville Timonium, MD | $16.56 | $16.56 – $16.56 | 564 | 1 |
| Darlington, WI | $30.65 | $29.52 – $50.10 | 565 | 2 |
| Highland Park, NJ | $3.14 | $0.00 – $8.22 | 567 | 3 |
| Nashville, IL | $22.57 | $22.57 – $22.57 | 568 | 1 |
| Ontario, OH | $7.05 | $6.98 – $7.24 | 569 | 2 |
| Stilwell, OK | $10.95 | $8.50 – $19.93 | 569 | 2 |
| Ward, AR | $17.55 | $17.55 – $17.55 | 569 | 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.