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 |
|---|---|---|---|---|
| Floral City, FL | $4.02 | $1.07 – $6.61 | 601 | 2 |
| Viroqua, WI | $47.16 | $13.29 – $50.84 | 602 | 2 |
| Williamsport, IN | $11.97 | $11.97 – $11.97 | 603 | 1 |
| Central City, NE | $17.96 | $4.47 – $37.26 | 603 | 2 |
| Coal Valley, IL | $12.89 | $12.89 – $12.89 | 603 | 1 |
| Rochester, NH | $5.66 | $0.00 – $6.86 | 605 | 3 |
| Belleview, FL | $7.68 | $7.68 – $7.68 | 606 | 1 |
| Fort Bragg, CA | $4.02 | $0.00 – $4.58 | 607 | 3 |
| Cutler Bay, FL | $2.87 | $1.31 – $3.37 | 607 | 4 |
| Allston, MA | $17.23 | $17.16 – $19.85 | 607 | 2 |
| West Grove, PA | $21.17 | $21.17 – $21.17 | 608 | 1 |
| Biscoe, NC | $23.89 | $22.28 – $28.72 | 609 | 2 |
| Gillespie, IL | $1.66 | $0.00 – $56.25 | 610 | 2 |
| Park Rapids, MN | $188.49 | $9.67 – $214.04 | 612 | 4 |
| Postville, IA | $8.40 | $8.40 – $8.40 | 612 | 1 |
| Trion, GA | $8.66 | $8.66 – $8.66 | 612 | 1 |
| Dinuba, CA | $54.99 | $1.90 – $57.34 | 612 | 2 |
| Fernley, NV | $23.41 | $23.41 – $23.41 | 613 | 1 |
| Waycross, GA | $9.09 | $9.09 – $9.09 | 613 | 1 |
| Suwanee, GA | $3.06 | $3.06 – $3.06 | 613 | 1 |
| Kane, PA | $20.65 | $7.89 – $51.27 | 614 | 3 |
| Ephrata, WA | $45.32 | $45.32 – $45.32 | 614 | 1 |
| Raton, NM | $23.20 | $20.09 – $32.62 | 615 | 3 |
| Mobridge, SD | $47.39 | $47.39 – $47.39 | 616 | 1 |
| Paint Lick, KY | $4.16 | $4.16 – $4.16 | 616 | 1 |
| Peru, IL | $11.20 | $11.20 – $11.20 | 617 | 1 |
| Kenai, AK | $23.79 | $23.79 – $23.79 | 619 | 1 |
| Pecos, TX | $10.49 | $6.77 – $11.92 | 619 | 2 |
| Smiths Grove, KY | $1.27 | $0.00 – $2.53 | 620 | 3 |
| Athens, GA | $27.79 | $10.84 – $53.53 | 622 | 2 |
| Mauldin, SC | $14.59 | $14.59 – $14.59 | 622 | 1 |
| South Abington Township, PA | $15.59 | $0.72 – $25.79 | 622 | 3 |
| Sussex, WI | $24.53 | $24.53 – $24.53 | 623 | 1 |
| Saint Helena, CA | $7.78 | $0.00 – $7.96 | 623 | 2 |
| Mercer, PA | $5.23 | $1.58 – $21.51 | 623 | 2 |
| Blue Ridge, GA | $7.04 | $7.04 – $7.04 | 624 | 1 |
| Charles City, IA | $2.98 | $0.00 – $17.07 | 624 | 4 |
| Balacynwood, PA | $4.68 | $4.68 – $4.68 | 624 | 1 |
| Healdton, OK | $11.22 | $11.22 – $11.22 | 625 | 1 |
| Columbiana, OH | $10.88 | $10.88 – $10.88 | 626 | 1 |
| Denison, IA | $24.99 | $0.45 – $31.80 | 626 | 2 |
| Columbia City, IN | $11.50 | $5.14 – $12.62 | 627 | 2 |
| Perry, OK | $12.89 | $12.89 – $12.89 | 628 | 1 |
| Warrior, AL | $2.09 | $2.09 – $2.09 | 628 | 1 |
| Dalhart, TX | $12.05 | $11.83 – $20.14 | 628 | 2 |
| Monmouth Junction, NJ | $26.32 | $14.53 – $28.30 | 628 | 2 |
| San Marino, CA | $10.09 | $9.42 – $12.49 | 629 | 2 |
| Ashland, WI | $20.92 | $20.92 – $20.92 | 630 | 1 |
| Hartland, WI | $7.90 | $7.90 – $7.90 | 630 | 1 |
| Prescott, AZ | $27.25 | $0.00 – $36.65 | 632 | 5 |
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.