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 |
|---|---|---|---|---|
| Waverly, IA | $7.82 | $0.00 – $8.13 | 693 | 3 |
| Argyle, NY | $6.31 | $2.54 – $17.30 | 693 | 2 |
| Elwood, KS | $8.37 | $2.24 – $11.90 | 693 | 2 |
| Trinidad, CO | $21.74 | $15.72 – $29.54 | 696 | 3 |
| Ferriday, LA | $3.12 | $0.00 – $3.31 | 697 | 3 |
| Hickman, KY | $9.25 | $1.35 – $26.38 | 697 | 4 |
| Medina, TX | $0.62 | $0.62 – $0.62 | 697 | 1 |
| Hibbing, MN | $55.93 | $53.06 – $63.62 | 698 | 5 |
| Marianna, AR | $20.38 | $20.38 – $20.38 | 698 | 1 |
| Smyrna, DE | $5.86 | $5.86 – $5.86 | 700 | 1 |
| Yaphank, NY | $1.56 | $0.66 – $10.69 | 700 | 2 |
| Oakland, ME | $22.22 | $22.22 – $22.22 | 706 | 1 |
| Acoma, NM | $51.17 | $51.17 – $51.17 | 706 | 1 |
| Skagway, AK | $2.30 | $2.30 – $2.30 | 706 | 1 |
| Putnam Valley, NY | $6.93 | $5.26 – $9.37 | 707 | 2 |
| Fosston, MN | $42.68 | $39.68 – $50.33 | 708 | 3 |
| Manchester, MI | $1.30 | $1.30 – $1.30 | 708 | 1 |
| Helena, MT | $28.93 | $20.61 – $57.12 | 709 | 4 |
| Imperial, CA | $6.65 | $6.65 – $6.65 | 710 | 1 |
| Mercer Island, WA | $5.16 | $5.16 – $5.16 | 710 | 1 |
| Crosby, MN | $189.57 | $98.38 – $191.27 | 710 | 2 |
| Olmsted Falls, OH | $4.45 | $4.45 – $4.45 | 710 | 1 |
| Lonoke, AR | $5.37 | $5.37 – $5.37 | 711 | 1 |
| Providence, UT | $12.52 | $11.49 – $15.64 | 714 | 2 |
| Cedarville, AR | $9.66 | $9.66 – $9.66 | 714 | 1 |
| Mountain View, AR | $15.21 | $14.38 – $15.47 | 715 | 2 |
| Coudersport, PA | $0.50 | $0.00 – $2.19 | 715 | 3 |
| Linesville, PA | $7.36 | $5.96 – $19.29 | 716 | 2 |
| Hamilton, TX | $22.98 | $6.51 – $24.19 | 716 | 2 |
| Roxboro, NC | $18.59 | $11.15 – $64.85 | 717 | 5 |
| Post Falls, ID | $29.62 | $25.42 – $38.97 | 717 | 2 |
| Exton, PA | $11.59 | $3.84 – $21.29 | 719 | 7 |
| Murphy, NC | $15.22 | $15.22 – $15.22 | 719 | 1 |
| Sun City West, AZ | $15.39 | $10.01 – $24.84 | 720 | 2 |
| Star City, AR | $13.60 | $7.52 – $16.46 | 721 | 2 |
| Monticellow, KY | $6.19 | $6.19 – $6.19 | 721 | 1 |
| Old Greenwich, CT | $8.16 | $8.16 – $8.16 | 722 | 1 |
| Oelwein, IA | $8.26 | $1.51 – $27.69 | 723 | 3 |
| Jamesport, MO | $15.26 | $13.35 – $18.54 | 724 | 3 |
| Holden, MO | $23.32 | $23.32 – $23.32 | 724 | 1 |
| Yarmouth, ME | $18.76 | $18.76 – $18.76 | 726 | 1 |
| Erie, IL | $7.90 | $7.90 – $7.90 | 727 | 1 |
| Liberty, TX | $8.63 | $2.68 – $19.68 | 728 | 2 |
| Stockton, MO | $43.14 | $43.14 – $43.14 | 728 | 1 |
| Fort Eustis, VA | $19.40 | $19.40 – $19.40 | 729 | 1 |
| White Haven, PA | $8.66 | $8.66 – $8.66 | 730 | 1 |
| Sheldon, IA | $3.51 | $0.00 – $5.58 | 731 | 2 |
| Union City, GA | $4.75 | $4.75 – $4.75 | 732 | 1 |
| Little Mountain, SC | $28.76 | $28.76 – $28.76 | 732 | 1 |
| Snow Shoe, PA | $16.66 | $16.66 – $16.66 | 732 | 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.