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 |
|---|---|---|---|---|
| Lawrence Township, NJ | $2.37 | $2.37 – $2.37 | 735 | 1 |
| Lawrenceburg, KY | $5.24 | $4.78 – $5.34 | 736 | 2 |
| Brainerd, MN | $72.37 | $59.24 – $77.10 | 736 | 3 |
| Camden, IN | $3.66 | $3.66 – $3.66 | 736 | 1 |
| Rutledge, TN | $5.17 | $5.17 – $5.17 | 737 | 1 |
| Leesburg, GA | $1.22 | $1.22 – $1.22 | 740 | 1 |
| Geneva, NY | $14.32 | $7.26 – $26.45 | 741 | 4 |
| Offutt Afb, NE | $14.32 | $13.31 – $14.72 | 743 | 2 |
| Saint Peter, MN | $81.44 | $81.44 – $81.44 | 744 | 1 |
| West Frankfort, IL | $0.44 | $0.00 – $13.59 | 744 | 2 |
| Milford, MA | $7.72 | $2.34 – $13.28 | 744 | 5 |
| Ayer, MA | $12.17 | $12.17 – $12.17 | 744 | 1 |
| Hunt Valley, MD | $72.68 | $72.68 – $72.68 | 744 | 1 |
| Griffin, GA | $15.75 | $15.75 – $15.75 | 745 | 1 |
| Vernon, TX | $14.72 | $9.85 – $16.95 | 746 | 2 |
| Franklinville, NJ | $3.18 | $3.18 – $3.18 | 746 | 1 |
| Gloucester City, NJ | $24.10 | $12.12 – $31.03 | 747 | 2 |
| Carrington, ND | $23.47 | $23.47 – $23.47 | 747 | 1 |
| Attica, OH | $7.09 | $7.09 – $7.09 | 748 | 1 |
| Branchburg, NJ | $8.27 | $6.41 – $10.93 | 750 | 3 |
| Rathdrum, ID | $36.32 | $36.32 – $36.32 | 750 | 1 |
| Baker, LA | $30.81 | $30.81 – $30.81 | 751 | 1 |
| Riverside, RI | $8.73 | $2.79 – $26.82 | 752 | 4 |
| Garfield, NJ | $3.62 | $3.62 – $3.62 | 752 | 1 |
| Lake Success, NY | $8.06 | $8.06 – $8.06 | 753 | 1 |
| Queensbury, NY | $6.02 | $5.86 – $10.08 | 753 | 3 |
| Fort Mill, SC | $4.24 | $3.71 – $19.07 | 754 | 2 |
| Faribault, MN | $29.95 | $19.24 – $56.99 | 754 | 3 |
| Brooklyn Center, MN | $41.55 | $19.96 – $56.42 | 755 | 3 |
| Palisades Park, NJ | $8.75 | $8.75 – $8.75 | 755 | 1 |
| Nancy, KY | $3.04 | $3.04 – $3.04 | 755 | 1 |
| Fort Stewart, GA | $22.62 | $0.00 – $23.78 | 756 | 2 |
| Columbia Station, OH | $8.19 | $8.19 – $8.19 | 756 | 1 |
| Chattahoochee, FL | $1.50 | $1.50 – $1.50 | 756 | 1 |
| Towanda, PA | $14.90 | $8.28 – $19.31 | 757 | 3 |
| Crivitz, WI | $51.97 | $4.93 – $55.91 | 757 | 3 |
| Elgin, TX | $9.40 | $3.17 – $10.97 | 757 | 2 |
| Crescent City, CA | $299.06 | $0.00 – $329.06 | 759 | 4 |
| Double Springs, AL | $22.36 | $22.36 – $22.36 | 762 | 1 |
| Turtle Creek, PA | $24.94 | $24.94 – $24.94 | 762 | 1 |
| Plymouth, WI | $17.02 | $16.66 – $18.31 | 763 | 2 |
| Lower Gwynedd, PA | $9.22 | $5.68 – $11.03 | 764 | 2 |
| Concord, MA | $8.38 | $0.00 – $20.04 | 766 | 6 |
| South Elgin, IL | $22.08 | $0.00 – $36.53 | 766 | 3 |
| Roswell, GA | $10.32 | $7.91 – $10.52 | 767 | 2 |
| Waterloo, NY | $2.90 | $2.90 – $2.90 | 768 | 1 |
| Bartlett, IL | $6.08 | $3.09 – $8.56 | 768 | 2 |
| Monteagle, TN | $5.78 | $5.78 – $5.78 | 768 | 1 |
| Oakdale, MN | $7.19 | $7.19 – $7.19 | 769 | 1 |
| Audobon, PA | $18.59 | $18.59 – $18.59 | 770 | 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.