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 |
|---|---|---|---|---|
| Spanaway, WA | $17.71 | $15.35 – $50.40 | 802 | 2 |
| Kendall Park, NJ | $2.03 | $2.00 – $2.22 | 803 | 2 |
| Grove Hill, AL | $0.07 | $0.07 – $0.07 | 803 | 1 |
| Castine, ME | $44.48 | $44.48 – $44.48 | 803 | 1 |
| Greer, SC | $18.63 | $2.79 – $26.43 | 804 | 4 |
| Windham, ME | $21.74 | $14.15 – $45.08 | 804 | 3 |
| Hebron, NE | $13.67 | $9.91 – $25.98 | 804 | 2 |
| Mayaguez, PR | $9.85 | $8.97 – $10.00 | 805 | 2 |
| Bloomfield, MO | $41.07 | $41.07 – $41.07 | 805 | 1 |
| Greensboro, AL | $0.07 | $0.07 – $0.07 | 805 | 1 |
| Manchester, OH | $23.80 | $23.80 – $23.80 | 806 | 1 |
| Hollister, MO | $28.50 | $28.50 – $28.50 | 807 | 1 |
| Florence, MA | $37.30 | $37.30 – $37.30 | 807 | 1 |
| Village Of Palmetto Bay, FL | $0.39 | $0.39 – $0.39 | 808 | 1 |
| Fredericksburg, PA | $6.03 | $0.53 – $7.49 | 809 | 3 |
| Fort Polk, LA | $11.12 | $11.12 – $11.12 | 810 | 1 |
| Gainesville, TX | $8.11 | $8.11 – $8.11 | 811 | 1 |
| Dunn, NC | $11.29 | $0.00 – $24.43 | 812 | 4 |
| Haynesville, LA | $0.08 | $0.00 – $3.52 | 812 | 4 |
| Lemont, IL | $6.65 | $6.27 – $8.75 | 812 | 2 |
| Roseville, IL | $6.38 | $6.38 – $6.38 | 812 | 1 |
| Rantoul, IL | $19.85 | $19.85 – $19.85 | 813 | 1 |
| Sanford, ME | $19.33 | $0.82 – $20.96 | 813 | 2 |
| Clayton, MO | $0.35 | $0.00 – $0.40 | 814 | 2 |
| Grambling, LA | $5.69 | $5.69 – $5.69 | 814 | 1 |
| Dexter, MO | $25.81 | $23.26 – $75.03 | 816 | 3 |
| Nebo, NC | $22.36 | $16.00 – $22.87 | 816 | 2 |
| Senatobia, MS | $7.05 | $7.05 – $7.05 | 817 | 1 |
| Amite, LA | $20.13 | $0.00 – $21.50 | 817 | 3 |
| Chalmette, LA | $11.82 | $7.04 – $18.69 | 819 | 3 |
| Holland Patent, NY | $4.46 | $4.46 – $4.46 | 820 | 1 |
| Onancock, VA | $13.94 | $12.06 – $17.74 | 822 | 2 |
| Markleville, IN | $2.19 | $2.19 – $2.19 | 823 | 1 |
| Soledad, CA | $14.84 | $0.00 – $19.63 | 824 | 2 |
| Adamstown, PA | $13.02 | $13.02 – $13.02 | 825 | 1 |
| Bedford, KY | $4.52 | $4.52 – $4.52 | 826 | 1 |
| Missouri Valley, IA | $4.65 | $0.37 – $20.01 | 826 | 2 |
| Loranger, LA | $17.00 | $17.00 – $17.00 | 826 | 1 |
| West Chester Township, OH | $12.32 | $12.32 – $12.32 | 826 | 1 |
| Fergus Falls, MN | $71.64 | $28.78 – $103.75 | 827 | 7 |
| Tipp City, OH | $5.53 | $5.53 – $5.53 | 827 | 1 |
| Saint James, MN | $75.21 | $75.21 – $75.21 | 828 | 1 |
| Concord Township, OH | $12.80 | $12.73 – $14.51 | 828 | 2 |
| Hot Springs, MT | $0.00 | $0.00 – $0.00 | 829 | 1 |
| Oxford, NY | $10.15 | $10.15 – $10.15 | 829 | 1 |
| Hyde Park, NY | $6.48 | $4.54 – $6.54 | 830 | 2 |
| Uxbridge, MA | $19.09 | $19.09 – $19.09 | 830 | 1 |
| Johnston City, IL | $0.00 | $0.00 – $0.00 | 831 | 1 |
| Prairie Grove, AR | $21.01 | $17.14 – $21.51 | 835 | 2 |
| Montezuma Creek, UT | $19.30 | $13.34 – $26.14 | 836 | 2 |
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.