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 |
|---|---|---|---|---|
| Pine Hill, AL | $4.59 | $4.59 – $4.59 | 927 | 1 |
| Tallmadge, OH | $19.07 | $19.00 – $23.39 | 928 | 2 |
| Sonoma, CA | $267.00 | $0.00 – $290.14 | 928 | 4 |
| Cumberland, WI | $8.93 | $1.84 – $33.69 | 928 | 3 |
| Blue Ridge, VA | $11.57 | $11.57 – $11.57 | 928 | 1 |
| La Quinta, CA | $10.73 | $8.50 – $34.81 | 928 | 3 |
| Marshall, IL | $0.73 | $0.00 – $2.32 | 930 | 2 |
| Baraboo, WI | $13.58 | $10.27 – $13.70 | 931 | 2 |
| Somers, CT | $3.87 | $3.76 – $11.79 | 932 | 2 |
| Auburn, CA | $1.66 | $1.48 – $1.69 | 933 | 2 |
| Wagoner, OK | $22.05 | $7.66 – $26.08 | 934 | 2 |
| Chillicothe, MO | $41.46 | $7.17 – $58.44 | 934 | 4 |
| Crisfield, MD | $62.98 | $0.00 – $65.79 | 934 | 2 |
| Washington, NJ | $8.32 | $8.32 – $8.32 | 934 | 1 |
| Porter, TX | $13.74 | $13.33 – $18.45 | 934 | 2 |
| Northfield, VT | $13.76 | $11.10 – $14.29 | 935 | 2 |
| Ringwood, NJ | $11.42 | $11.42 – $11.42 | 935 | 1 |
| Greene, ME | $22.69 | $22.69 – $22.69 | 936 | 1 |
| Gouldsboro, ME | $19.53 | $19.53 – $19.53 | 936 | 1 |
| Berne, IN | $0.89 | $0.72 – $1.17 | 937 | 2 |
| Rosedale, NY | $0.63 | $0.58 – $2.15 | 939 | 2 |
| Century, FL | $15.83 | $0.00 – $18.70 | 939 | 3 |
| Ramsey, MN | $61.87 | $61.87 – $61.87 | 941 | 1 |
| Parrish, FL | $5.43 | $0.17 – $8.77 | 942 | 4 |
| Jasonville, IN | $10.57 | $10.57 – $10.57 | 943 | 1 |
| Pawnee, OK | $26.85 | $26.85 – $26.85 | 944 | 1 |
| Monticello, KY | $22.41 | $4.99 – $46.05 | 945 | 4 |
| Bethel Park, PA | $15.02 | $0.00 – $25.71 | 947 | 4 |
| Johns Island, SC | $3.65 | $1.80 – $4.15 | 947 | 2 |
| Bauxite, AR | $17.07 | $17.07 – $17.07 | 947 | 1 |
| Honesdale, PA | $1.29 | $0.00 – $18.86 | 948 | 4 |
| Schuylkill Haven, PA | $7.21 | $1.16 – $7.38 | 948 | 2 |
| Ellisville, MS | $19.10 | $19.10 – $19.10 | 949 | 1 |
| Shrewsbury, MA | $19.11 | $5.19 – $23.40 | 950 | 2 |
| Lovington, NM | $35.25 | $3.59 – $50.75 | 950 | 3 |
| Wellman, IA | $8.90 | $8.90 – $8.90 | 950 | 1 |
| Metropolis, IL | $3.95 | $0.00 – $5.60 | 951 | 4 |
| Cranberry Township, PA | $7.42 | $5.18 – $23.32 | 952 | 2 |
| Ravena, NY | $11.98 | $11.98 – $11.98 | 952 | 1 |
| Goldthwaite, TX | $8.55 | $6.43 – $19.54 | 953 | 2 |
| Elwood, IN | $18.62 | $4.23 – $19.10 | 954 | 2 |
| South Barrington, IL | $15.08 | $15.08 – $15.08 | 955 | 1 |
| Jerseyville, IL | $29.12 | $9.62 – $45.13 | 958 | 4 |
| Morton, IL | $6.01 | $4.32 – $18.80 | 958 | 3 |
| Norway, ME | $20.61 | $12.45 – $21.25 | 959 | 2 |
| Mullens, WV | $16.44 | $16.44 – $16.44 | 959 | 1 |
| Minot, ND | $19.84 | $8.79 – $46.23 | 963 | 7 |
| Fredonia, KY | $6.95 | $0.00 – $17.36 | 963 | 4 |
| Redfield, SD | $40.15 | $40.15 – $40.15 | 966 | 1 |
| Monroe, GA | $3.64 | $0.00 – $21.71 | 967 | 3 |
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.