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 |
|---|---|---|---|---|
| Woodbine, IA | $5.05 | $5.05 – $5.05 | 1,025 | 1 |
| South Houston, TX | $3.27 | $3.27 – $3.27 | 1,026 | 1 |
| Platteville, WI | $9.71 | $9.71 – $9.71 | 1,026 | 1 |
| Minneola, FL | $6.19 | $6.19 – $6.19 | 1,026 | 1 |
| Coppell, TX | $13.12 | $6.05 – $17.60 | 1,027 | 4 |
| Nellysford, VA | $15.39 | $5.93 – $25.83 | 1,027 | 2 |
| Powderly, KY | $3.39 | $0.85 – $6.35 | 1,027 | 2 |
| Hillside, NJ | $19.39 | $17.81 – $28.88 | 1,028 | 3 |
| Indianola, MS | $16.85 | $16.85 – $16.85 | 1,028 | 1 |
| Hainesport, NJ | $5.10 | $5.10 – $5.10 | 1,030 | 1 |
| Belton, MO | $7.33 | $0.67 – $27.07 | 1,030 | 4 |
| Bay City, TX | $10.01 | $7.84 – $11.59 | 1,031 | 4 |
| Port Huron, MI | $26.17 | $7.30 – $92.07 | 1,032 | 3 |
| Berwick, PA | $12.61 | $9.61 – $18.85 | 1,033 | 2 |
| Collinsville, OK | $17.06 | $17.06 – $17.06 | 1,036 | 1 |
| Cressona, PA | $19.34 | $19.34 – $19.34 | 1,036 | 1 |
| Rockford, AL | $2.11 | $2.11 – $2.11 | 1,036 | 1 |
| Butte, MT | $4.62 | $0.00 – $25.64 | 1,037 | 3 |
| South San Francisco, CA | $23.59 | $0.00 – $46.87 | 1,038 | 4 |
| Drums, PA | $2.64 | $0.00 – $2.68 | 1,039 | 2 |
| Bridge City, TX | $9.34 | $9.34 – $9.34 | 1,040 | 1 |
| Saint John, IN | $11.29 | $4.85 – $14.88 | 1,042 | 3 |
| Clewiston, FL | $9.27 | $9.27 – $9.27 | 1,042 | 1 |
| Portales, NM | $20.56 | $17.76 – $27.39 | 1,043 | 3 |
| Bear, DE | $8.91 | $0.43 – $51.08 | 1,043 | 4 |
| Marshall, MN | $49.92 | $35.27 – $71.37 | 1,045 | 3 |
| Ackerman, MS | $33.76 | $14.04 – $62.15 | 1,045 | 4 |
| Connelly Springs, NC | $5.93 | $4.95 – $15.92 | 1,046 | 2 |
| Westwood, MA | $11.33 | $11.33 – $11.33 | 1,047 | 1 |
| Colonial Beach, VA | $12.65 | $10.21 – $13.43 | 1,047 | 2 |
| Mamaroneck, NY | $34.21 | $3.36 – $40.71 | 1,048 | 3 |
| Lecanto, FL | $1.37 | $0.57 – $2.79 | 1,051 | 3 |
| Plymouth, NC | $16.42 | $8.78 – $22.62 | 1,051 | 3 |
| Warrenton, VA | $5.86 | $2.54 – $11.82 | 1,053 | 3 |
| Richfield, OH | $16.29 | $15.64 – $28.03 | 1,053 | 2 |
| Lagrange Park, IL | $28.32 | $28.32 – $28.32 | 1,053 | 1 |
| Travis Afb, CA | $9.20 | $9.20 – $9.20 | 1,054 | 1 |
| Decatur, MS | $27.71 | $6.65 – $28.37 | 1,054 | 2 |
| Lafayette Hill, PA | $11.35 | $9.58 – $15.41 | 1,056 | 3 |
| Cabot, AR | $11.48 | $8.28 – $16.54 | 1,056 | 3 |
| Saint Albans, VT | $8.42 | $8.42 – $8.42 | 1,056 | 1 |
| Pandora, OH | $3.13 | $3.13 – $3.13 | 1,056 | 1 |
| Forrest City, AR | $20.24 | $20.24 – $20.24 | 1,057 | 1 |
| Mahwah, NJ | $10.25 | $9.13 – $11.89 | 1,057 | 2 |
| West Liberty, OH | $0.77 | $0.00 – $0.90 | 1,058 | 3 |
| Ripley, WV | $5.13 | $0.00 – $5.49 | 1,058 | 3 |
| Daleville, VA | $13.40 | $13.40 – $13.40 | 1,060 | 1 |
| Gardner, MA | $13.98 | $7.08 – $24.45 | 1,060 | 4 |
| Lewes, DE | $1.22 | $0.53 – $4.90 | 1,063 | 3 |
| Storrs, CT | $7.28 | $4.73 – $22.35 | 1,063 | 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.