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 |
|---|---|---|---|---|
| Sterling, IL | $11.54 | $1.29 – $16.10 | 1,171 | 5 |
| Midfield, AL | $4.08 | $4.08 – $4.08 | 1,171 | 1 |
| Loxahatchee, FL | $10.27 | $3.87 – $20.22 | 1,172 | 4 |
| South Attleboro, MA | $1.51 | $1.45 – $2.65 | 1,172 | 2 |
| Holland, IN | $7.38 | $7.38 – $7.38 | 1,173 | 1 |
| Paragould, AR | $13.34 | $7.11 – $22.61 | 1,174 | 4 |
| Scottsbluff, NE | $28.31 | $14.29 – $35.17 | 1,175 | 4 |
| Cameron, WV | $16.82 | $16.82 – $16.82 | 1,175 | 1 |
| Beech Grove, IN | $17.26 | $4.18 – $18.71 | 1,176 | 2 |
| Winona, MN | $55.69 | $28.88 – $74.59 | 1,177 | 8 |
| Albany, MO | $11.25 | $10.88 – $39.81 | 1,178 | 2 |
| Cuba, NM | $38.34 | $16.48 – $49.66 | 1,179 | 2 |
| Fairborn, OH | $4.93 | $1.58 – $23.15 | 1,180 | 2 |
| Bomoseen, VT | $7.78 | $0.00 – $12.92 | 1,181 | 4 |
| Salem, CT | $26.94 | $26.94 – $26.94 | 1,182 | 1 |
| Mcconnelsville, OH | $16.49 | $15.55 – $16.70 | 1,182 | 2 |
| Debary, FL | $14.58 | $12.20 – $14.60 | 1,183 | 2 |
| Jasper, TN | $6.09 | $2.39 – $8.30 | 1,184 | 2 |
| Van Buren, AR | $11.41 | $9.04 – $19.88 | 1,184 | 3 |
| Nocona, TX | $5.81 | $5.81 – $5.81 | 1,185 | 1 |
| Silverdale, WA | $3.83 | $0.00 – $10.77 | 1,186 | 5 |
| Chariton, IA | $9.76 | $0.00 – $14.96 | 1,187 | 3 |
| Bennington, NE | $8.79 | $8.79 – $8.79 | 1,188 | 1 |
| Abbeville, SC | $12.79 | $12.79 – $12.79 | 1,191 | 1 |
| Warsaw, MO | $11.50 | $0.95 – $26.26 | 1,193 | 2 |
| La Porte, TX | $3.55 | $3.55 – $3.55 | 1,194 | 1 |
| Maspeth, NY | $26.70 | $7.31 – $35.62 | 1,195 | 3 |
| Blaine, MN | $10.47 | $5.54 – $22.59 | 1,196 | 2 |
| Reedsburg, WI | $30.87 | $7.35 – $36.65 | 1,197 | 2 |
| Clearfield, UT | $45.25 | $45.25 – $45.25 | 1,198 | 1 |
| Taylor, MI | $32.30 | $0.00 – $34.82 | 1,199 | 4 |
| Iron River, MI | $28.28 | $27.66 – $49.27 | 1,201 | 3 |
| Deming, NM | $24.37 | $24.36 – $25.04 | 1,201 | 2 |
| North Dighton, MA | $4.50 | $4.50 – $4.50 | 1,203 | 1 |
| Moscow, ID | $26.71 | $26.71 – $26.71 | 1,204 | 1 |
| Brookfield, CT | $20.15 | $16.27 – $29.44 | 1,205 | 4 |
| Castroville, TX | $9.63 | $0.00 – $32.81 | 1,206 | 6 |
| Eastland, TX | $9.56 | $2.58 – $10.50 | 1,206 | 3 |
| Country Club Hills, IL | $13.80 | $13.80 – $13.80 | 1,206 | 1 |
| Crane, TX | $4.36 | $4.36 – $4.36 | 1,206 | 1 |
| Collingswood, NJ | $1.56 | $1.56 – $1.56 | 1,208 | 1 |
| White Settlement, TX | $21.15 | $17.02 – $21.43 | 1,208 | 2 |
| Willows, CA | $11.95 | $0.20 – $353.58 | 1,210 | 4 |
| Brewer, ME | $22.42 | $14.20 – $23.27 | 1,211 | 2 |
| Detroit Lakes, MN | $82.27 | $34.86 – $380.00 | 1,213 | 6 |
| Winamac, IN | $12.47 | $0.00 – $18.36 | 1,215 | 5 |
| Pearsall, TX | $7.30 | $7.30 – $7.30 | 1,216 | 1 |
| Rockwood, MI | $39.54 | $39.54 – $39.54 | 1,222 | 1 |
| Lake St Louis, MO | $22.47 | $0.17 – $30.81 | 1,223 | 2 |
| Chubbuck, ID | $18.69 | $17.84 – $18.70 | 1,226 | 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.