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 |
|---|---|---|---|---|
| Fulton, AL | $1.24 | $1.24 – $1.24 | 23 | 1 |
| Mcpherson, KS | $5.27 | $5.27 – $5.27 | 24 | 1 |
| Bayfield, CO | $9.83 | $9.83 – $9.83 | 24 | 1 |
| Salmon, ID | $1.56 | $1.56 – $1.56 | 24 | 1 |
| Sturgis, SD | $18.90 | $18.90 – $18.90 | 24 | 1 |
| Spring House, PA | $24.83 | $24.83 – $24.83 | 24 | 1 |
| Pelham, GA | $1.98 | $1.98 – $1.98 | 24 | 1 |
| Sister Bay, WI | $58.24 | $58.24 – $58.24 | 24 | 1 |
| Lake Ronkonkoma, NY | $22.91 | $22.91 – $22.91 | 25 | 1 |
| New London, NH | $31.25 | $31.25 – $31.25 | 25 | 1 |
| Douglas, WY | $34.01 | $34.01 – $34.01 | 25 | 1 |
| Whitley City, KY | $0.52 | $0.52 – $0.52 | 25 | 1 |
| Pine Knot, KY | $0.00 | $0.00 – $0.00 | 25 | 1 |
| Hugoton, KS | $15.20 | $15.20 – $15.20 | 25 | 1 |
| Kulpmont, PA | $27.43 | $10.75 – $45.51 | 25 | 2 |
| Indian Trail, NC | $38.44 | $38.44 – $38.44 | 25 | 1 |
| Kensett, AR | $11.90 | $11.90 – $11.90 | 25 | 1 |
| Malakoff, TX | $5.46 | $5.46 – $5.46 | 25 | 1 |
| Bowdle, SD | $17.58 | $17.58 – $17.58 | 25 | 1 |
| Argyle, WI | $19.84 | $19.84 – $19.84 | 25 | 1 |
| Rochester, IN | $0.00 | $0.00 – $0.00 | 26 | 1 |
| Yadkinville, NC | $0.00 | $0.00 – $0.00 | 26 | 1 |
| Glenpool, OK | $7.95 | $7.95 – $7.95 | 26 | 1 |
| Concordia, MO | $52.46 | $52.46 – $52.46 | 26 | 1 |
| Hapeville, GA | $1.94 | $1.94 – $1.94 | 26 | 1 |
| Tega Cay, SC | $6.28 | $6.28 – $6.28 | 26 | 1 |
| Devine, TX | $29.58 | $29.58 – $29.58 | 26 | 1 |
| Fort Cavazos, TX | $4.76 | $4.76 – $4.76 | 26 | 1 |
| Damascus, OH | $7.26 | $7.26 – $7.26 | 26 | 1 |
| Independence, IA | $4.47 | $2.37 – $6.42 | 27 | 2 |
| Egg Harbor City, NJ | $9.48 | $9.48 – $9.48 | 27 | 1 |
| Morris, MN | $228.49 | $228.49 – $228.49 | 27 | 1 |
| Roseau, MN | $50.12 | $24.92 – $70.27 | 27 | 2 |
| Wadesboro, NC | $23.17 | $23.17 – $23.17 | 27 | 1 |
| Faulkton, SD | $75.97 | $75.97 – $75.97 | 27 | 1 |
| Prosperity, SC | $22.65 | $22.65 – $22.65 | 27 | 1 |
| Park River, ND | $72.61 | $72.61 – $72.61 | 27 | 1 |
| Dixfield, ME | $0.44 | $0.44 – $0.44 | 27 | 1 |
| Nevada, IA | $0.00 | $0.00 – $0.00 | 28 | 1 |
| Cherokee, IA | $2.02 | $0.00 – $4.05 | 28 | 2 |
| Toronto, OH | $8.50 | $8.50 – $8.50 | 28 | 1 |
| Whiteland, IN | $5.32 | $5.32 – $5.32 | 28 | 1 |
| Watkins Glen, NY | $7.33 | $7.33 – $7.33 | 28 | 1 |
| Martinez, GA | $43.47 | $43.47 – $43.47 | 28 | 1 |
| Horseshoe Bend, AR | $25.28 | $25.28 – $25.28 | 28 | 1 |
| North Liberty, IA | $0.93 | $0.93 – $0.93 | 28 | 1 |
| Mount Pleasant, PA | $0.00 | $0.00 – $0.00 | 28 | 1 |
| Willowick, OH | $5.74 | $5.74 – $5.74 | 28 | 1 |
| Berkley, MI | $34.20 | $34.20 – $34.20 | 28 | 1 |
| Salida, CA | $0.00 | $0.00 – $0.00 | 28 | 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.