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 |
|---|---|---|---|---|
| Smithfield, NC | $18.28 | $5.85 – $22.55 | 1,842 | 5 |
| Clinton, NJ | $8.05 | $7.15 – $8.10 | 1,842 | 2 |
| Fort Bragg, NC | $10.92 | $10.92 – $10.92 | 1,844 | 1 |
| Burgettstown, PA | $9.20 | $7.79 – $17.63 | 1,846 | 4 |
| Versailles, IN | $8.82 | $8.82 – $8.82 | 1,846 | 1 |
| Lampasas, TX | $12.43 | $3.92 – $13.16 | 1,849 | 3 |
| Clifton, TN | $10.54 | $10.54 – $10.54 | 1,849 | 1 |
| Spindale, NC | $17.90 | $10.05 – $22.14 | 1,850 | 2 |
| Deforest, WI | $20.21 | $20.21 – $20.21 | 1,850 | 1 |
| San Luis, AZ | $31.84 | $31.84 – $31.84 | 1,851 | 1 |
| Central City, KY | $7.66 | $7.38 – $33.47 | 1,852 | 2 |
| Georgiana, AL | $0.00 | $0.00 – $0.00 | 1,852 | 3 |
| Cranbury, NJ | $19.07 | $10.75 – $31.11 | 1,852 | 2 |
| Winlock, WA | $10.75 | $10.75 – $10.75 | 1,853 | 1 |
| Glen Oaks, NY | $5.28 | $5.28 – $5.28 | 1,854 | 1 |
| Chandlersville, OH | $9.68 | $9.68 – $9.68 | 1,856 | 1 |
| Adelphi, MD | $56.05 | $56.05 – $56.05 | 1,857 | 1 |
| Canton, TX | $4.86 | $4.86 – $4.86 | 1,859 | 1 |
| South Milwaukee, WI | $16.65 | $0.00 – $17.47 | 1,859 | 2 |
| Warriors Mark, PA | $22.44 | $22.44 – $22.44 | 1,860 | 1 |
| Ringgold, GA | $7.88 | $7.83 – $7.99 | 1,861 | 2 |
| Tiptonville, TN | $9.38 | $9.38 – $9.38 | 1,861 | 1 |
| Brookings, SD | $18.01 | $18.01 – $18.01 | 1,862 | 1 |
| Fayette, AL | $0.73 | $0.00 – $18.48 | 1,864 | 3 |
| Royal City, WA | $20.19 | $20.19 – $20.19 | 1,865 | 1 |
| Jonestown, PA | $6.11 | $5.44 – $6.41 | 1,868 | 2 |
| Dolores, CO | $15.38 | $15.38 – $15.38 | 1,868 | 1 |
| Hixson, TN | $12.16 | $12.16 – $12.16 | 1,869 | 1 |
| Swanton, VT | $0.00 | $0.00 – $0.00 | 1,869 | 2 |
| Killeen, TX | $8.06 | $5.07 – $14.11 | 1,872 | 6 |
| Cleveland Heights, OH | $20.85 | $19.83 – $24.50 | 1,872 | 3 |
| Orono, ME | $37.23 | $37.23 – $37.23 | 1,874 | 1 |
| Carrizo Springs, TX | $6.86 | $2.07 – $7.05 | 1,876 | 2 |
| Gales Ferry, CT | $17.45 | $17.45 – $17.45 | 1,880 | 1 |
| Dundalk, MD | $49.59 | $7.66 – $66.36 | 1,880 | 3 |
| Citrus Heights, CA | $17.51 | $0.00 – $21.40 | 1,882 | 6 |
| Apache Junction, AZ | $28.26 | $5.17 – $31.27 | 1,883 | 2 |
| Anna, IL | $7.98 | $0.00 – $15.19 | 1,884 | 2 |
| Savannah, MO | $17.33 | $17.33 – $17.33 | 1,884 | 1 |
| Wylie, TX | $4.14 | $0.32 – $11.44 | 1,885 | 2 |
| Campbell, CA | $16.40 | $5.36 – $33.73 | 1,888 | 3 |
| Salem, KY | $25.25 | $1.45 – $26.65 | 1,889 | 4 |
| Gainesville, MO | $26.21 | $25.75 – $27.14 | 1,890 | 2 |
| New Lexington, OH | $5.05 | $2.11 – $5.19 | 1,890 | 2 |
| Dadeville, AL | $1.47 | $0.00 – $5.70 | 1,891 | 7 |
| Sweet Water, AL | $0.00 | $0.00 – $0.00 | 1,891 | 1 |
| Pulaski, TN | $13.21 | $0.00 – $39.49 | 1,892 | 5 |
| West Melbourne, FL | $7.77 | $7.77 – $7.77 | 1,892 | 1 |
| Fenwick Island, DE | $10.64 | $10.64 – $10.64 | 1,894 | 1 |
| Forney, TX | $7.13 | $7.13 – $7.13 | 1,895 | 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.