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 |
|---|---|---|---|---|
| Byhalia, MS | $11.99 | $11.99 – $11.99 | 2,071 | 1 |
| Winchester, MA | $18.15 | $3.49 – $21.39 | 2,073 | 6 |
| Chesterland, OH | $7.12 | $7.12 – $7.12 | 2,073 | 1 |
| Mount Carroll, IL | $8.77 | $2.99 – $8.93 | 2,077 | 2 |
| Newport, RI | $18.74 | $1.83 – $21.38 | 2,081 | 2 |
| Union, KY | $10.29 | $10.25 – $10.91 | 2,082 | 2 |
| Dillon, SC | $15.22 | $0.00 – $18.50 | 2,083 | 4 |
| Dublin, CA | $14.59 | $14.59 – $14.59 | 2,083 | 1 |
| Caribou, ME | $1.09 | $1.09 – $1.09 | 2,085 | 1 |
| Sequim, WA | $15.06 | $5.46 – $15.91 | 2,085 | 2 |
| Odessa, MO | $28.72 | $28.72 – $28.72 | 2,088 | 1 |
| Craigsville, VA | $9.48 | $9.48 – $9.48 | 2,095 | 1 |
| Ferdinand, IN | $6.08 | $6.08 – $6.08 | 2,098 | 1 |
| Arroyo Grande, CA | $2.34 | $0.85 – $6.29 | 2,101 | 4 |
| Halethorpe, MD | $14.28 | $0.98 – $17.89 | 2,103 | 4 |
| Audubon, PA | $25.07 | $19.01 – $27.46 | 2,105 | 2 |
| Coatesville, PA | $9.09 | $4.61 – $41.66 | 2,107 | 3 |
| Ceredo, WV | $10.17 | $10.17 – $10.17 | 2,107 | 1 |
| Lakeside, CA | $12.16 | $0.97 – $23.26 | 2,113 | 3 |
| Tilton, IL | $18.15 | $18.15 – $18.15 | 2,113 | 1 |
| Colfax, LA | $12.63 | $12.63 – $12.63 | 2,114 | 1 |
| Mason, WV | $8.90 | $8.90 – $8.90 | 2,114 | 1 |
| Stoughton, MA | $19.02 | $19.02 – $19.02 | 2,115 | 1 |
| Moundridge, KS | $6.40 | $1.45 – $16.40 | 2,116 | 5 |
| San Tan Valley, AZ | $18.84 | $0.00 – $42.05 | 2,118 | 6 |
| Newberg, OR | $14.06 | $0.00 – $31.41 | 2,118 | 5 |
| Beckemeyer, IL | $1.19 | $0.97 – $5.84 | 2,118 | 2 |
| Bismarck, MO | $44.28 | $44.28 – $44.28 | 2,122 | 1 |
| Fordyce, AR | $19.47 | $19.47 – $19.47 | 2,126 | 1 |
| Ogdensburg, NY | $3.51 | $1.85 – $4.13 | 2,127 | 2 |
| North Woodmere, NY | $4.16 | $4.16 – $4.16 | 2,128 | 1 |
| Antioch, CA | $32.03 | $7.52 – $33.29 | 2,129 | 3 |
| Inchelium, WA | $27.65 | $27.65 – $27.65 | 2,129 | 1 |
| Waterville, ME | $19.37 | $11.98 – $24.74 | 2,134 | 4 |
| Woodville, MS | $27.60 | $24.26 – $58.18 | 2,135 | 2 |
| Pinson, AL | $4.33 | $4.03 – $4.67 | 2,136 | 2 |
| Myakka City, FL | $4.82 | $4.82 – $4.82 | 2,137 | 1 |
| Rochdale, MA | $18.25 | $9.09 – $26.28 | 2,138 | 3 |
| Crestview Hills, KY | $5.01 | $4.99 – $5.89 | 2,141 | 2 |
| Mountlake Terrace, WA | $8.54 | $2.67 – $64.40 | 2,141 | 3 |
| Aberdeen, NC | $17.06 | $17.06 – $17.06 | 2,143 | 1 |
| Fife, WA | $3.12 | $0.00 – $16.42 | 2,145 | 2 |
| Mohawk, NY | $6.50 | $6.50 – $6.50 | 2,147 | 1 |
| Wilkinsburg, PA | $2.63 | $2.63 – $2.63 | 2,149 | 1 |
| El Dorado Springs, MO | $39.58 | $39.58 – $39.58 | 2,149 | 1 |
| La Mirada, CA | $9.01 | $6.24 – $10.12 | 2,150 | 2 |
| Kalispell, MT | $16.81 | $0.00 – $28.97 | 2,154 | 10 |
| Albany, GA | $19.68 | $18.64 – $34.05 | 2,154 | 2 |
| Brownsville, PA | $5.75 | $4.30 – $21.69 | 2,154 | 3 |
| Holt, MI | $24.92 | $24.92 – $24.92 | 2,158 | 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.