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 |
|---|---|---|---|---|
| Franklin, WI | $14.38 | $10.26 – $29.45 | 2,318 | 5 |
| Fairfield, IL | $1.74 | $1.74 – $1.74 | 2,318 | 1 |
| Trevose, PA | $15.54 | $3.25 – $28.25 | 2,318 | 2 |
| East Rutherford, NJ | $6.84 | $6.84 – $6.84 | 2,319 | 1 |
| Newton, NJ | $11.98 | $5.86 – $24.60 | 2,320 | 5 |
| Robersonville, NC | $12.94 | $12.94 – $12.94 | 2,323 | 1 |
| Griffith, IN | $10.60 | $9.64 – $10.82 | 2,324 | 2 |
| Mc Ewen, TN | $13.35 | $13.35 – $13.35 | 2,325 | 1 |
| Waverly, TN | $5.95 | $3.48 – $7.42 | 2,325 | 3 |
| Natick, MA | $6.00 | $4.55 – $14.33 | 2,326 | 2 |
| Daniels, WV | $18.53 | $18.53 – $18.53 | 2,327 | 1 |
| Manchester, IA | $8.72 | $0.00 – $8.98 | 2,329 | 2 |
| Falmouth, MA | $15.78 | $14.62 – $26.93 | 2,329 | 3 |
| West Stewardstown, NH | $9.93 | $9.93 – $9.93 | 2,334 | 1 |
| Tiffin, OH | $10.61 | $2.05 – $20.62 | 2,335 | 6 |
| Tylertown, MS | $14.21 | $0.00 – $16.46 | 2,335 | 3 |
| Plainfield, NH | $10.72 | $10.72 – $10.72 | 2,335 | 1 |
| Pittsfield, ME | $17.54 | $17.54 – $17.54 | 2,337 | 1 |
| King George, VA | $5.11 | $5.11 – $5.11 | 2,337 | 1 |
| Crossville, TN | $23.33 | $5.75 – $24.84 | 2,341 | 3 |
| Greenfield, OH | $4.74 | $4.74 – $4.74 | 2,341 | 1 |
| Rancho Palos Verdes, CA | $16.00 | $5.63 – $22.76 | 2,341 | 6 |
| Lancaster, TX | $3.62 | $3.62 – $3.62 | 2,341 | 1 |
| Volente, TX | $4.00 | $4.00 – $4.00 | 2,345 | 1 |
| Trenton, MO | $27.69 | $20.00 – $43.46 | 2,346 | 3 |
| West End, NC | $11.40 | $8.72 – $19.88 | 2,346 | 2 |
| Parsons, TN | $5.87 | $3.52 – $7.62 | 2,347 | 3 |
| Smithville, TN | $5.75 | $3.24 – $21.40 | 2,350 | 3 |
| Kent, OH | $9.78 | $0.10 – $21.82 | 2,351 | 4 |
| Olympia, WA | $11.22 | $0.26 – $33.61 | 2,352 | 9 |
| Cedar Park, TX | $7.81 | $0.00 – $13.32 | 2,353 | 6 |
| Putnam, CT | $18.49 | $0.00 – $37.47 | 2,353 | 4 |
| Shirley, NY | $2.36 | $2.36 – $2.36 | 2,354 | 1 |
| Canoga Park, CA | $9.32 | $0.63 – $13.64 | 2,354 | 6 |
| Camden, TN | $11.55 | $5.40 – $23.84 | 2,356 | 3 |
| Alma, AR | $14.33 | $12.91 – $17.92 | 2,358 | 4 |
| Kearny, NJ | $12.41 | $5.53 – $15.47 | 2,358 | 5 |
| Colby, WI | $80.97 | $14.53 – $88.84 | 2,359 | 2 |
| Egg Harbor Township, NJ | $12.43 | $0.00 – $19.79 | 2,362 | 5 |
| Belle Chasse, LA | $9.21 | $7.66 – $11.16 | 2,362 | 2 |
| Marion, KY | $22.76 | $20.64 – $36.69 | 2,363 | 4 |
| Lacrosse, WI | $11.60 | $11.60 – $11.60 | 2,366 | 1 |
| Berkeley Springs, WV | $24.11 | $4.14 – $46.94 | 2,367 | 4 |
| Norwalk, IA | $3.96 | $3.72 – $3.96 | 2,368 | 2 |
| Briarcliff Manor, NY | $16.71 | $16.71 – $16.71 | 2,368 | 1 |
| Riverdale, GA | $12.75 | $6.63 – $20.63 | 2,370 | 2 |
| Park Hills, MO | $42.13 | $42.13 – $42.13 | 2,371 | 1 |
| Sumiton, AL | $6.19 | $6.19 – $6.19 | 2,371 | 1 |
| Brooklyn, IA | $8.17 | $8.17 – $8.17 | 2,374 | 1 |
| Crossville, AL | $1.98 | $1.43 – $2.24 | 2,374 | 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.