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 |
|---|---|---|---|---|
| Machias, ME | $28.01 | $28.01 – $28.01 | 33 | 1 |
| Lyndonville, VT | $40.18 | $40.18 – $40.18 | 33 | 1 |
| Malabar, FL | $7.50 | $7.50 – $7.50 | 33 | 1 |
| Fairfield, ME | $86.05 | $86.05 – $86.05 | 33 | 1 |
| Cut Bank, MT | $5.55 | $5.55 – $5.55 | 33 | 1 |
| Munday, TX | $37.13 | $9.84 – $74.18 | 33 | 2 |
| Winslow, ME | $36.27 | $36.27 – $36.27 | 33 | 1 |
| Allenhurst, NJ | $9.26 | $9.26 – $9.26 | 33 | 1 |
| Sperry, IA | $0.00 | $0.00 – $0.00 | 33 | 1 |
| Rock Falls, IL | $1.54 | $1.54 – $1.54 | 34 | 1 |
| Monticello, GA | $40.69 | $40.69 – $40.69 | 34 | 1 |
| Tonawanda, NY | $15.29 | $15.29 – $15.29 | 34 | 1 |
| Grandview, WA | $19.51 | $19.51 – $19.51 | 34 | 1 |
| Mint Hill, NC | $13.47 | $13.47 – $13.47 | 34 | 1 |
| Mill Creek, WA | $0.00 | $0.00 – $0.00 | 34 | 1 |
| Joint Base Lewis Mcchord, WA | $0.00 | $0.00 – $0.00 | 34 | 1 |
| Murphys, CA | $0.00 | $0.00 – $0.00 | 34 | 1 |
| Newport, PA | $23.14 | $0.00 – $46.27 | 34 | 2 |
| Finksburg, MD | $43.94 | $43.94 – $43.94 | 34 | 1 |
| Barnesville, MN | $53.10 | $53.10 – $53.10 | 34 | 1 |
| Crystal Beach, FL | $9.35 | $9.35 – $9.35 | 34 | 1 |
| Shawnee Mission, KS | $2.54 | $2.54 – $2.54 | 35 | 1 |
| Lake Placid, FL | $4.60 | $0.26 – $7.49 | 35 | 2 |
| Portageville, MO | $19.96 | $19.96 – $19.96 | 35 | 1 |
| Macomb, MI | $64.73 | $64.73 – $64.73 | 35 | 1 |
| Gravette, AR | $44.93 | $44.93 – $44.93 | 35 | 1 |
| Trenton, IL | $12.42 | $12.42 – $12.42 | 35 | 1 |
| Lovell, WY | $2.83 | $2.83 – $2.83 | 35 | 1 |
| Crystal Falls, MI | $49.18 | $49.18 – $49.18 | 35 | 1 |
| Greebrae, CA | $31.75 | $31.75 – $31.75 | 35 | 1 |
| Barnum, MN | $59.32 | $59.32 – $59.32 | 35 | 1 |
| West Union, WV | $3.18 | $3.18 – $3.18 | 36 | 1 |
| Spearman, TX | $11.93 | $11.93 – $11.93 | 36 | 1 |
| Milton, VT | $12.22 | $12.22 – $12.22 | 36 | 2 |
| Hoopeston, IL | $0.00 | $0.00 – $0.00 | 36 | 1 |
| South Bend, WA | $7.08 | $7.08 – $7.08 | 36 | 1 |
| Purvis, MS | $4.92 | $3.88 – $5.51 | 36 | 2 |
| Normandy Park, WA | $3.77 | $3.77 – $3.77 | 36 | 1 |
| Norht Little Rock, AR | $21.55 | $21.55 – $21.55 | 36 | 1 |
| Redwood Falls, MN | $159.34 | $159.34 – $159.34 | 37 | 1 |
| Mt Pleasant, MI | $45.66 | $45.66 – $45.66 | 37 | 1 |
| Keystone Heights, FL | $3.43 | $3.43 – $3.43 | 37 | 1 |
| Benton Harbor, MI | $57.75 | $57.75 – $57.75 | 37 | 1 |
| Saint Paul, NE | $27.54 | $27.54 – $27.54 | 37 | 1 |
| Chillicothe, IL | $0.00 | $0.00 – $0.00 | 37 | 1 |
| Columbiana, AL | $2.83 | $2.83 – $2.83 | 37 | 1 |
| Quilcene, WA | $1.10 | $1.10 – $1.10 | 37 | 1 |
| Rib Lake, WI | $31.49 | $31.49 – $31.49 | 37 | 1 |
| Wayland, KY | $13.74 | $13.74 – $13.74 | 37 | 1 |
| Bailey, MS | $28.13 | $28.13 – $28.13 | 37 | 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.