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 |
|---|---|---|---|---|
| Celina, OH | $7.09 | $2.31 – $10.95 | 4,811 | 10 |
| King Of Prussia, PA | $18.59 | $4.05 – $24.47 | 4,812 | 4 |
| Trussville, AL | $7.28 | $7.28 – $7.28 | 4,815 | 1 |
| Missoula, MT | $16.42 | $4.81 – $36.65 | 4,816 | 11 |
| Monroe, NC | $15.47 | $0.00 – $42.74 | 4,816 | 6 |
| Dover, NH | $6.69 | $0.16 – $10.01 | 4,817 | 8 |
| Lakewood Ranch, FL | $4.08 | $0.00 – $6.85 | 4,824 | 7 |
| Lakewood, CO | $17.57 | $0.00 – $41.66 | 4,833 | 17 |
| Foothill Ranch, CA | $1.82 | $1.37 – $31.29 | 4,840 | 2 |
| Duarte, CA | $16.85 | $11.35 – $18.63 | 4,846 | 4 |
| Glassboro, NJ | $15.27 | $15.27 – $15.27 | 4,852 | 1 |
| Woodland, CA | $59.30 | $0.00 – $283.98 | 4,852 | 11 |
| Edina, MN | $46.64 | $8.26 – $86.56 | 4,854 | 15 |
| Carriere, MS | $15.71 | $15.01 – $20.29 | 4,856 | 3 |
| Timmonsville, SC | $10.23 | $5.50 – $18.16 | 4,861 | 2 |
| Mount Pleasant, SC | $39.03 | $16.34 – $50.27 | 4,870 | 4 |
| Star Tannery, VA | $14.06 | $14.06 – $14.06 | 4,874 | 1 |
| Kennett, MO | $22.73 | $19.15 – $34.45 | 4,877 | 3 |
| Ballwin, MO | $12.88 | $2.43 – $34.87 | 4,878 | 4 |
| Roberstdale, AL | $6.42 | $6.42 – $6.42 | 4,878 | 1 |
| Willoughby Hills, OH | $20.17 | $9.17 – $20.97 | 4,879 | 5 |
| Wilton Manors, FL | $2.32 | $1.02 – $37.73 | 4,883 | 3 |
| Tappan, NY | $3.73 | $3.66 – $15.06 | 4,883 | 2 |
| Decatur, GA | $8.62 | $0.00 – $177.96 | 4,884 | 9 |
| Mount Pleasant, TX | $3.66 | $0.00 – $5.51 | 4,889 | 4 |
| Liberty Township, OH | $12.12 | $7.18 – $12.81 | 4,894 | 2 |
| Moab, UT | $13.57 | $13.56 – $14.91 | 4,909 | 2 |
| Allendale, MI | $3.47 | $3.47 – $3.47 | 4,910 | 1 |
| Belden, MS | $28.56 | $28.56 – $28.56 | 4,911 | 1 |
| Cinnaminson, NJ | $17.27 | $3.05 – $20.51 | 4,914 | 3 |
| Marietta, GA | $9.88 | $0.00 – $11.18 | 4,925 | 3 |
| Danville, IN | $9.81 | $6.22 – $10.81 | 4,933 | 3 |
| Clarksburg, WV | $8.69 | $8.69 – $8.69 | 4,939 | 1 |
| Harlan, KY | $21.45 | $8.51 – $58.18 | 4,948 | 6 |
| Sunbury, OH | $16.11 | $16.11 – $16.11 | 4,953 | 1 |
| Troy, NY | $9.75 | $0.00 – $14.73 | 4,968 | 8 |
| Rusk, TX | $21.27 | $3.57 – $26.75 | 4,971 | 4 |
| Aviston, IL | $24.71 | $24.71 – $24.71 | 4,973 | 1 |
| Monson, MA | $7.61 | $0.06 – $7.78 | 4,979 | 2 |
| Herrin, IL | $5.74 | $0.00 – $28.96 | 4,986 | 6 |
| Athens, TX | $8.31 | $0.00 – $33.34 | 4,987 | 5 |
| Painesville, OH | $10.87 | $0.00 – $17.26 | 4,987 | 8 |
| Hobart, IN | $4.88 | $1.84 – $4.99 | 4,993 | 3 |
| Bandera, TX | $10.08 | $0.00 – $10.54 | 4,993 | 3 |
| Germantown, TN | $9.53 | $2.34 – $19.54 | 4,997 | 8 |
| Christiansburg, VA | $6.25 | $5.27 – $15.00 | 4,999 | 4 |
| Perry, FL | $6.76 | $1.41 – $36.25 | 5,007 | 7 |
| Washington, NC | $14.58 | $11.84 – $15.31 | 5,011 | 3 |
| Thomasville, AL | $3.07 | $0.00 – $15.88 | 5,012 | 8 |
| Madison, TN | $8.25 | $4.05 – $14.41 | 5,020 | 3 |
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.