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 |
|---|---|---|---|---|
| Little Falls, NY | $5.28 | $4.20 – $8.14 | 5,020 | 2 |
| Medfield, MA | $6.20 | $5.93 – $6.27 | 5,020 | 2 |
| Pearl River, NY | $13.47 | $12.58 – $23.52 | 5,033 | 3 |
| Elizabeth City, NC | $14.07 | $6.31 – $19.83 | 5,034 | 8 |
| Temperance, MI | $10.32 | $6.91 – $11.47 | 5,035 | 2 |
| University, MS | $32.60 | $32.60 – $32.60 | 5,038 | 1 |
| Brattleboro, VT | $11.97 | $0.73 – $82.97 | 5,042 | 5 |
| Hindman, KY | $12.14 | $1.96 – $34.81 | 5,044 | 6 |
| Bothell, WA | $16.96 | $5.99 – $28.98 | 5,064 | 6 |
| Melrose, MA | $11.53 | $6.47 – $13.84 | 5,065 | 5 |
| Proctorville, OH | $19.99 | $7.60 – $20.16 | 5,066 | 2 |
| Cambridge, MD | $30.31 | $3.78 – $41.68 | 5,067 | 4 |
| Gahanna, OH | $13.86 | $0.00 – $19.93 | 5,068 | 9 |
| Brighton, IL | $19.72 | $19.72 – $19.72 | 5,068 | 1 |
| Oroville, CA | $0.24 | $0.00 – $0.72 | 5,070 | 6 |
| Wagram, NC | $14.30 | $14.30 – $14.30 | 5,074 | 1 |
| Yoakum, TX | $10.00 | $0.00 – $26.47 | 5,075 | 3 |
| Chickasha, OK | $18.13 | $5.04 – $47.06 | 5,077 | 6 |
| Wisner, LA | $0.00 | $0.00 – $0.00 | 5,080 | 1 |
| Zebulon, NC | $10.65 | $10.37 – $13.93 | 5,087 | 3 |
| Estero, FL | $8.49 | $3.55 – $8.70 | 5,090 | 2 |
| Morgan Hill, CA | $7.17 | $7.17 – $7.17 | 5,092 | 1 |
| Port Gibson, MS | $13.28 | $11.92 – $20.87 | 5,097 | 2 |
| Pharr, TX | $7.14 | $0.00 – $7.63 | 5,097 | 4 |
| Grafton, WV | $4.79 | $0.00 – $18.82 | 5,104 | 5 |
| Jonesburg, MO | $19.72 | $19.72 – $19.72 | 5,104 | 1 |
| Fancy Farm, KY | $6.36 | $6.36 – $6.36 | 5,108 | 1 |
| Mt Sterling, KY | $22.24 | $1.93 – $23.80 | 5,110 | 6 |
| Casper, WY | $10.24 | $0.28 – $18.68 | 5,111 | 7 |
| Guthrie, OK | $20.28 | $3.83 – $31.87 | 5,114 | 3 |
| Pearl, MS | $24.58 | $24.58 – $24.58 | 5,114 | 1 |
| Greenfield, WI | $16.53 | $0.00 – $26.83 | 5,119 | 4 |
| Live Oak, FL | $3.62 | $0.60 – $32.74 | 5,119 | 5 |
| Newfoundland, NJ | $16.32 | $16.32 – $16.32 | 5,126 | 1 |
| Jamestown, TN | $9.84 | $1.59 – $30.71 | 5,127 | 5 |
| Fargo, ND | $26.44 | $2.44 – $73.52 | 5,131 | 21 |
| Woodway, TX | $5.36 | $2.49 – $6.01 | 5,131 | 2 |
| Valley Cottage, NY | $8.94 | $5.40 – $13.10 | 5,132 | 2 |
| Russellville, AR | $14.16 | $1.72 – $19.92 | 5,134 | 5 |
| Miami, OK | $23.26 | $15.84 – $25.10 | 5,142 | 3 |
| Groveland, FL | $0.20 | $0.20 – $0.20 | 5,144 | 1 |
| Atmore, AL | $2.57 | $0.00 – $4.50 | 5,145 | 3 |
| Riverton, UT | $26.02 | $18.36 – $41.89 | 5,146 | 5 |
| Pacoima, CA | $11.76 | $11.76 – $11.76 | 5,147 | 1 |
| Gettysburg, PA | $8.80 | $6.13 – $21.85 | 5,148 | 6 |
| Olive Branch, MS | $9.28 | $5.88 – $21.68 | 5,153 | 3 |
| Niantic, CT | $18.38 | $5.62 – $24.36 | 5,159 | 4 |
| Upper Arlington, OH | $13.44 | $0.00 – $16.78 | 5,162 | 4 |
| Columbia, LA | $0.71 | $0.00 – $1.15 | 5,163 | 5 |
| Essex, MD | $66.88 | $23.34 – $73.45 | 5,168 | 4 |
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.