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 |
|---|---|---|---|---|
| Galesburg, IL | $20.91 | $4.14 – $59.53 | 5,637 | 10 |
| Sunnyside, NY | $7.41 | $4.82 – $19.14 | 5,642 | 3 |
| Naugatuck, CT | $11.78 | $4.96 – $19.76 | 5,644 | 4 |
| Rahway, NJ | $14.70 | $9.59 – $16.34 | 5,648 | 3 |
| Moyock, NC | $7.30 | $3.21 – $12.55 | 5,654 | 2 |
| Marksville, LA | $1.26 | $0.00 – $7.61 | 5,657 | 5 |
| Seymour, TN | $8.52 | $7.89 – $8.86 | 5,660 | 2 |
| Burlingame, CA | $3.09 | $1.85 – $11.23 | 5,663 | 4 |
| Rochester Hills, MI | $25.34 | $0.00 – $34.67 | 5,673 | 4 |
| Waverly, OH | $10.63 | $3.88 – $24.67 | 5,674 | 4 |
| Elk City, OK | $8.72 | $3.91 – $9.10 | 5,676 | 2 |
| Abington, MA | $9.62 | $8.83 – $13.12 | 5,676 | 4 |
| Saipan, MP | $2.37 | $2.37 – $2.37 | 5,677 | 1 |
| Williamstown, NJ | $9.35 | $2.76 – $17.53 | 5,684 | 4 |
| Menlo Park, CA | $12.85 | $11.56 – $21.44 | 5,687 | 3 |
| Bruce, MS | $11.29 | $10.79 – $11.46 | 5,687 | 2 |
| Leakey, TX | $4.73 | $4.73 – $4.73 | 5,713 | 1 |
| Daphne, AL | $5.22 | $1.02 – $10.47 | 5,714 | 4 |
| Evergreen, AL | $10.27 | $0.00 – $13.07 | 5,723 | 4 |
| Harrodsburg, KY | $4.22 | $3.12 – $6.66 | 5,724 | 3 |
| West Brookfield, MA | $7.06 | $6.70 – $7.89 | 5,728 | 3 |
| Rockland, MA | $9.84 | $9.84 – $9.84 | 5,731 | 1 |
| Burkeville, VA | $26.93 | $6.40 – $29.20 | 5,740 | 4 |
| Oneida, NY | $7.72 | $6.89 – $10.74 | 5,744 | 3 |
| Fremont, OH | $7.48 | $4.02 – $11.56 | 5,750 | 6 |
| Twinsburg, OH | $6.96 | $3.91 – $24.39 | 5,751 | 7 |
| Attleboro, MA | $8.83 | $0.00 – $16.92 | 5,757 | 11 |
| Luverne, AL | $7.25 | $5.20 – $7.32 | 5,764 | 3 |
| Coweta, OK | $8.76 | $8.76 – $8.76 | 5,766 | 1 |
| Weymouth, MA | $12.81 | $4.84 – $39.98 | 5,769 | 6 |
| Murrieta, CA | $21.28 | $0.00 – $21.61 | 5,772 | 4 |
| Warminster, PA | $24.71 | $3.94 – $32.99 | 5,773 | 7 |
| Collierville, TN | $12.18 | $7.99 – $20.46 | 5,777 | 4 |
| Rutherfordton, NC | $10.50 | $9.04 – $29.95 | 5,783 | 4 |
| Charlton, MA | $12.67 | $12.44 – $15.83 | 5,783 | 2 |
| Orland Park, IL | $14.58 | $0.99 – $48.87 | 5,788 | 10 |
| Milford, DE | $18.97 | $0.00 – $21.95 | 5,793 | 5 |
| Evesham, NJ | $2.98 | $2.38 – $9.43 | 5,794 | 2 |
| Salem, OR | $16.57 | $0.27 – $28.50 | 5,795 | 16 |
| Avon, OH | $5.96 | $2.58 – $11.48 | 5,803 | 3 |
| Riverhead, NY | $6.04 | $1.57 – $14.92 | 5,809 | 5 |
| Big Stone Gap, VA | $14.85 | $4.94 – $20.74 | 5,821 | 4 |
| Weslaco, TX | $14.70 | $0.00 – $376.31 | 5,822 | 14 |
| West Brentwood, NY | $7.63 | $7.63 – $7.63 | 5,824 | 1 |
| Shipshewana, IN | $4.53 | $4.09 – $5.55 | 5,832 | 2 |
| Fairfax Station, VA | $11.18 | $11.18 – $11.18 | 5,832 | 1 |
| Midland, PA | $12.40 | $12.40 – $12.40 | 5,838 | 1 |
| Haxtun, CO | $33.02 | $33.02 – $33.02 | 5,839 | 1 |
| Lehigh Acres, FL | $2.05 | $0.00 – $7.48 | 5,843 | 5 |
| Roselle, NJ | $13.54 | $6.99 – $16.82 | 5,848 | 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.