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 |
|---|---|---|---|---|
| Albany, OR | $13.23 | $2.00 – $23.70 | 6,021 | 6 |
| Cameron, MO | $8.98 | $7.62 – $27.54 | 6,033 | 3 |
| Duffield, VA | $16.98 | $16.78 – $43.84 | 6,043 | 3 |
| Olney, IL | $17.39 | $5.67 – $27.97 | 6,050 | 4 |
| Effingham, IL | $13.57 | $0.00 – $20.60 | 6,053 | 5 |
| Rainsville, AL | $3.89 | $0.31 – $14.24 | 6,053 | 3 |
| Macedonia, OH | $12.62 | $8.12 – $16.10 | 6,053 | 4 |
| American Fork, UT | $14.85 | $7.48 – $71.18 | 6,055 | 8 |
| Wexford, PA | $18.36 | $9.42 – $49.76 | 6,056 | 4 |
| Elsmere, KY | $8.43 | $4.44 – $12.44 | 6,057 | 3 |
| Baytown, TX | $10.01 | $6.14 – $11.15 | 6,060 | 3 |
| Cortland, NY | $8.29 | $1.32 – $14.87 | 6,062 | 9 |
| Oak Grove, MO | $14.62 | $11.36 – $17.75 | 6,068 | 2 |
| Harvey, IL | $8.83 | $0.96 – $62.79 | 6,069 | 8 |
| Pineville, NC | $23.09 | $22.96 – $24.86 | 6,071 | 2 |
| Gresham, OR | $18.36 | $1.04 – $41.79 | 6,074 | 5 |
| Potomac Falls, VA | $3.52 | $3.52 – $3.52 | 6,076 | 1 |
| Hamburg, NY | $18.03 | $5.22 – $21.90 | 6,083 | 3 |
| Chatsworth, GA | $16.65 | $10.62 – $16.99 | 6,086 | 3 |
| Gray, LA | $9.97 | $7.62 – $15.76 | 6,087 | 2 |
| Zwolle, LA | $0.01 | $0.00 – $0.01 | 6,091 | 2 |
| Mt Lebanon, PA | $18.94 | $18.94 – $18.94 | 6,096 | 1 |
| Greenville, ME | $16.75 | $11.99 – $16.84 | 6,097 | 2 |
| Prospect, CT | $15.76 | $14.53 – $16.40 | 6,098 | 4 |
| Marvin, NC | $25.00 | $25.00 – $25.00 | 6,098 | 1 |
| Plain Dealing, LA | $12.77 | $5.12 – $13.61 | 6,105 | 2 |
| Low Moor, VA | $20.74 | $20.74 – $20.74 | 6,109 | 1 |
| Earle, AR | $8.28 | $3.39 – $17.56 | 6,117 | 2 |
| Middleburg Heights, OH | $12.01 | $2.27 – $20.75 | 6,121 | 12 |
| Vacaville, CA | $15.05 | $0.00 – $219.22 | 6,124 | 6 |
| Pine Bluff, AR | $17.43 | $0.00 – $50.83 | 6,127 | 12 |
| Brea, CA | $5.59 | $0.00 – $18.96 | 6,127 | 5 |
| Hazle Township, PA | $6.42 | $3.94 – $41.70 | 6,127 | 4 |
| Boykins, VA | $14.75 | $14.75 – $14.75 | 6,127 | 1 |
| Walnut, CA | $34.24 | $0.88 – $36.56 | 6,134 | 2 |
| Union Beach, NJ | $11.23 | $11.23 – $11.23 | 6,135 | 1 |
| Avondale, AZ | $31.33 | $16.07 – $79.34 | 6,150 | 8 |
| Duxbury, MA | $8.47 | $1.54 – $10.05 | 6,151 | 4 |
| Hayward, CA | $21.25 | $4.53 – $22.97 | 6,155 | 4 |
| Syosset, NY | $5.37 | $0.04 – $25.48 | 6,170 | 12 |
| Fishkill, NY | $8.46 | $5.59 – $8.79 | 6,172 | 2 |
| Franklin, NC | $9.51 | $9.51 – $9.51 | 6,175 | 1 |
| Sagamore Hills, OH | $16.46 | $4.58 – $16.90 | 6,175 | 2 |
| Pennsville, NJ | $23.47 | $23.47 – $23.47 | 6,178 | 1 |
| Lake Forest, IL | $3.07 | $2.11 – $45.75 | 6,188 | 4 |
| Flemingsburg, KY | $3.53 | $0.00 – $4.46 | 6,190 | 5 |
| Hacienda Heights, CA | $15.03 | $12.83 – $17.53 | 6,199 | 2 |
| Mount Kisco, NY | $26.10 | $5.27 – $42.28 | 6,200 | 4 |
| Amsterdam, NY | $8.79 | $0.00 – $19.74 | 6,209 | 6 |
| Demopolis, AL | $8.84 | $0.00 – $23.77 | 6,210 | 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.