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, IN | $19.15 | $19.15 – $19.15 | 685 | 1 |
| Waynesboro, VA | $6.67 | $1.98 – $9.55 | 684 | 3 |
| Smithfield, VA | $13.11 | $7.35 – $62.09 | 684 | 2 |
| Cedar Vale, KS | $21.92 | $21.92 – $21.92 | 683 | 1 |
| Wilburn, AR | $13.84 | $13.84 – $13.84 | 683 | 1 |
| Fort Lupton, CO | $9.83 | $9.83 – $9.83 | 682 | 1 |
| Williamson, WV | $15.05 | $13.45 – $24.17 | 682 | 2 |
| 19131, PA | $23.95 | $23.95 – $23.95 | 681 | 1 |
| Mascoutah, IL | $12.35 | $12.35 – $12.35 | 680 | 1 |
| Bolivia, NC | $16.57 | $16.57 – $16.57 | 679 | 1 |
| Mc Gregor, TX | $2.64 | $2.09 – $2.71 | 679 | 2 |
| Vermillion, SD | $26.27 | $22.24 – $39.52 | 678 | 2 |
| Scott Depot, WV | $17.40 | $17.40 – $17.40 | 677 | 1 |
| Harker Heights, TX | $8.19 | $6.73 – $13.34 | 677 | 3 |
| Ludington, MI | $0.00 | $0.00 – $0.00 | 676 | 1 |
| Oconto Falls, WI | $28.91 | $15.45 – $29.18 | 676 | 2 |
| Flourtown, PA | $21.71 | $0.00 – $68.91 | 675 | 3 |
| Anamosa, IA | $10.65 | $0.00 – $12.18 | 675 | 3 |
| Madeira Beach, FL | $0.90 | $0.90 – $0.90 | 674 | 1 |
| Algoma, WI | $23.50 | $16.70 – $41.41 | 674 | 3 |
| Branson, MO | $17.41 | $16.53 – $17.67 | 672 | 2 |
| Ave Maria, FL | $10.38 | $10.38 – $10.38 | 672 | 1 |
| Oxford, AL | $4.59 | $1.35 – $5.63 | 671 | 2 |
| Kingsville, TX | $6.24 | $2.48 – $7.61 | 671 | 3 |
| Tama, IA | $10.01 | $0.00 – $11.89 | 671 | 2 |
| Bokeelia, FL | $1.91 | $1.91 – $1.91 | 671 | 1 |
| Geneseo, NY | $8.24 | $8.24 – $8.24 | 669 | 1 |
| Woolwich Twp, NJ | $10.04 | $9.76 – $11.12 | 669 | 2 |
| Andover, NJ | $14.66 | $14.66 – $14.66 | 668 | 1 |
| Bracey, VA | $11.34 | $3.96 – $13.19 | 668 | 2 |
| Bedminster, NJ | $3.12 | $3.12 – $3.12 | 668 | 1 |
| Dover, NJ | $14.24 | $2.17 – $29.02 | 667 | 4 |
| Puxico, MO | $21.67 | $18.98 – $39.70 | 667 | 3 |
| Livonia, NY | $5.73 | $5.73 – $5.73 | 667 | 1 |
| Spooner, WI | $25.18 | $16.86 – $44.43 | 666 | 2 |
| El Paso, IL | $3.33 | $0.00 – $3.48 | 666 | 2 |
| Moultrie, GA | $6.70 | $2.72 – $8.62 | 665 | 2 |
| Millinocket, ME | $22.03 | $22.03 – $22.03 | 665 | 1 |
| Tunkhannock, PA | $10.86 | $7.61 – $14.44 | 664 | 2 |
| New Ulm, MN | $38.44 | $36.23 – $50.81 | 663 | 3 |
| Hialeah Gardens, FL | $8.80 | $8.80 – $8.80 | 663 | 1 |
| Fairfield, IA | $17.09 | $0.00 – $33.92 | 663 | 2 |
| New Providence, NJ | $10.52 | $10.52 – $10.52 | 662 | 1 |
| New Prague, MN | $60.60 | $60.60 – $60.60 | 662 | 1 |
| Commerce Township, MI | $15.41 | $15.21 – $26.12 | 662 | 2 |
| Sorrento, FL | $4.04 | $4.04 – $4.04 | 662 | 1 |
| Lancaster, MO | $22.46 | $22.46 – $22.46 | 661 | 1 |
| Papillion, NE | $31.05 | $13.93 – $34.45 | 660 | 3 |
| Chamberlain, SD | $28.01 | $28.01 – $28.01 | 660 | 1 |
| Vernal, UT | $14.40 | $9.23 – $16.38 | 660 | 2 |
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.