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 |
|---|---|---|---|---|
| Northford, CT | $20.03 | $20.03 – $20.03 | 594 | 1 |
| Connersville, IN | $7.12 | $6.41 – $15.77 | 594 | 3 |
| Myrtle Point, OR | $2.58 | $2.58 – $2.58 | 594 | 1 |
| Mitchell, SD | $19.93 | $16.80 – $21.14 | 592 | 2 |
| Raceland, LA | $9.66 | $0.00 – $11.32 | 592 | 2 |
| Stone Mountain, GA | $5.85 | $5.83 – $5.86 | 591 | 2 |
| Abilene, KS | $36.04 | $36.04 – $36.04 | 590 | 1 |
| Olla, LA | $3.42 | $3.42 – $3.42 | 590 | 1 |
| Ferrum, VA | $13.87 | $13.87 – $13.87 | 590 | 1 |
| Salisbury, MA | $4.71 | $4.71 – $4.71 | 590 | 1 |
| Ganado, AZ | $37.90 | $7.44 – $39.53 | 589 | 2 |
| Clarksville, MD | $11.01 | $11.01 – $11.01 | 588 | 1 |
| Olympia Flds, IL | $50.39 | $50.39 – $50.39 | 588 | 1 |
| South Pasadena, FL | $2.41 | $0.00 – $16.54 | 587 | 3 |
| Colville, WA | $16.15 | $14.30 – $17.26 | 586 | 2 |
| Caldwell, TX | $3.84 | $0.00 – $21.67 | 586 | 4 |
| East Boston, MA | $11.06 | $1.47 – $14.13 | 585 | 3 |
| Hanahan, SC | $9.82 | $9.82 – $9.82 | 584 | 1 |
| Port Jervis, NY | $13.08 | $5.83 – $15.24 | 584 | 2 |
| New Market, AL | $1.78 | $1.78 – $1.78 | 584 | 1 |
| North Wilkesboro, NC | $12.00 | $8.91 – $12.81 | 582 | 2 |
| Greencastle, PA | $9.76 | $9.76 – $9.76 | 582 | 1 |
| Grinnell, IA | $13.88 | $10.43 – $14.20 | 581 | 2 |
| University Heights, OH | $6.02 | $4.86 – $6.05 | 580 | 2 |
| Lakeway, TX | $12.23 | $2.99 – $51.36 | 580 | 4 |
| Scarborough, ME | $20.29 | $20.29 – $20.29 | 579 | 1 |
| Ironwood, MI | $22.68 | $0.00 – $53.60 | 579 | 2 |
| Chester, CA | $12.14 | $12.14 – $12.14 | 578 | 1 |
| Bellevue, OH | $10.15 | $10.15 – $10.15 | 577 | 1 |
| South Ozone Park, NY | $6.25 | $0.00 – $10.57 | 577 | 2 |
| East Troy, WI | $12.67 | $12.67 – $12.67 | 575 | 1 |
| Normanna, TX | $5.69 | $5.69 – $5.69 | 575 | 1 |
| Schertz, TX | $14.29 | $14.29 – $14.29 | 574 | 1 |
| Azle, TX | $3.48 | $2.91 – $6.62 | 573 | 2 |
| Waymart, PA | $5.40 | $5.40 – $5.40 | 572 | 1 |
| Mountain View, MO | $21.36 | $9.75 – $22.33 | 571 | 2 |
| Chilhowie, VA | $11.18 | $11.18 – $11.18 | 570 | 1 |
| Ontario, OH | $7.05 | $6.98 – $7.24 | 569 | 2 |
| Stilwell, OK | $10.95 | $8.50 – $19.93 | 569 | 2 |
| Ward, AR | $17.55 | $17.55 – $17.55 | 569 | 1 |
| Hamburg, IA | $11.30 | $2.00 – $11.54 | 569 | 2 |
| Nashville, IL | $22.57 | $22.57 – $22.57 | 568 | 1 |
| Highland Park, NJ | $3.14 | $0.00 – $8.22 | 567 | 3 |
| Darlington, WI | $30.65 | $29.52 – $50.10 | 565 | 2 |
| Warr Acres, OK | $22.90 | $22.90 – $22.90 | 564 | 1 |
| Hickory Hills, IL | $30.06 | $30.06 – $30.06 | 564 | 1 |
| Lutherville Timonium, MD | $16.56 | $16.56 – $16.56 | 564 | 1 |
| Dakota Dunes, SD | $16.06 | $3.96 – $25.75 | 563 | 3 |
| Bethalto, IL | $4.26 | $2.49 – $5.57 | 563 | 2 |
| Bad Axe, MI | $33.85 | $33.85 – $33.85 | 563 | 1 |
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.