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 |
|---|---|---|---|---|
| Paynesville, MN | $185.66 | $185.66 – $185.66 | 498 | 1 |
| Burnsville, MN | $34.02 | $34.02 – $34.02 | 497 | 1 |
| Chippewa Falls, WI | $14.95 | $1.09 – $15.29 | 497 | 2 |
| Savage, MN | $58.32 | $58.32 – $58.32 | 497 | 1 |
| Camp Lejeune, NC | $11.83 | $2.17 – $20.91 | 496 | 3 |
| Swedesboro, NJ | $2.26 | $2.26 – $2.26 | 496 | 1 |
| Carpentersville, IL | $39.23 | $39.23 – $39.23 | 496 | 1 |
| Pawleys Island, SC | $26.71 | $24.27 – $33.68 | 495 | 2 |
| Mt Jewett, PA | $5.66 | $5.66 – $5.66 | 495 | 1 |
| Red Wing, MN | $61.29 | $34.98 – $73.02 | 491 | 4 |
| Huntington Station, NY | $0.29 | $0.29 – $0.29 | 491 | 1 |
| Iowa Park, TX | $10.11 | $10.11 – $10.11 | 491 | 1 |
| Amelia Court House, VA | $16.30 | $16.30 – $16.30 | 490 | 1 |
| Hudson Falls, NY | $12.33 | $3.05 – $12.85 | 490 | 2 |
| West Miami, FL | $0.60 | $0.00 – $7.47 | 489 | 2 |
| Weimar, TX | $2.58 | $1.69 – $3.48 | 488 | 2 |
| Flandreau, SD | $34.63 | $34.63 – $34.63 | 487 | 1 |
| Bladenboro, NC | $7.60 | $7.60 – $7.60 | 487 | 1 |
| Berwyn, PA | $19.14 | $19.14 – $19.14 | 486 | 1 |
| Pawnee City, NE | $43.76 | $43.76 – $43.76 | 486 | 1 |
| Barnegat, NJ | $7.83 | $7.83 – $7.83 | 484 | 1 |
| Enoch, UT | $5.22 | $5.22 – $5.22 | 484 | 1 |
| Monongahela, PA | $1.84 | $1.84 – $1.84 | 483 | 1 |
| Mt Pleasant, PA | $25.55 | $25.14 – $30.68 | 482 | 2 |
| Helena, AR | $7.51 | $7.51 – $7.51 | 482 | 1 |
| Flanagan, IL | $9.32 | $9.32 – $9.32 | 481 | 1 |
| Escanaba, MI | $7.77 | $7.70 – $8.33 | 481 | 2 |
| Norwood, OH | $8.12 | $8.12 – $8.12 | 480 | 1 |
| Clinton, IN | $0.55 | $0.00 – $2.60 | 480 | 3 |
| Fort Johnson, LA | $1.59 | $1.59 – $1.59 | 480 | 1 |
| Quakertown, PA | $14.15 | $1.55 – $21.17 | 479 | 4 |
| Pueblo West, CO | $10.95 | $10.95 – $10.95 | 478 | 1 |
| Dunlap, TN | $6.97 | $1.00 – $10.57 | 478 | 2 |
| Rohnert Park, CA | $3.59 | $2.49 – $3.70 | 477 | 2 |
| Warrenville, IL | $28.17 | $22.04 – $35.47 | 476 | 2 |
| Pinewood, SC | $11.44 | $11.44 – $11.44 | 476 | 1 |
| Bartlett, NE | $9.72 | $9.72 – $9.72 | 476 | 1 |
| Meadville, PA | $24.30 | $2.21 – $43.47 | 475 | 4 |
| Adel, IA | $3.59 | $0.89 – $5.89 | 475 | 2 |
| Foster City, CA | $3.51 | $3.51 – $3.51 | 475 | 1 |
| Barre, VT | $12.76 | $12.76 – $12.76 | 472 | 1 |
| Gardnerville, NV | $0.42 | $0.42 – $0.42 | 471 | 1 |
| Blissfield, MI | $9.29 | $9.29 – $9.29 | 470 | 1 |
| Jamestown, NY | $4.89 | $1.29 – $25.67 | 469 | 3 |
| Coldwater, KS | $7.91 | $3.65 – $10.39 | 469 | 4 |
| Buffalo, MO | $31.44 | $14.21 – $31.90 | 469 | 2 |
| Liberty, NY | $17.53 | $17.53 – $17.53 | 467 | 1 |
| Colorado City, CO | $33.67 | $11.95 – $36.56 | 466 | 3 |
| Incline Village, NV | $60.63 | $60.63 – $60.63 | 466 | 1 |
| Sparta, WI | $14.72 | $14.72 – $14.72 | 465 | 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.