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 |
|---|---|---|---|---|
| Baldwin Park, CA | $1.78 | $0.00 – $2.34 | 440 | 3 |
| Maysville, MO | $22.17 | $18.37 – $27.93 | 440 | 2 |
| Veedersburg, IN | $14.57 | $14.31 – $18.61 | 440 | 2 |
| Many, LA | $32.56 | $32.56 – $32.56 | 439 | 1 |
| Osage, IA | $7.30 | $7.30 – $7.30 | 439 | 1 |
| Owen, WI | $57.74 | $57.74 – $57.74 | 439 | 1 |
| Harleysville, PA | $2.12 | $0.00 – $9.86 | 438 | 2 |
| Cloverdale, CA | $284.61 | $284.61 – $284.61 | 438 | 1 |
| Dardanelle, AR | $9.23 | $8.81 – $9.74 | 437 | 2 |
| Portland, TN | $5.03 | $0.75 – $5.69 | 437 | 2 |
| Richton, MS | $26.40 | $12.72 – $54.53 | 437 | 2 |
| Huron, OH | $7.85 | $4.46 – $12.50 | 436 | 2 |
| Aynor, SC | $29.21 | $29.21 – $29.21 | 436 | 1 |
| Hastings, PA | $32.26 | $32.26 – $32.26 | 435 | 1 |
| Hensley, AR | $21.73 | $21.73 – $21.73 | 435 | 1 |
| Tuskegee, AL | $0.00 | $0.00 – $0.00 | 434 | 1 |
| Rutherford College, NC | $25.02 | $25.02 – $25.02 | 433 | 1 |
| Beeville, TX | $13.01 | $13.01 – $13.01 | 433 | 1 |
| Atlantic Beach, FL | $15.97 | $15.97 – $15.97 | 433 | 1 |
| Troy, AL | $6.75 | $6.75 – $6.75 | 432 | 1 |
| Lincoln, MO | $9.00 | $9.00 – $9.00 | 432 | 1 |
| Waynesburg, PA | $12.19 | $10.02 – $16.18 | 431 | 3 |
| Jourdanton, TX | $3.59 | $0.00 – $7.42 | 431 | 3 |
| Lincoln, ME | $9.34 | $0.00 – $35.93 | 431 | 5 |
| Whitefish Bay, WI | $16.75 | $16.75 – $16.75 | 430 | 1 |
| Medford, NJ | $4.00 | $4.00 – $4.00 | 429 | 1 |
| Morro Bay, CA | $8.30 | $8.30 – $8.30 | 429 | 1 |
| Albia, IA | $9.68 | $9.68 – $9.68 | 429 | 1 |
| Bloomsburg, PA | $17.15 | $8.59 – $21.86 | 428 | 2 |
| Centerville, MN | $64.73 | $64.73 – $64.73 | 428 | 1 |
| Valparaiso, FL | $7.37 | $7.37 – $7.37 | 427 | 1 |
| Greenfield, IA | $8.52 | $8.52 – $8.52 | 426 | 1 |
| Pomeroy, OH | $6.57 | $6.57 – $6.57 | 424 | 1 |
| Chesapeake City, MD | $56.82 | $56.82 – $56.82 | 424 | 1 |
| Mcalester, OK | $45.71 | $43.31 – $52.61 | 423 | 2 |
| Overland, MO | $16.61 | $16.61 – $16.61 | 423 | 1 |
| Windsor, VT | $11.12 | $11.12 – $11.12 | 423 | 1 |
| Marcellus, NY | $2.70 | $2.70 – $2.70 | 423 | 1 |
| Medford, WI | $30.92 | $21.50 – $45.87 | 422 | 2 |
| Nebraska City, NE | $3.23 | $0.71 – $17.10 | 420 | 3 |
| Plummer, ID | $9.60 | $9.60 – $9.60 | 420 | 1 |
| Palm Beach, FL | $4.71 | $1.45 – $4.86 | 420 | 2 |
| Grover, MO | $13.38 | $13.38 – $13.38 | 420 | 1 |
| Valley City, ND | $17.50 | $13.87 – $22.32 | 419 | 2 |
| Devens, MA | $5.91 | $2.53 – $6.66 | 419 | 2 |
| Rex, GA | $3.81 | $3.81 – $3.81 | 419 | 1 |
| Natrona Heights, PA | $9.06 | $9.06 – $9.06 | 418 | 1 |
| Bloomfield, IA | $15.57 | $7.73 – $65.25 | 418 | 2 |
| Roy, UT | $11.16 | $4.15 – $19.45 | 418 | 4 |
| Oregon, IL | $4.49 | $1.97 – $13.57 | 418 | 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.