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 |
|---|---|---|---|---|
| Cleveland, TN | $9.03 | $2.14 – $24.24 | 39,422 | 17 |
| Chicago Ridge, IL | $21.97 | $20.01 – $56.85 | 39,258 | 6 |
| Denham Springs, LA | $8.54 | $4.70 – $20.06 | 39,230 | 4 |
| Albertville, AL | $6.99 | $0.00 – $10.82 | 39,113 | 8 |
| Horsham, PA | $21.82 | $0.52 – $37.42 | 39,013 | 26 |
| Georgetown, TX | $3.34 | $0.00 – $25.20 | 38,859 | 11 |
| Carrollton, TX | $14.49 | $0.00 – $34.22 | 38,780 | 10 |
| Peoria, AZ | $30.64 | $0.00 – $58.63 | 38,694 | 20 |
| Lebanon, IN | $9.19 | $5.74 – $33.64 | 38,682 | 14 |
| Lakeview, MI | $45.88 | $0.00 – $45.90 | 38,682 | 2 |
| Athens, OH | $13.34 | $2.16 – $20.86 | 38,681 | 9 |
| Morristown, TN | $9.18 | $2.05 – $17.30 | 38,546 | 17 |
| West Hartford, CT | $22.15 | $0.00 – $33.68 | 38,434 | 22 |
| Grand Prairie, TX | $6.23 | $0.33 – $24.42 | 38,318 | 11 |
| Garfield Heights, OH | $13.60 | $3.11 – $38.73 | 38,143 | 8 |
| Cedar Rapids, IA | $13.55 | $0.00 – $34.40 | 38,045 | 26 |
| South Windsor, CT | $32.62 | $15.10 – $39.11 | 38,026 | 7 |
| Lafayette, IN | $10.32 | $4.88 – $24.33 | 37,919 | 26 |
| Canfield, OH | $11.35 | $5.89 – $12.21 | 37,794 | 6 |
| Aventura, FL | $7.18 | $0.00 – $11.88 | 37,747 | 14 |
| Lincoln, NE | $21.56 | $4.82 – $72.68 | 37,714 | 42 |
| Smithtown, NY | $7.25 | $0.13 – $30.20 | 37,707 | 15 |
| Berkeley, CA | $27.74 | $0.00 – $131.94 | 37,606 | 18 |
| Munster, IN | $13.34 | $0.00 – $33.12 | 37,583 | 20 |
| New London, CT | $23.20 | $4.35 – $41.14 | 37,229 | 12 |
| Huber Heights, OH | $23.45 | $4.61 – $23.56 | 37,121 | 3 |
| Boaz, AL | $2.54 | $0.00 – $5.29 | 36,961 | 9 |
| Little Neck, NY | $7.82 | $1.83 – $7.92 | 36,953 | 2 |
| Flowood, MS | $17.67 | $0.00 – $114.09 | 36,702 | 29 |
| Maywood, CA | $12.93 | $12.76 – $12.99 | 36,696 | 2 |
| Des Moines, IA | $8.76 | $0.83 – $34.63 | 36,531 | 40 |
| Cambridge, MA | $15.26 | $1.15 – $59.77 | 36,522 | 22 |
| Blue Springs, MO | $14.15 | $2.20 – $37.08 | 36,339 | 26 |
| Frankfort, IL | $13.62 | $0.00 – $28.59 | 36,279 | 7 |
| Mckinney, TX | $11.99 | $0.00 – $56.66 | 36,216 | 25 |
| Gadsden, AL | $5.78 | $0.00 – $36.64 | 35,960 | 16 |
| Madison, MS | $26.23 | $0.00 – $85.54 | 35,956 | 13 |
| Rio Rancho, NM | $39.45 | $20.82 – $73.65 | 35,885 | 13 |
| Downers Grove, IL | $15.40 | $2.00 – $86.81 | 35,863 | 29 |
| Chandler, AZ | $34.68 | $2.71 – $100.13 | 35,807 | 33 |
| Point Reyes Station, CA | $12.21 | $4.85 – $13.03 | 35,685 | 2 |
| Oxon Hill, MD | $38.03 | $0.00 – $51.93 | 35,546 | 11 |
| Washington Court House, OH | $18.37 | $9.28 – $21.12 | 35,516 | 9 |
| Loma Linda, CA | $24.83 | $0.00 – $97.41 | 35,476 | 29 |
| Brownsburg, IN | $6.86 | $5.46 – $53.18 | 35,474 | 8 |
| Union City, TN | $6.75 | $0.00 – $22.51 | 35,420 | 11 |
| Topeka, KS | $8.61 | $0.00 – $26.67 | 35,411 | 30 |
| Lehi, UT | $30.66 | $13.33 – $46.82 | 35,336 | 8 |
| Norridge, IL | $6.26 | $4.98 – $32.28 | 35,311 | 3 |
| New Hartford, NY | $7.81 | $0.14 – $16.70 | 35,239 | 20 |
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.