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 |
|---|---|---|---|---|
| Cove, AR | $26.74 | $26.74 – $26.74 | 351 | 1 |
| Tiffin, IA | $8.15 | $8.15 – $8.15 | 350 | 1 |
| Marion, IL | $5.47 | $1.07 – $14.86 | 349 | 3 |
| Coffeyville, KS | $59.72 | $59.72 – $59.72 | 349 | 1 |
| Roselle, IL | $47.57 | $47.57 – $47.57 | 349 | 1 |
| Greenwood, AR | $23.93 | $15.87 – $24.29 | 349 | 2 |
| West Jefferson, OH | $8.29 | $8.29 – $8.29 | 348 | 1 |
| Louisa, VA | $16.32 | $16.32 – $16.32 | 348 | 1 |
| Rockport, AR | $23.40 | $23.40 – $23.40 | 348 | 1 |
| Middlebury, VT | $13.78 | $10.16 – $18.72 | 347 | 4 |
| Bermuda Run, NC | $24.75 | $24.75 – $24.75 | 347 | 1 |
| Long Grove, IA | $5.14 | $5.14 – $5.14 | 347 | 1 |
| King City, CA | $2.41 | $1.28 – $14.33 | 347 | 2 |
| Murphysboro, IL | $2.08 | $0.00 – $2.78 | 347 | 2 |
| Fayetteville, PA | $2.98 | $2.98 – $2.98 | 347 | 1 |
| Wakefield, MI | $20.59 | $0.00 – $76.84 | 347 | 2 |
| Dixon, IL | $11.90 | $0.00 – $26.54 | 346 | 5 |
| Buckley, WA | $39.89 | $39.89 – $39.89 | 346 | 1 |
| Congers, NY | $5.25 | $5.25 – $5.25 | 346 | 1 |
| Sharonville, OH | $8.93 | $8.93 – $8.93 | 346 | 1 |
| Swan, IA | $5.72 | $5.72 – $5.72 | 346 | 1 |
| Rolling Fork, MS | $13.61 | $0.00 – $20.17 | 345 | 3 |
| Commerce, CA | $25.06 | $25.06 – $25.06 | 345 | 1 |
| Refugio, TX | $40.11 | $40.11 – $40.11 | 344 | 1 |
| Tumwater, WA | $9.72 | $3.86 – $29.32 | 343 | 3 |
| Northampton, PA | $2.95 | $2.95 – $2.95 | 343 | 1 |
| Dumas, AR | $6.77 | $6.77 – $6.77 | 343 | 1 |
| Caldwell, NJ | $9.26 | $9.26 – $9.26 | 343 | 1 |
| Two Rivers, WI | $9.87 | $2.19 – $16.69 | 341 | 4 |
| Estherville, IA | $5.30 | $5.30 – $5.30 | 341 | 1 |
| Hereford, TX | $21.04 | $21.04 – $21.04 | 341 | 1 |
| Larkspur, CA | $14.77 | $14.77 – $14.77 | 341 | 1 |
| Taylorsville, KY | $0.59 | $0.59 – $0.59 | 340 | 1 |
| Roseville, MN | $54.98 | $31.10 – $58.53 | 340 | 2 |
| Yulee, FL | $19.00 | $19.00 – $19.00 | 340 | 1 |
| Bay Minette, AL | $8.61 | $0.00 – $13.35 | 340 | 5 |
| Falmouth, ME | $16.07 | $16.07 – $16.07 | 339 | 1 |
| Southold, NY | $5.81 | $0.00 – $25.92 | 339 | 2 |
| Cedarhusrt, NY | $3.74 | $3.74 – $3.74 | 339 | 1 |
| Kalkaska, MI | $0.00 | $0.00 – $0.00 | 336 | 2 |
| Forsyth, MT | $0.00 | $0.00 – $0.00 | 336 | 1 |
| Burney, CA | $16.28 | $0.00 – $21.62 | 336 | 2 |
| Mentone, IN | $3.35 | $3.35 – $3.35 | 336 | 1 |
| Louisville, OH | $18.09 | $18.09 – $18.09 | 333 | 1 |
| Brookfield, IL | $3.72 | $3.72 – $3.72 | 333 | 1 |
| New Plymouth, ID | $28.43 | $28.43 – $28.43 | 333 | 1 |
| Skiatook, OK | $26.33 | $26.33 – $26.33 | 333 | 1 |
| Oneill, NE | $8.19 | $8.19 – $8.19 | 332 | 1 |
| Belpre, OH | $10.51 | $9.95 – $12.74 | 332 | 2 |
| Baker, WV | $0.00 | $0.00 – $0.00 | 331 | 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.