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 |
|---|---|---|---|---|
| Shaftsbury, VT | $14.52 | $10.99 – $24.66 | 291 | 2 |
| Shavertown, PA | $7.85 | $4.62 – $22.51 | 288 | 2 |
| Oak Hill, OH | $21.59 | $21.59 – $21.59 | 288 | 1 |
| Waldwick, NJ | $1.68 | $1.68 – $1.68 | 287 | 1 |
| Boardman, OR | $23.96 | $23.96 – $23.96 | 286 | 1 |
| Robinson, IL | $5.76 | $5.76 – $5.76 | 286 | 1 |
| Azusa, CA | $11.66 | $11.66 – $11.66 | 286 | 1 |
| Saint Ignace, MI | $15.67 | $15.67 – $15.67 | 285 | 1 |
| Tamaqua, PA | $13.97 | $11.96 – $32.35 | 284 | 2 |
| Pelzer, SC | $13.27 | $13.27 – $13.27 | 284 | 1 |
| Cedarburg, WI | $16.19 | $16.19 – $16.19 | 283 | 1 |
| Neptune City, NJ | $6.30 | $6.30 – $6.30 | 283 | 1 |
| Highland, AR | $14.28 | $14.28 – $14.28 | 283 | 1 |
| Pembroke, NC | $18.35 | $15.93 – $21.09 | 282 | 2 |
| Orange City, IA | $3.91 | $3.91 – $3.91 | 282 | 1 |
| Poseyville, IN | $4.73 | $4.58 – $7.68 | 282 | 2 |
| Rutherford, TN | $2.41 | $2.41 – $2.41 | 282 | 1 |
| Rich, VA | $5.49 | $5.49 – $5.49 | 282 | 1 |
| Brewerton, NY | $11.92 | $11.92 – $11.92 | 281 | 1 |
| Andover, OH | $5.62 | $0.00 – $13.34 | 280 | 2 |
| Ganado, TX | $2.98 | $2.98 – $2.98 | 280 | 1 |
| Moravia, NY | $10.26 | $10.26 – $10.26 | 279 | 1 |
| Park Ridge, NJ | $32.82 | $32.82 – $32.82 | 279 | 1 |
| North Massapequa, NY | $25.52 | $25.52 – $25.52 | 279 | 1 |
| Kearney, NE | $10.48 | $4.69 – $20.33 | 278 | 3 |
| Austin, MN | $45.24 | $45.24 – $45.24 | 278 | 1 |
| Macclenny, FL | $1.05 | $0.00 – $1.48 | 278 | 3 |
| Colmar, PA | $8.78 | $8.78 – $8.78 | 278 | 1 |
| Galena, IL | $4.08 | $4.08 – $4.08 | 277 | 1 |
| Beloit, KS | $9.27 | $7.12 – $11.72 | 276 | 2 |
| Ishpeming, MI | $37.16 | $37.16 – $37.16 | 275 | 1 |
| Locust Valley, NY | $19.19 | $19.19 – $19.19 | 275 | 1 |
| Jamestown, ND | $39.08 | $5.50 – $89.75 | 274 | 3 |
| Madison, SD | $18.48 | $18.48 – $18.48 | 274 | 1 |
| Oneida, KY | $169.65 | $169.65 – $169.65 | 274 | 1 |
| Minocqua, WI | $24.34 | $6.00 – $53.49 | 273 | 4 |
| Mckee, KY | $29.21 | $29.21 – $29.21 | 273 | 1 |
| Royal, AR | $16.39 | $16.39 – $16.39 | 273 | 1 |
| Mullins, SC | $29.08 | $29.08 – $29.08 | 272 | 1 |
| Perkasie, PA | $13.13 | $13.13 – $13.13 | 271 | 1 |
| Hurt, VA | $8.98 | $5.31 – $24.75 | 270 | 2 |
| Danville, OH | $13.28 | $13.28 – $13.28 | 270 | 1 |
| Fairless Hills, PA | $18.92 | $18.92 – $18.92 | 269 | 1 |
| Malad City, ID | $9.48 | $9.48 – $9.48 | 269 | 1 |
| Bulls Gap, TN | $3.78 | $3.78 – $3.78 | 268 | 1 |
| Dallas, PA | $10.74 | $10.74 – $10.74 | 267 | 1 |
| Belvidere, NJ | $3.80 | $3.80 – $3.80 | 267 | 1 |
| Shelton, WA | $21.10 | $11.63 – $24.62 | 266 | 2 |
| Flora, IL | $10.91 | $0.00 – $23.40 | 266 | 2 |
| Clover, SC | $16.22 | $16.22 – $16.22 | 266 | 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.