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 |
|---|---|---|---|---|
| Lake Crystal, MN | $53.31 | $53.31 – $53.31 | 245 | 1 |
| Cedarville, CA | $2.74 | $2.74 – $2.74 | 245 | 1 |
| Richfield, UT | $28.52 | $28.52 – $28.52 | 244 | 2 |
| East Palatka, FL | $6.03 | $6.03 – $6.03 | 244 | 1 |
| Oakton, VA | $4.02 | $3.32 – $12.37 | 244 | 2 |
| Georgetown, IL | $36.35 | $36.35 – $36.35 | 244 | 1 |
| Carthage, NC | $10.91 | $10.91 – $10.91 | 243 | 1 |
| Blackville, SC | $19.69 | $19.69 – $19.69 | 243 | 1 |
| Argyle, TX | $2.45 | $2.45 – $2.45 | 242 | 1 |
| Cornelius, NC | $4.81 | $3.68 – $14.61 | 242 | 2 |
| Gothenburg, NE | $32.66 | $32.66 – $32.66 | 242 | 1 |
| Centreville, MS | $19.90 | $0.00 – $21.89 | 242 | 2 |
| Southampton, PA | $5.85 | $5.85 – $5.85 | 241 | 1 |
| South Ogden, UT | $45.86 | $12.57 – $49.89 | 241 | 2 |
| Baldwin, NY | $3.11 | $0.48 – $11.72 | 240 | 2 |
| Keyser, WV | $18.46 | $16.14 – $22.25 | 240 | 2 |
| Callicoon, NY | $7.69 | $7.69 – $7.69 | 240 | 1 |
| Mickleton, NJ | $3.78 | $3.78 – $3.78 | 240 | 1 |
| Taylorsville, MS | $19.32 | $19.32 – $19.32 | 240 | 1 |
| Boonton Twp, NJ | $16.35 | $16.35 – $16.35 | 240 | 1 |
| Plainfield, CT | $18.24 | $8.79 – $19.06 | 239 | 2 |
| Spiro, OK | $16.77 | $16.77 – $16.77 | 239 | 1 |
| Orange, VA | $4.07 | $4.07 – $4.07 | 239 | 1 |
| Canton, SD | $27.31 | $27.31 – $27.31 | 239 | 1 |
| Spencerville, OH | $6.94 | $6.94 – $6.94 | 239 | 1 |
| Brunswick, GA | $2.15 | $2.15 – $2.15 | 238 | 1 |
| Ranshaw, PA | $0.62 | $0.62 – $0.62 | 238 | 1 |
| Satellite Beach, FL | $0.00 | $0.00 – $0.00 | 238 | 1 |
| Red Bud, IL | $11.17 | $11.17 – $11.17 | 237 | 1 |
| Sterling, CO | $22.82 | $22.82 – $22.82 | 237 | 1 |
| De Queen, AR | $22.57 | $20.63 – $56.19 | 237 | 3 |
| Jericho, VT | $17.37 | $17.37 – $17.37 | 237 | 1 |
| Hillsboro, WI | $58.05 | $58.05 – $58.05 | 237 | 1 |
| Milledgeville, GA | $21.31 | $21.31 – $21.31 | 236 | 1 |
| Philipsburg, PA | $6.54 | $0.00 – $7.87 | 236 | 2 |
| Granville, NY | $12.67 | $12.67 – $12.67 | 236 | 1 |
| Vona, CO | $12.90 | $12.90 – $12.90 | 236 | 1 |
| Eden, TX | $22.55 | $22.55 – $22.55 | 235 | 1 |
| Ash Grove, MO | $41.08 | $41.08 – $41.08 | 235 | 1 |
| Portland, TX | $3.00 | $0.00 – $3.16 | 235 | 2 |
| Aguada, PR | $0.00 | $0.00 – $0.00 | 234 | 1 |
| Saxonburg, PA | $23.44 | $22.40 – $27.92 | 234 | 2 |
| Jonesboro, GA | $19.99 | $19.99 – $19.99 | 234 | 1 |
| San Pablo, CA | $32.52 | $23.72 – $38.43 | 234 | 2 |
| Berlin, WI | $16.85 | $16.85 – $16.85 | 233 | 1 |
| Windham, NH | $8.18 | $8.18 – $8.18 | 233 | 1 |
| Ashland, MO | $21.38 | $21.38 – $21.38 | 233 | 1 |
| Owasso, OK | $9.50 | $9.50 – $9.50 | 232 | 1 |
| Lomita, CA | $10.72 | $6.43 – $17.26 | 232 | 2 |
| Monroe, WI | $14.93 | $0.83 – $18.80 | 232 | 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.