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 |
|---|---|---|---|---|
| Sherburne, NY | $0.00 | $0.00 – $0.00 | 232 | 1 |
| Waterbury, VT | $10.37 | $10.37 – $10.37 | 232 | 1 |
| Thompson Falls, MT | $23.12 | $23.12 – $23.12 | 232 | 1 |
| Fort Atkinson, WI | $23.16 | $23.16 – $23.16 | 231 | 1 |
| Lisbon, ND | $44.29 | $44.29 – $44.29 | 231 | 1 |
| Avenel, NJ | $4.95 | $4.27 – $14.04 | 231 | 2 |
| Peru, NY | $13.55 | $13.55 – $13.55 | 231 | 1 |
| Countryside, IL | $7.19 | $7.00 – $7.72 | 231 | 2 |
| Benton, LA | $0.00 | $0.00 – $0.00 | 231 | 1 |
| West Babylon, NY | $2.63 | $0.00 – $18.43 | 230 | 3 |
| Woodville, WI | $29.63 | $29.63 – $29.63 | 230 | 1 |
| Lake Jackson, TX | $6.77 | $6.77 – $6.77 | 228 | 1 |
| Pleasant Grove, UT | $18.75 | $18.75 – $18.75 | 228 | 1 |
| Dalton, MA | $4.68 | $4.68 – $4.68 | 228 | 1 |
| Panora, IA | $4.28 | $4.28 – $4.28 | 228 | 1 |
| Zearing, IA | $34.29 | $34.29 – $34.29 | 227 | 1 |
| Saginaw, TX | $1.98 | $1.98 – $1.98 | 227 | 1 |
| Tenafly, NJ | $4.00 | $4.00 – $4.00 | 226 | 1 |
| Yellville, AR | $8.70 | $1.23 – $10.73 | 226 | 3 |
| Mt Carmel, PA | $4.87 | $4.87 – $4.87 | 226 | 1 |
| Albany, MN | $55.74 | $51.45 – $57.47 | 226 | 2 |
| Greenbrier, AR | $11.20 | $10.21 – $17.45 | 226 | 2 |
| Brownstown, PA | $18.83 | $18.83 – $18.83 | 226 | 1 |
| Reynoldsburg, OH | $9.23 | $7.11 – $23.60 | 225 | 2 |
| Franklin Park, NJ | $5.71 | $5.71 – $5.71 | 225 | 1 |
| Northvale, NJ | $5.00 | $5.00 – $5.00 | 224 | 1 |
| Wheatfield, IN | $14.78 | $14.78 – $14.78 | 224 | 1 |
| Huntsville, AR | $19.96 | $17.05 – $47.93 | 223 | 2 |
| Harlan, IA | $0.00 | $0.00 – $0.00 | 222 | 1 |
| Cameron Park, CA | $0.12 | $0.12 – $0.12 | 222 | 1 |
| Genoa, NE | $33.19 | $33.19 – $33.19 | 222 | 1 |
| Bloomfield, NE | $28.20 | $28.20 – $28.20 | 222 | 1 |
| Dover, TN | $5.78 | $5.78 – $5.78 | 221 | 1 |
| Gladstone, IL | $5.69 | $5.69 – $5.69 | 221 | 1 |
| Marysville, OH | $3.42 | $0.31 – $29.85 | 220 | 3 |
| Bradford, AR | $14.84 | $14.84 – $14.84 | 220 | 1 |
| Cibolo, TX | $2.31 | $1.40 – $4.03 | 220 | 3 |
| Vance, SC | $12.08 | $12.08 – $12.08 | 220 | 1 |
| Jefferson, LA | $0.88 | $0.64 – $2.29 | 219 | 2 |
| Granger, WA | $0.21 | $0.21 – $0.21 | 219 | 1 |
| Craig, CO | $32.72 | $32.72 – $32.72 | 218 | 1 |
| Bourbon, IN | $6.47 | $6.09 – $10.45 | 218 | 2 |
| Newport, NC | $11.08 | $11.08 – $11.08 | 217 | 1 |
| Junction City, OR | $17.08 | $8.70 – $20.51 | 217 | 2 |
| Sunset Beach, NC | $24.03 | $24.03 – $24.03 | 216 | 1 |
| Morocco, IN | $36.68 | $36.68 – $36.68 | 216 | 1 |
| Belvidere, TN | $8.21 | $8.21 – $8.21 | 216 | 1 |
| Pella, IA | $7.66 | $7.66 – $7.66 | 215 | 1 |
| Beaumont, CA | $21.47 | $0.00 – $22.97 | 215 | 2 |
| Mena, AR | $14.75 | $14.75 – $14.75 | 215 | 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.