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 |
|---|---|---|---|---|
| St Maries, ID | $42.79 | $42.79 – $42.79 | 215 | 1 |
| Edisto Island, SC | $37.89 | $23.59 – $53.59 | 214 | 2 |
| Colby, KS | $35.24 | $35.24 – $35.24 | 214 | 1 |
| Mt Pleasant, IA | $14.61 | $5.47 – $26.53 | 214 | 3 |
| Savoy, IL | $21.62 | $21.62 – $21.62 | 213 | 1 |
| Van Buren, ME | $0.90 | $0.90 – $0.90 | 213 | 1 |
| Notre Dame, IN | $22.12 | $22.12 – $22.12 | 213 | 1 |
| Wartburg, TN | $0.76 | $0.76 – $0.76 | 212 | 1 |
| Jackson, MN | $90.87 | $90.87 – $90.87 | 212 | 1 |
| Herington, KS | $2.87 | $2.87 – $2.87 | 212 | 1 |
| Westport, WA | $5.84 | $5.84 – $5.84 | 212 | 1 |
| Holland, PA | $4.43 | $3.20 – $7.92 | 211 | 2 |
| Crosby, TX | $24.37 | $24.37 – $24.37 | 211 | 1 |
| Hugo, CO | $16.80 | $16.80 – $16.80 | 210 | 1 |
| Charleston, IL | $7.88 | $7.88 – $7.88 | 210 | 1 |
| Pana, IL | $3.74 | $1.30 – $4.09 | 210 | 3 |
| Smithville, MS | $23.71 | $23.71 – $23.71 | 210 | 1 |
| Potts, PA | $3.81 | $3.81 – $3.81 | 210 | 1 |
| Shenandoah, IA | $1.61 | $1.61 – $1.61 | 209 | 1 |
| Fort Benning, GA | $3.79 | $3.79 – $3.79 | 209 | 1 |
| Tallulah, LA | $1.27 | $0.00 – $2.44 | 209 | 2 |
| Plainview, AR | $29.93 | $29.93 – $29.93 | 209 | 1 |
| Camp Verde, AZ | $22.49 | $22.49 – $22.49 | 209 | 1 |
| Hillsboro, ND | $43.82 | $42.86 – $48.46 | 209 | 2 |
| Centerville, IN | $1.10 | $1.10 – $1.10 | 209 | 1 |
| Birch Tree, MO | $24.63 | $24.63 – $24.63 | 209 | 1 |
| Muenster, TX | $10.87 | $10.87 – $10.87 | 207 | 1 |
| Woodburn, OR | $17.30 | $0.00 – $18.37 | 207 | 2 |
| Jamison, PA | $8.19 | $8.19 – $8.19 | 207 | 1 |
| Warrington, PA | $11.49 | $5.40 – $13.24 | 206 | 2 |
| Lincoln City, OR | $15.28 | $3.87 – $16.96 | 206 | 3 |
| West Salem, IL | $0.00 | $0.00 – $0.00 | 206 | 2 |
| Ida Grove, IA | $6.41 | $6.41 – $6.41 | 206 | 1 |
| Martinsburg, PA | $14.32 | $14.32 – $14.32 | 206 | 1 |
| Baltimore, OH | $19.28 | $6.52 – $21.55 | 205 | 2 |
| Henderson, TX | $27.62 | $27.62 – $27.62 | 205 | 1 |
| Chester Springs, PA | $23.64 | $23.64 – $23.64 | 205 | 1 |
| Algona, IA | $0.00 | $0.00 – $0.00 | 205 | 2 |
| Checotah, OK | $13.99 | $13.99 – $13.99 | 205 | 1 |
| Elida, OH | $18.07 | $12.05 – $31.96 | 205 | 2 |
| Scuddy, KY | $12.54 | $12.54 – $12.54 | 205 | 1 |
| Barling, AR | $19.70 | $19.55 – $21.99 | 204 | 2 |
| Ridgecrest, CA | $11.46 | $6.73 – $36.67 | 203 | 3 |
| Pittsfield, IL | $0.00 | $0.00 – $0.00 | 203 | 1 |
| Council Grove, KS | $17.06 | $2.56 – $22.50 | 203 | 3 |
| Bernalillo, NM | $41.15 | $41.15 – $41.15 | 202 | 1 |
| Arcadia, LA | $2.97 | $2.97 – $2.97 | 202 | 1 |
| Teutopolis, IL | $4.05 | $4.05 – $4.05 | 202 | 1 |
| Columbus, NE | $10.62 | $1.07 – $24.38 | 201 | 3 |
| Ossipee, NH | $0.35 | $0.35 – $0.35 | 201 | 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.