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 |
|---|---|---|---|---|
| Marlboro, NJ | $11.25 | $11.25 – $11.25 | 201 | 1 |
| Mimbres, NM | $19.77 | $19.77 – $19.77 | 201 | 1 |
| Renville, MN | $148.73 | $148.73 – $148.73 | 200 | 1 |
| Fort Gregg Adams, VA | $11.16 | $11.16 – $11.16 | 199 | 1 |
| Ponca, NE | $43.45 | $43.45 – $43.45 | 199 | 1 |
| Shorewood, WI | $14.92 | $14.92 – $14.92 | 199 | 1 |
| Santa Clara, NM | $38.18 | $38.18 – $38.18 | 199 | 1 |
| Dundee, OH | $6.38 | $6.38 – $6.38 | 199 | 1 |
| Cherryvale, KS | $11.56 | $2.03 – $13.26 | 198 | 2 |
| Ash Flat, AR | $19.50 | $19.50 – $19.50 | 198 | 1 |
| Moose Lake, MN | $63.93 | $63.93 – $63.93 | 197 | 1 |
| Grand Rapids, MN | $31.99 | $6.50 – $45.72 | 197 | 3 |
| South El Monte, CA | $27.72 | $27.72 – $27.72 | 197 | 1 |
| Cornell, WI | $18.99 | $18.99 – $18.99 | 197 | 1 |
| Yanceyville, NC | $20.17 | $20.17 – $20.17 | 197 | 1 |
| Crystal Springs, MS | $0.00 | $0.00 – $0.00 | 197 | 1 |
| Mauston, WI | $64.96 | $64.96 – $64.96 | 196 | 1 |
| Hewitt, NJ | $1.20 | $1.20 – $1.20 | 196 | 1 |
| Garrison, MD | $79.42 | $79.42 – $79.42 | 196 | 1 |
| Depew, NY | $10.62 | $1.27 – $18.39 | 195 | 3 |
| Poulsbo, WA | $17.62 | $11.39 – $21.53 | 195 | 3 |
| Radcliff, KY | $1.77 | $1.77 – $1.77 | 194 | 1 |
| Immokalee, FL | $3.50 | $0.00 – $5.52 | 194 | 2 |
| Mebane, NC | $16.34 | $16.34 – $16.34 | 194 | 1 |
| Tillamook, OR | $23.39 | $23.39 – $23.39 | 194 | 1 |
| Higginsville, MO | $55.45 | $55.45 – $55.45 | 194 | 1 |
| Upper Saddle River, NJ | $14.79 | $14.79 – $14.79 | 194 | 1 |
| Harwinton, CT | $13.16 | $13.16 – $13.16 | 193 | 1 |
| Madison Heights, MI | $26.84 | $26.84 – $26.84 | 193 | 1 |
| Eglin, FL | $1.02 | $1.02 – $1.02 | 193 | 1 |
| Little Rock Afb, AR | $15.73 | $15.64 – $16.86 | 193 | 2 |
| Osborne, KS | $48.98 | $10.29 – $104.31 | 192 | 2 |
| Enosburg Falls, VT | $0.00 | $0.00 – $0.00 | 192 | 1 |
| Hondo, TX | $20.46 | $20.46 – $20.46 | 192 | 1 |
| Jay, VT | $0.65 | $0.65 – $0.65 | 192 | 1 |
| Federalsburg, MD | $78.04 | $78.04 – $78.04 | 192 | 1 |
| Quanah, TX | $33.20 | $33.20 – $33.20 | 192 | 1 |
| Wayne, IL | $27.71 | $27.71 – $27.71 | 192 | 1 |
| Holdrege, NE | $7.20 | $0.00 – $13.35 | 191 | 3 |
| Tracy City, TN | $3.03 | $3.03 – $3.03 | 191 | 1 |
| Lobelville, TN | $8.55 | $8.55 – $8.55 | 191 | 1 |
| Mound, MN | $37.01 | $37.01 – $37.01 | 190 | 1 |
| Fayetteville, TN | $5.49 | $5.49 – $5.49 | 190 | 1 |
| Stanley, WI | $50.85 | $50.85 – $50.85 | 190 | 1 |
| Quitman, TX | $31.92 | $31.92 – $31.92 | 190 | 1 |
| Churchville, MD | $8.14 | $8.14 – $8.14 | 190 | 1 |
| North Cape May, NJ | $7.22 | $7.22 – $7.22 | 190 | 1 |
| O Fallon, IL | $15.35 | $14.36 – $17.62 | 189 | 2 |
| Conshohocken, PA | $6.53 | $6.53 – $6.53 | 188 | 1 |
| Jeanerette, LA | $1.42 | $1.42 – $1.42 | 188 | 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.