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 |
|---|---|---|---|---|
| Tulare, CA | $13.93 | $0.77 – $40.00 | 187 | 3 |
| Jerome, ID | $12.93 | $12.93 – $12.93 | 187 | 1 |
| Keyport, NJ | $6.21 | $6.21 – $6.21 | 187 | 1 |
| Hilton Head Island, SC | $45.94 | $4.89 – $52.01 | 186 | 3 |
| Russell, KY | $8.59 | $8.59 – $8.59 | 186 | 1 |
| Peckville, PA | $16.98 | $16.98 – $16.98 | 185 | 1 |
| Valley Center, CA | $9.74 | $9.74 – $9.74 | 184 | 1 |
| Mount Olive, NC | $0.00 | $0.00 – $0.00 | 184 | 1 |
| Adrian, MI | $11.05 | $11.05 – $11.05 | 183 | 1 |
| N Miami Beach, FL | $3.79 | $3.79 – $3.79 | 183 | 1 |
| Tompkinsville, KY | $5.93 | $5.57 – $6.59 | 183 | 2 |
| Beaver, OK | $58.35 | $58.35 – $58.35 | 183 | 1 |
| Apollo Beach, FL | $12.66 | $5.29 – $14.46 | 183 | 3 |
| Marana, AZ | $32.32 | $29.52 – $39.07 | 182 | 4 |
| Blue Hill, ME | $19.15 | $19.15 – $19.15 | 182 | 1 |
| Greenville, KY | $1.62 | $1.62 – $1.62 | 182 | 1 |
| Muldrow, OK | $18.26 | $18.26 – $18.26 | 182 | 1 |
| Montour Falls, NY | $13.55 | $11.68 – $15.27 | 182 | 2 |
| Lagrange, GA | $43.00 | $24.93 – $50.29 | 181 | 2 |
| Burton, MI | $59.46 | $59.46 – $59.46 | 181 | 1 |
| Margaretville, NY | $0.00 | $0.00 – $0.00 | 181 | 1 |
| Waynoka, OK | $33.29 | $33.29 – $33.29 | 180 | 1 |
| Belmond, IA | $2.08 | $0.00 – $11.68 | 180 | 2 |
| Carlyle, IL | $9.98 | $9.98 – $9.98 | 180 | 1 |
| Stratford, IA | $41.13 | $41.13 – $41.13 | 180 | 1 |
| Dawson, MN | $343.97 | $339.08 – $411.94 | 179 | 2 |
| Jamestown, OH | $19.70 | $13.93 – $22.76 | 179 | 2 |
| New Franklin, OH | $6.88 | $6.88 – $6.88 | 179 | 1 |
| Coralville, IA | $12.66 | $12.66 – $12.66 | 178 | 1 |
| Russell, KS | $78.71 | $5.92 – $85.90 | 178 | 2 |
| Canton, GA | $8.77 | $0.00 – $11.04 | 178 | 3 |
| Sykesville, MD | $27.88 | $27.88 – $27.88 | 178 | 1 |
| Chelsea, MI | $5.10 | $5.10 – $5.10 | 178 | 1 |
| Presque Isle, ME | $16.40 | $0.00 – $33.17 | 177 | 4 |
| Clear Lake, IA | $5.64 | $5.64 – $5.64 | 177 | 1 |
| Queen City, MO | $24.19 | $24.19 – $24.19 | 177 | 1 |
| Horseshoe Bay, TX | $10.29 | $5.75 – $50.10 | 176 | 2 |
| Morrisdale, PA | $14.60 | $14.60 – $14.60 | 176 | 1 |
| Newark, NY | $26.36 | $0.00 – $41.62 | 175 | 4 |
| Bingham, ME | $23.94 | $23.94 – $23.94 | 175 | 1 |
| Cameron, TX | $1.03 | $1.03 – $1.03 | 175 | 1 |
| Beavercreek Township, OH | $15.85 | $15.85 – $15.85 | 174 | 1 |
| Midland, GA | $6.26 | $6.26 – $6.26 | 173 | 1 |
| Joshua Tree, CA | $30.16 | $29.42 – $34.73 | 172 | 2 |
| Emerson, NJ | $2.58 | $1.60 – $10.16 | 171 | 3 |
| New Kensington, PA | $8.64 | $8.64 – $8.64 | 171 | 1 |
| Wendell, ID | $23.27 | $23.27 – $23.27 | 171 | 1 |
| Mt Pleasant, TX | $0.60 | $0.00 – $0.90 | 170 | 3 |
| Geneseo, IL | $2.67 | $0.00 – $14.64 | 170 | 2 |
| Fox River Grove, IL | $34.22 | $34.22 – $34.22 | 170 | 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.