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 |
|---|---|---|---|---|
| Northwood, ND | $64.77 | $64.77 – $64.77 | 170 | 1 |
| Lodi, CA | $1.44 | $0.00 – $5.18 | 169 | 2 |
| Carroll, IA | $6.26 | $0.00 – $14.14 | 169 | 3 |
| Douglas, AZ | $17.47 | $17.47 – $17.47 | 169 | 1 |
| Cohoes, NY | $1.13 | $0.69 – $3.09 | 169 | 2 |
| Wilmington, IL | $5.87 | $3.78 – $6.07 | 169 | 2 |
| Granville, IL | $13.91 | $13.91 – $13.91 | 169 | 1 |
| Landenberg, PA | $12.37 | $12.37 – $12.37 | 169 | 1 |
| Indianola, IA | $9.81 | $8.83 – $10.03 | 168 | 2 |
| Columbus Grove, OH | $10.46 | $10.46 – $10.46 | 167 | 1 |
| Humboldt, IA | $0.05 | $0.00 – $0.12 | 167 | 2 |
| Prospect Heights, IL | $1.15 | $1.15 – $1.15 | 167 | 1 |
| Copenhagen, NY | $8.90 | $8.90 – $8.90 | 167 | 1 |
| Plum, PA | $1.59 | $1.59 – $1.59 | 167 | 1 |
| Perdido, AL | $0.00 | $0.00 – $0.00 | 167 | 1 |
| Killdeer, ND | $16.65 | $16.65 – $16.65 | 167 | 1 |
| Aitkin, MN | $137.81 | $106.47 – $217.17 | 166 | 2 |
| Caldwell, KS | $25.46 | $25.46 – $25.46 | 166 | 1 |
| Fairbury, IL | $12.99 | $12.99 – $12.99 | 166 | 1 |
| Toluca Lake, CA | $42.77 | $24.28 – $67.50 | 166 | 2 |
| Frankston, TX | $3.76 | $3.76 – $3.76 | 166 | 1 |
| Sunnyside, WA | $18.17 | $18.17 – $18.17 | 165 | 1 |
| Vermilion, OH | $12.31 | $12.31 – $12.31 | 165 | 1 |
| Taylor, PA | $22.50 | $22.50 – $22.50 | 165 | 1 |
| Slater, MO | $8.56 | $8.56 – $8.56 | 165 | 1 |
| Edmonds, WA | $13.85 | $10.29 – $24.12 | 164 | 3 |
| North Platte, NE | $24.79 | $15.82 – $40.94 | 164 | 3 |
| Port Aransas, TX | $5.21 | $5.21 – $5.21 | 164 | 1 |
| Redington Shores, FL | $0.72 | $0.72 – $0.72 | 164 | 1 |
| Monument, CO | $16.26 | $16.26 – $16.26 | 163 | 1 |
| Plainwell, MI | $7.77 | $7.77 – $7.77 | 162 | 1 |
| Sac City, IA | $1.33 | $0.00 – $1.99 | 162 | 2 |
| Worthington, OH | $11.25 | $11.25 – $11.25 | 162 | 1 |
| Waterford, MI | $28.95 | $19.08 – $50.77 | 162 | 3 |
| Forest City, PA | $0.00 | $0.00 – $0.00 | 162 | 1 |
| Foxworth, MS | $9.20 | $9.20 – $9.20 | 162 | 1 |
| Haymarket, VA | $18.95 | $18.95 – $18.95 | 161 | 1 |
| Belington, WV | $1.10 | $1.10 – $1.10 | 161 | 1 |
| Champlin, MN | $70.56 | $70.56 – $70.56 | 160 | 1 |
| Gloversville, NY | $19.33 | $11.23 – $33.80 | 160 | 3 |
| Cedar Grove, TN | $0.00 | $0.00 – $0.00 | 160 | 1 |
| Leesburg, AL | $0.00 | $0.00 – $0.00 | 160 | 1 |
| Emmett, ID | $22.09 | $22.09 – $22.09 | 159 | 1 |
| Clayton, NC | $0.00 | $0.00 – $0.00 | 159 | 1 |
| Unionville, MO | $6.76 | $6.76 – $6.76 | 159 | 1 |
| Chevy Chase, MD | $51.96 | $51.96 – $51.96 | 158 | 1 |
| Sapulpa, OK | $17.29 | $17.29 – $17.29 | 158 | 1 |
| Richboro, PA | $52.54 | $52.54 – $52.54 | 158 | 1 |
| Randolph, VT | $9.89 | $8.73 – $10.53 | 158 | 2 |
| Cedar Crest, NM | $49.02 | $49.02 – $49.02 | 158 | 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.