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 |
|---|---|---|---|---|
| Malta, MT | $0.00 | $0.00 – $0.00 | 145 | 1 |
| Spirit Lake, IA | $6.98 | $5.13 – $8.21 | 144 | 3 |
| Allison Park, PA | $11.50 | $11.50 – $11.50 | 144 | 1 |
| Deer Park, TX | $6.82 | $6.82 – $6.82 | 144 | 1 |
| Canby, OR | $35.23 | $12.29 – $48.34 | 143 | 2 |
| Clifton Park, NY | $13.33 | $13.33 – $13.33 | 142 | 1 |
| Lake Norden, SD | $35.98 | $35.98 – $35.98 | 142 | 1 |
| Montebello, NY | $5.67 | $5.67 – $5.67 | 142 | 1 |
| North Ridgeville, OH | $8.68 | $8.68 – $8.68 | 141 | 1 |
| Saint Stephens Church, VA | $19.23 | $19.23 – $19.23 | 141 | 1 |
| Donegal, PA | $26.52 | $26.52 – $26.52 | 141 | 1 |
| White House, TN | $18.52 | $4.20 – $37.33 | 140 | 3 |
| Dobson, NC | $0.00 | $0.00 – $0.00 | 140 | 1 |
| Port Allegany, PA | $12.58 | $0.00 – $83.86 | 140 | 2 |
| Issaquah, WA | $2.57 | $0.00 – $15.29 | 140 | 3 |
| Westwego, LA | $10.93 | $10.93 – $10.93 | 140 | 1 |
| Sturtevant, WI | $17.95 | $17.95 – $17.95 | 139 | 1 |
| Minster, OH | $12.28 | $12.28 – $12.28 | 139 | 1 |
| Cambria Heights, NY | $9.94 | $9.94 – $9.94 | 139 | 1 |
| Wescosville, PA | $36.01 | $36.01 – $36.01 | 139 | 1 |
| Royse City, TX | $1.56 | $1.56 – $1.56 | 139 | 1 |
| San Manuel, AZ | $42.91 | $42.91 – $42.91 | 139 | 1 |
| Ridley Park, PA | $25.76 | $0.00 – $28.44 | 138 | 2 |
| Marquette, MI | $18.42 | $18.16 – $21.15 | 138 | 2 |
| Friendship, WI | $14.61 | $2.56 – $19.03 | 138 | 2 |
| Fairfax, OK | $45.72 | $45.72 – $45.72 | 138 | 1 |
| Blowing Rock, NC | $23.96 | $23.96 – $23.96 | 138 | 1 |
| Heppner, OR | $13.85 | $13.85 – $13.85 | 137 | 1 |
| Belcamp, MD | $59.03 | $18.36 – $67.67 | 137 | 2 |
| Crescent, OK | $21.64 | $21.64 – $21.64 | 137 | 1 |
| Hayes, VA | $12.47 | $12.47 – $12.47 | 136 | 1 |
| Pryor, OK | $23.25 | $23.25 – $23.25 | 135 | 1 |
| Sparta, MI | $7.60 | $7.60 – $7.60 | 135 | 1 |
| Malta, OH | $14.32 | $2.38 – $17.06 | 134 | 2 |
| Morris Plains, NJ | $6.42 | $6.42 – $6.42 | 134 | 1 |
| Black Rock, AR | $9.91 | $9.91 – $9.91 | 134 | 1 |
| Ellsworth, KS | $10.11 | $10.11 – $10.11 | 132 | 1 |
| Liberty Lake, WA | $20.73 | $20.73 – $20.73 | 132 | 1 |
| Jackman, ME | $0.00 | $0.00 – $0.00 | 132 | 1 |
| Bandon, OR | $17.54 | $17.54 – $17.54 | 131 | 1 |
| Winchester, IL | $0.00 | $0.00 – $0.00 | 131 | 1 |
| Tualatin, OR | $38.40 | $38.40 – $38.40 | 130 | 1 |
| Collegeville, PA | $16.45 | $7.81 – $20.41 | 130 | 4 |
| Morrison, TN | $7.43 | $7.43 – $7.43 | 130 | 1 |
| Spring Lake, NJ | $7.48 | $7.48 – $7.48 | 130 | 1 |
| East Corinth, VT | $0.00 | $0.00 – $0.00 | 130 | 1 |
| Durand, WI | $14.25 | $1.47 – $19.78 | 129 | 2 |
| Loogootee, IN | $9.77 | $9.03 – $14.31 | 129 | 2 |
| Newport, ME | $25.43 | $25.43 – $25.43 | 129 | 1 |
| New York City, NY | $14.54 | $14.54 – $14.54 | 129 | 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.