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 |
|---|---|---|---|---|
| Lake Orion, MI | $12.73 | $12.73 – $12.73 | 95 | 1 |
| Rocky Top, TN | $17.01 | $17.01 – $17.01 | 95 | 1 |
| Silsbee, TX | $11.35 | $11.35 – $11.35 | 94 | 1 |
| Hamlet, NC | $31.12 | $31.12 – $31.12 | 94 | 1 |
| North Fort Myers, FL | $7.48 | $7.48 – $7.48 | 94 | 1 |
| Arendtsville, PA | $3.17 | $3.17 – $3.17 | 94 | 1 |
| Millbury, MA | $10.04 | $10.04 – $10.04 | 93 | 1 |
| New River, AZ | $34.07 | $34.07 – $34.07 | 93 | 1 |
| Claymont, DE | $0.00 | $0.00 – $0.00 | 93 | 1 |
| Avon, MA | $7.04 | $7.04 – $7.04 | 93 | 1 |
| Boulder City, NV | $0.00 | $0.00 – $0.00 | 92 | 1 |
| Crest Hill, IL | $6.12 | $6.12 – $6.12 | 92 | 1 |
| Munising, MI | $0.00 | $0.00 – $0.00 | 92 | 1 |
| Clarksboro, NJ | $5.70 | $5.70 – $5.70 | 92 | 1 |
| West Park, FL | $1.45 | $1.45 – $1.45 | 92 | 1 |
| Boiling Springs, SC | $59.71 | $59.71 – $59.71 | 91 | 1 |
| Winchendon, MA | $8.44 | $3.49 – $10.99 | 91 | 2 |
| Charlestown, NH | $4.11 | $4.11 – $4.11 | 91 | 1 |
| Nineveh, IN | $16.05 | $16.05 – $16.05 | 91 | 1 |
| Lynbrook, NY | $7.70 | $0.00 – $11.36 | 90 | 2 |
| Wall, NJ | $9.96 | $5.30 – $12.67 | 90 | 2 |
| Sainte Genevieve, MO | $28.35 | $28.35 – $28.35 | 90 | 1 |
| Houghton, MI | $0.00 | $0.00 – $0.00 | 90 | 1 |
| Arbutus, MD | $18.10 | $18.10 – $18.10 | 90 | 1 |
| Aledo, IL | $65.82 | $65.82 – $65.82 | 89 | 1 |
| Hamlin, PA | $4.06 | $4.06 – $4.06 | 89 | 1 |
| Hinckley, OH | $7.41 | $7.41 – $7.41 | 89 | 1 |
| Manchester Center, VT | $10.29 | $10.29 – $10.29 | 88 | 1 |
| Englishtown, NJ | $19.86 | $19.86 – $19.86 | 88 | 1 |
| Madrid, IA | $24.55 | $17.30 – $40.08 | 88 | 2 |
| Watauga, TX | $2.80 | $2.80 – $2.80 | 88 | 1 |
| Conrad, MT | $3.24 | $0.00 – $17.64 | 87 | 2 |
| Tequesta, FL | $2.91 | $2.91 – $2.91 | 87 | 1 |
| Sumner, MS | $5.45 | $5.45 – $5.45 | 87 | 1 |
| Latrobe, PA | $7.96 | $2.01 – $13.38 | 86 | 2 |
| South Weymouth, MA | $14.90 | $14.90 – $14.90 | 86 | 1 |
| Huxley, IA | $22.81 | $22.81 – $22.81 | 86 | 1 |
| Princeton, MN | $49.48 | $49.48 – $49.48 | 86 | 1 |
| Prichard, AL | $2.68 | $2.68 – $2.68 | 86 | 1 |
| Mahomet, IL | $4.50 | $4.50 – $4.50 | 86 | 1 |
| Tonopah, NV | $12.43 | $12.43 – $12.43 | 86 | 1 |
| Jacksonville, TX | $23.13 | $23.13 – $23.13 | 85 | 1 |
| Port St John, FL | $10.28 | $10.28 – $10.28 | 85 | 1 |
| Lincoln Park, MI | $14.86 | $14.86 – $14.86 | 85 | 1 |
| New Hampton, IA | $4.74 | $2.62 – $5.74 | 84 | 3 |
| Munroe Falls, OH | $1.18 | $1.18 – $1.18 | 84 | 1 |
| Hanover Park, IL | $14.46 | $14.46 – $14.46 | 84 | 1 |
| Westhampton Beach, NY | $3.56 | $3.56 – $3.56 | 84 | 1 |
| Sulphur, OK | $26.08 | $26.08 – $26.08 | 84 | 1 |
| Gorman, TX | $7.40 | $7.40 – $7.40 | 84 | 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.