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 |
|---|---|---|---|---|
| Amherst, NY | $21.85 | $4.05 – $49.36 | 32,205 | 19 |
| Lynwood, CA | $13.97 | $7.50 – $46.07 | 32,190 | 8 |
| Princeton, NJ | $10.10 | $1.18 – $20.58 | 32,175 | 24 |
| La Mesa, CA | $17.95 | $0.95 – $970.83 | 32,158 | 28 |
| Huntington, WV | $12.76 | $0.00 – $34.28 | 32,151 | 18 |
| Belleville, IL | $16.74 | $1.16 – $73.92 | 32,102 | 30 |
| Middletown, OH | $16.07 | $0.00 – $22.94 | 32,049 | 19 |
| Round Rock, TX | $12.50 | $0.00 – $38.37 | 31,894 | 32 |
| Odessa, FL | $10.48 | $0.87 – $96.12 | 31,793 | 8 |
| Westminster, CA | $13.42 | $0.00 – $29.05 | 31,768 | 14 |
| Medford, MA | $17.39 | $5.25 – $46.78 | 31,736 | 14 |
| Oak Lawn, IL | $19.24 | $0.00 – $87.53 | 31,690 | 17 |
| Suffolk, VA | $13.54 | $2.99 – $42.06 | 31,645 | 17 |
| Rock Hill, SC | $11.67 | $0.00 – $28.05 | 31,625 | 19 |
| Dunnellon, FL | $3.47 | $0.00 – $5.00 | 31,535 | 6 |
| Whitfield, MS | $28.65 | $14.96 – $107.54 | 31,475 | 9 |
| Murfreesboro, TN | $9.37 | $2.06 – $36.20 | 31,461 | 28 |
| Tavares, FL | $4.87 | $2.91 – $19.86 | 31,446 | 8 |
| West Columbia, SC | $16.52 | $0.00 – $49.82 | 31,435 | 33 |
| Fort Washington, MD | $18.23 | $9.58 – $55.57 | 31,398 | 5 |
| Pontotoc, MS | $11.75 | $0.00 – $20.49 | 31,398 | 6 |
| Reseda, CA | $12.77 | $0.00 – $889.93 | 31,299 | 15 |
| Ormond Beach, FL | $6.33 | $0.09 – $12.44 | 31,279 | 17 |
| Yuma, AZ | $35.29 | $1.05 – $67.05 | 31,248 | 11 |
| Farmington, MO | $29.88 | $9.21 – $51.52 | 31,225 | 18 |
| Richmond, IN | $10.97 | $0.00 – $18.42 | 31,211 | 14 |
| Tell City, IN | $5.75 | $0.36 – $7.92 | 31,115 | 6 |
| Winter Haven, FL | $3.92 | $1.45 – $10.51 | 31,030 | 11 |
| Mentor, OH | $13.68 | $4.57 – $24.94 | 31,023 | 24 |
| Surprise, AZ | $38.24 | $17.20 – $53.48 | 30,993 | 14 |
| Derby, CT | $19.64 | $0.00 – $30.90 | 30,829 | 7 |
| Longview, TX | $7.31 | $0.00 – $44.03 | 30,784 | 26 |
| Weston, FL | $7.96 | $0.00 – $20.01 | 30,673 | 9 |
| Elkin, NC | $13.49 | $8.28 – $46.48 | 30,525 | 7 |
| Altamonte Spg, FL | $2.41 | $2.37 – $4.27 | 30,520 | 2 |
| Meridian, ID | $28.22 | $0.00 – $70.32 | 30,445 | 26 |
| Manassas, VA | $9.84 | $2.68 – $80.37 | 30,435 | 21 |
| Bloomfield, CT | $26.94 | $0.00 – $68.36 | 30,416 | 18 |
| Greenville, DE | $22.73 | $22.73 – $22.73 | 30,368 | 1 |
| Kingman, AZ | $42.06 | $12.24 – $48.22 | 30,289 | 13 |
| Greeneville, TN | $11.57 | $4.40 – $38.46 | 30,177 | 11 |
| Fairfield, CA | $23.55 | $1.37 – $215.97 | 30,174 | 12 |
| Opelika, AL | $7.60 | $0.00 – $13.18 | 30,156 | 6 |
| Canal Winchester, OH | $16.39 | $0.37 – $20.14 | 30,127 | 7 |
| Houma, LA | $6.13 | $0.11 – $15.74 | 30,124 | 13 |
| Bloomfield, NJ | $10.44 | $1.74 – $34.24 | 30,073 | 12 |
| Springfield, OH | $11.86 | $2.59 – $29.59 | 30,070 | 15 |
| Ardsley, NY | $12.51 | $12.48 – $14.79 | 29,970 | 2 |
| Tamarac, FL | $6.11 | $0.00 – $21.18 | 29,969 | 23 |
| Northbrook, IL | $9.91 | $0.00 – $33.90 | 29,953 | 28 |
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.