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 |
|---|---|---|---|---|
| Sun Lakes, AZ | $64.87 | $64.87 – $64.87 | 84 | 1 |
| Beaver, OH | $4.61 | $4.61 – $4.61 | 84 | 1 |
| Owosso, MI | $28.65 | $28.65 – $28.65 | 83 | 1 |
| Greenfield, CA | $27.74 | $27.74 – $27.74 | 83 | 1 |
| Watkinsville, GA | $0.00 | $0.00 – $0.00 | 83 | 1 |
| Alma, MI | $35.46 | $32.73 – $38.78 | 82 | 3 |
| Acton, MA | $5.41 | $5.41 – $5.41 | 81 | 1 |
| Loysburg, PA | $15.39 | $15.39 – $15.39 | 81 | 1 |
| Wallace, NC | $26.27 | $26.27 – $26.27 | 81 | 1 |
| Clawson, MI | $30.09 | $30.09 – $30.09 | 81 | 1 |
| Sedan, KS | $63.97 | $63.97 – $63.97 | 80 | 1 |
| Ferndale, WA | $38.29 | $38.29 – $38.29 | 80 | 1 |
| Waukee, IA | $6.98 | $0.72 – $16.02 | 80 | 3 |
| Fort Benton, MT | $0.00 | $0.00 – $0.00 | 80 | 1 |
| Stamford, NY | $19.11 | $19.11 – $19.11 | 80 | 1 |
| Mckenzie, TN | $8.66 | $8.66 – $8.66 | 80 | 1 |
| Porter, ME | $8.21 | $8.21 – $8.21 | 80 | 1 |
| Rotan, TX | $37.95 | $37.95 – $37.95 | 79 | 1 |
| Atlantic Highlands, NJ | $0.50 | $0.50 – $0.50 | 79 | 1 |
| Saint Cloud, MN | $73.65 | $71.72 – $81.76 | 78 | 2 |
| Highland, UT | $31.84 | $31.84 – $31.84 | 78 | 1 |
| Monkton, MD | $58.12 | $58.12 – $58.12 | 78 | 1 |
| Center, TX | $0.41 | $0.00 – $0.52 | 78 | 2 |
| Cumberland, ME | $16.97 | $16.97 – $16.97 | 78 | 1 |
| Heath, TX | $11.49 | $11.49 – $11.49 | 78 | 1 |
| Hahira, GA | $0.00 | $0.00 – $0.00 | 78 | 1 |
| Hodge, LA | $5.63 | $5.63 – $5.63 | 78 | 1 |
| Coleman, TX | $18.39 | $18.39 – $18.39 | 77 | 1 |
| College Place, WA | $14.82 | $14.82 – $14.82 | 77 | 1 |
| Swansea, MA | $10.46 | $10.46 – $10.46 | 77 | 1 |
| Center Line, MI | $44.26 | $44.26 – $44.26 | 76 | 1 |
| Olivia, MN | $176.43 | $175.81 – $179.46 | 76 | 2 |
| Fulton, MO | $38.68 | $38.68 – $38.68 | 76 | 1 |
| Old Hickory, TN | $1.16 | $1.16 – $1.16 | 76 | 1 |
| East China, MI | $41.02 | $41.02 – $41.02 | 76 | 1 |
| Minooka, IL | $99.50 | $99.50 – $99.50 | 76 | 1 |
| Garfield, AR | $20.93 | $20.93 – $20.93 | 76 | 1 |
| Grovetown, GA | $9.11 | $0.00 – $11.54 | 76 | 2 |
| Vestal, NY | $3.43 | $1.30 – $14.63 | 75 | 2 |
| Vinita, OK | $10.62 | $10.62 – $10.62 | 75 | 1 |
| Chatham, NJ | $4.50 | $4.50 – $4.50 | 75 | 1 |
| Shattuck, OK | $35.31 | $35.31 – $35.31 | 74 | 1 |
| Devon, PA | $11.17 | $11.17 – $11.17 | 74 | 1 |
| Canyon Country, CA | $10.94 | $7.03 – $18.15 | 74 | 2 |
| Shoshone, ID | $9.82 | $9.82 – $9.82 | 74 | 1 |
| Kuna, ID | $25.52 | $25.52 – $25.52 | 74 | 1 |
| Oakville, CT | $30.48 | $30.48 – $30.48 | 74 | 1 |
| Speed, IN | $17.18 | $17.18 – $17.18 | 74 | 1 |
| Islandia, NY | $1.23 | $1.23 – $1.23 | 73 | 1 |
| Stanberry, MO | $57.24 | $57.24 – $57.24 | 73 | 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.