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 |
|---|---|---|---|---|
| Lansing, IA | $31.96 | $0.00 – $45.75 | 73 | 2 |
| Sherwood, AR | $11.47 | $11.47 – $11.47 | 73 | 1 |
| Canaan, CT | $21.29 | $19.95 – $21.90 | 73 | 2 |
| Marlow, OK | $35.62 | $35.62 – $35.62 | 73 | 1 |
| Chandler, OK | $13.74 | $13.74 – $13.74 | 73 | 1 |
| Corning, AR | $4.82 | $4.82 – $4.82 | 73 | 1 |
| Kingsland, TX | $24.93 | $24.93 – $24.93 | 73 | 1 |
| Flora, MS | $1.14 | $1.14 – $1.14 | 73 | 1 |
| Bellevue, PA | $18.10 | $13.76 – $18.96 | 73 | 2 |
| Grantsburg, WI | $40.60 | $40.60 – $40.60 | 72 | 1 |
| Harwood Heights, IL | $5.85 | $5.85 – $5.85 | 72 | 1 |
| Doniphan, MO | $31.22 | $31.22 – $31.22 | 71 | 1 |
| East Northport, NY | $0.73 | $0.73 – $0.73 | 71 | 1 |
| Nokomis, FL | $0.00 | $0.00 – $0.00 | 71 | 1 |
| Mcleansboro, IL | $0.00 | $0.00 – $0.00 | 71 | 1 |
| York, AL | $1.73 | $1.73 – $1.73 | 71 | 1 |
| Conklin, MI | $23.98 | $23.98 – $23.98 | 71 | 1 |
| Oglesby, IL | $11.42 | $11.42 – $11.42 | 71 | 1 |
| Coal City, IL | $14.06 | $14.06 – $14.06 | 70 | 1 |
| Auburn, NY | $17.46 | $17.46 – $17.46 | 70 | 1 |
| Studio City, CA | $11.08 | $11.08 – $11.08 | 70 | 1 |
| San German, PR | $67.77 | $67.77 – $67.77 | 70 | 1 |
| Monmouth, IL | $15.64 | $12.58 – $24.49 | 70 | 2 |
| Pierce, NE | $31.33 | $31.33 – $31.33 | 70 | 1 |
| Mount Sterling, KY | $4.78 | $4.78 – $4.78 | 70 | 1 |
| Fairfax, SC | $0.00 | $0.00 – $0.00 | 70 | 1 |
| Bloomsbury, NJ | $4.39 | $4.39 – $4.39 | 70 | 1 |
| Elsa, TX | $11.62 | $11.62 – $11.62 | 70 | 1 |
| Hephzibah, GA | $0.50 | $0.50 – $0.50 | 70 | 1 |
| Newton, AL | $6.90 | $6.90 – $6.90 | 70 | 1 |
| Colfax, NC | $2.71 | $2.71 – $2.71 | 70 | 1 |
| Britton, SD | $47.76 | $47.76 – $47.76 | 70 | 1 |
| Whitehouse Station, NJ | $14.19 | $14.19 – $14.19 | 69 | 1 |
| Jb Andrews, MD | $16.43 | $7.69 – $27.79 | 69 | 2 |
| Monticello, IA | $0.00 | $0.00 – $0.00 | 69 | 1 |
| Morganfield, KY | $76.42 | $76.42 – $76.42 | 69 | 1 |
| Gibsonburg, OH | $3.20 | $3.20 – $3.20 | 69 | 1 |
| Sugar Grove, OH | $22.13 | $22.13 – $22.13 | 69 | 1 |
| Woodward, IA | $10.46 | $10.46 – $10.46 | 69 | 1 |
| Elysburg, PA | $0.00 | $0.00 – $0.00 | 68 | 1 |
| Comfort, TX | $2.82 | $2.82 – $2.82 | 68 | 1 |
| Madison, MN | $272.49 | $264.80 – $283.47 | 68 | 2 |
| Lackland A F B, TX | $0.00 | $0.00 – $0.00 | 68 | 1 |
| Clarksville, AR | $21.43 | $21.43 – $21.43 | 67 | 1 |
| Upper Darby, PA | $0.00 | $0.00 – $0.00 | 67 | 1 |
| Lauderdale By The Sea, FL | $9.40 | $9.40 – $9.40 | 67 | 1 |
| Evanston, WY | $34.78 | $34.78 – $34.78 | 67 | 1 |
| Wabasha, MN | $53.92 | $53.92 – $53.92 | 66 | 1 |
| Williamstown, MA | $13.88 | $13.88 – $13.88 | 66 | 1 |
| Sandersville, GA | $36.52 | $36.52 – $36.52 | 66 | 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.