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 |
|---|---|---|---|---|
| Rosedale, IN | $1.46 | $1.46 – $1.46 | 66 | 1 |
| Glenburn, ME | $4.96 | $4.96 – $4.96 | 66 | 1 |
| Trenton, TN | $3.33 | $3.33 – $3.33 | 66 | 1 |
| Solon, IA | $17.06 | $17.06 – $17.06 | 66 | 1 |
| Haverford, PA | $33.72 | $33.72 – $33.72 | 66 | 1 |
| Booneville, AR | $12.46 | $12.46 – $12.46 | 65 | 1 |
| Toppenish, WA | $8.00 | $8.00 – $8.00 | 65 | 1 |
| Russell Springs, KY | $5.09 | $5.09 – $5.09 | 65 | 1 |
| Marion, SC | $7.19 | $2.53 – $9.41 | 65 | 2 |
| Greenville, MO | $48.31 | $48.31 – $48.31 | 65 | 1 |
| Hopkins, SC | $39.11 | $39.11 – $39.11 | 65 | 1 |
| Jeffersonville, PA | $36.30 | $36.30 – $36.30 | 65 | 1 |
| Lanett, AL | $0.44 | $0.44 – $0.44 | 65 | 1 |
| Palatine Bridge, NY | $4.70 | $4.70 – $4.70 | 65 | 1 |
| Joint Base Elmendorf Richardson, AK | $42.61 | $42.61 – $42.61 | 65 | 1 |
| Pipestone, MN | $35.74 | $35.74 – $35.74 | 64 | 1 |
| Rootstown, OH | $14.54 | $14.54 – $14.54 | 64 | 1 |
| Lake Isabella, CA | $0.00 | $0.00 – $0.00 | 64 | 1 |
| New Madrid, MO | $16.88 | $16.88 – $16.88 | 64 | 1 |
| Aurora, MN | $67.18 | $67.18 – $67.18 | 64 | 1 |
| Leakesville, MS | $15.74 | $7.19 – $18.18 | 63 | 2 |
| Akron, CO | $74.06 | $74.06 – $74.06 | 63 | 1 |
| Huntington, TX | $10.06 | $10.06 – $10.06 | 63 | 1 |
| Fanwood, NJ | $5.36 | $5.36 – $5.36 | 63 | 1 |
| Campbell, MO | $14.14 | $14.14 – $14.14 | 63 | 1 |
| Waterford, WI | $37.50 | $37.50 – $37.50 | 63 | 1 |
| St George, SC | $14.98 | $14.98 – $14.98 | 63 | 1 |
| Scotts Hill, TN | $3.13 | $3.13 – $3.13 | 63 | 1 |
| West Jefferson, NC | $1.67 | $1.67 – $1.67 | 63 | 1 |
| Linfield, PA | $1.04 | $1.04 – $1.04 | 63 | 1 |
| Stevenson Ranch, CA | $4.01 | $4.01 – $4.01 | 63 | 1 |
| Eagle Pass, TX | $1.57 | $1.57 – $1.57 | 62 | 1 |
| Port Clinton, OH | $29.76 | $29.76 – $29.76 | 62 | 1 |
| Yuma, CO | $51.61 | $51.61 – $51.61 | 62 | 1 |
| Brentwood, PA | $9.59 | $9.59 – $9.59 | 62 | 1 |
| Travelers Rest, SC | $8.89 | $8.89 – $8.89 | 62 | 1 |
| Catoosa, OK | $3.75 | $3.75 – $3.75 | 62 | 1 |
| Wills Point, TX | $7.55 | $7.55 – $7.55 | 62 | 1 |
| Decaturville, TN | $7.32 | $7.32 – $7.32 | 62 | 1 |
| Lovettsville, VA | $17.51 | $17.51 – $17.51 | 62 | 1 |
| Neillsville, WI | $27.77 | $7.18 – $43.06 | 61 | 2 |
| Ferndale, CA | $2.70 | $2.70 – $2.70 | 61 | 1 |
| San Bruno, CA | $12.05 | $12.05 – $12.05 | 61 | 1 |
| Fate, TX | $13.38 | $13.38 – $13.38 | 61 | 1 |
| Phillipsburg, KS | $0.00 | $0.00 – $0.00 | 60 | 1 |
| Hamilton, MT | $0.00 | $0.00 – $0.00 | 60 | 1 |
| Bridgeville, PA | $21.42 | $0.90 – $39.37 | 60 | 2 |
| Fairview Park, OH | $26.82 | $26.82 – $26.82 | 60 | 1 |
| Lebanon, NJ | $5.98 | $5.98 – $5.98 | 60 | 1 |
| Rockaway Point, NY | $19.41 | $19.41 – $19.41 | 60 | 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.