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 |
|---|---|---|---|---|
| Attica, NY | $25.63 | $25.63 – $25.63 | 60 | 1 |
| Jonesport, ME | $54.28 | $48.88 – $56.97 | 60 | 2 |
| East Machias, ME | $22.17 | $22.17 – $22.17 | 60 | 1 |
| Selma, CA | $0.00 | $0.00 – $0.00 | 59 | 1 |
| Knox City, TX | $4.82 | $4.82 – $4.82 | 59 | 1 |
| Neligh, NE | $13.97 | $13.97 – $13.97 | 59 | 1 |
| Point Reyers, CA | $32.37 | $32.37 – $32.37 | 59 | 1 |
| Monroe, IN | $7.09 | $7.09 – $7.09 | 59 | 1 |
| Indianola, OK | $41.58 | $41.58 – $41.58 | 59 | 1 |
| Haddonfield, NJ | $11.64 | $11.64 – $11.64 | 58 | 1 |
| Pilot Mountain, NC | $7.51 | $7.51 – $7.51 | 58 | 1 |
| Port Washington, WI | $16.42 | $16.42 – $16.42 | 58 | 1 |
| Saddle River, NJ | $2.83 | $2.83 – $2.83 | 58 | 1 |
| Spring Hill, KS | $7.80 | $7.80 – $7.80 | 57 | 1 |
| Tomah, WI | $14.39 | $14.39 – $14.39 | 57 | 1 |
| Diamond Springs, CA | $7.36 | $7.36 – $7.36 | 57 | 1 |
| Prairieville, LA | $10.34 | $4.36 – $14.38 | 57 | 2 |
| Fort Carson, CO | $10.55 | $10.55 – $10.55 | 57 | 1 |
| Aberdeen, NJ | $2.81 | $2.81 – $2.81 | 57 | 1 |
| Brecksville, OH | $7.67 | $7.67 – $7.67 | 57 | 1 |
| Jane Lew, WV | $7.85 | $7.85 – $7.85 | 57 | 1 |
| Edgefield, SC | $23.60 | $21.36 – $24.47 | 57 | 2 |
| Saint Charles, IL | $33.66 | $33.66 – $33.66 | 57 | 1 |
| Madison, ME | $13.70 | $13.70 – $13.70 | 57 | 1 |
| Mechanicville, NY | $0.00 | $0.00 – $0.00 | 57 | 1 |
| Hardin, MT | $5.39 | $5.39 – $5.39 | 57 | 1 |
| College Corner, OH | $18.90 | $18.90 – $18.90 | 57 | 1 |
| Northfield, MN | $67.82 | $67.82 – $67.82 | 56 | 1 |
| Leola, PA | $13.96 | $13.96 – $13.96 | 56 | 1 |
| Gambrills, MD | $1.10 | $1.10 – $1.10 | 56 | 1 |
| Ammon, ID | $23.10 | $23.10 – $23.10 | 56 | 1 |
| Barksdale Afb, LA | $16.78 | $16.78 – $16.78 | 56 | 1 |
| North Tonawanda, NY | $7.67 | $7.67 – $7.67 | 55 | 1 |
| Northfield, OH | $0.00 | $0.00 – $0.00 | 55 | 1 |
| South Salt Lake, UT | $14.17 | $14.17 – $14.17 | 55 | 1 |
| Basin, WY | $7.44 | $0.00 – $9.98 | 55 | 2 |
| Forked River, NJ | $13.15 | $4.07 – $19.69 | 55 | 2 |
| Fredericksburg, IA | $5.23 | $5.23 – $5.23 | 55 | 1 |
| Fulton, MD | $14.29 | $14.29 – $14.29 | 55 | 1 |
| Petersburg, IL | $13.03 | $0.00 – $19.37 | 55 | 2 |
| Minneapolis, KS | $1.79 | $0.63 – $2.84 | 55 | 2 |
| West Henrietta, NY | $2.75 | $2.75 – $2.75 | 55 | 1 |
| Tazewell, TN | $7.81 | $7.81 – $7.81 | 54 | 1 |
| Lewistown, MT | $18.67 | $0.00 – $36.15 | 54 | 3 |
| Elmwood, IL | $7.04 | $7.04 – $7.04 | 54 | 1 |
| Jbsa Lackland, TX | $0.00 | $0.00 – $0.00 | 54 | 1 |
| Thermopolis, WY | $2.67 | $0.00 – $3.79 | 54 | 2 |
| Pendleton, OR | $22.47 | $13.98 – $37.66 | 53 | 2 |
| Kill Devil Hills, NC | $0.00 | $0.00 – $0.00 | 53 | 1 |
| Goshen, NY | $3.58 | $3.58 – $3.58 | 53 | 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.