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 |
|---|---|---|---|---|
| Saint Marys, WV | $0.59 | $0.59 – $0.59 | 53 | 1 |
| Wadena, MN | $188.69 | $188.69 – $188.69 | 53 | 1 |
| East Setauket, NY | $5.42 | $0.00 – $7.56 | 53 | 2 |
| Pennsburg, PA | $52.12 | $52.12 – $52.12 | 53 | 1 |
| Brewster, WA | $13.74 | $13.74 – $13.74 | 53 | 1 |
| Sterling, MA | $1.05 | $1.05 – $1.05 | 53 | 1 |
| Middlesex, NJ | $6.45 | $6.45 – $6.45 | 53 | 1 |
| Gardner, KS | $0.00 | $0.00 – $0.00 | 53 | 1 |
| Granite Falls, MN | $74.44 | $74.44 – $74.44 | 53 | 1 |
| Tribune, KS | $55.59 | $55.59 – $55.59 | 53 | 1 |
| Mahnomen, MN | $75.08 | $75.08 – $75.08 | 53 | 1 |
| Elkland, PA | $3.85 | $3.85 – $3.85 | 53 | 1 |
| Alto, TX | $20.00 | $20.00 – $20.00 | 53 | 1 |
| Pineville, LA | $0.64 | $0.64 – $0.64 | 52 | 1 |
| Harrisville, UT | $26.89 | $26.89 – $26.89 | 52 | 1 |
| Foreman, AR | $10.54 | $10.54 – $10.54 | 52 | 1 |
| Highland, KS | $32.04 | $32.04 – $32.04 | 52 | 1 |
| Taft, CA | $0.00 | $0.00 – $0.00 | 51 | 1 |
| Ochelata, OK | $38.71 | $38.71 – $38.71 | 51 | 1 |
| Gustine, CA | $2.48 | $2.48 – $2.48 | 50 | 1 |
| Cheney, WA | $10.75 | $10.75 – $10.75 | 50 | 1 |
| North Smithfield, RI | $11.63 | $11.63 – $11.63 | 50 | 1 |
| Berlin, OH | $2.22 | $2.22 – $2.22 | 50 | 1 |
| Hidalgo, TX | $0.00 | $0.00 – $0.00 | 50 | 1 |
| Pounding Mill, VA | $9.00 | $9.00 – $9.00 | 50 | 1 |
| North Potomac, MD | $31.50 | $31.50 – $31.50 | 49 | 1 |
| Magnolia, TX | $6.72 | $4.38 – $11.54 | 49 | 2 |
| Marion, IA | $5.29 | $5.29 – $5.29 | 49 | 1 |
| Gowrie, IA | $2.67 | $2.67 – $2.67 | 49 | 1 |
| La Plata, MO | $12.52 | $12.52 – $12.52 | 49 | 1 |
| Painted Post, NY | $19.23 | $19.23 – $19.23 | 49 | 1 |
| Kerens, TX | $5.19 | $5.19 – $5.19 | 49 | 1 |
| Mulberry, AR | $5.56 | $5.56 – $5.56 | 49 | 1 |
| Jefferson, SC | $34.09 | $34.09 – $34.09 | 49 | 1 |
| Jarrell, TX | $11.55 | $11.55 – $11.55 | 49 | 1 |
| Franklin, TX | $0.00 | $0.00 – $0.00 | 49 | 1 |
| Highland Heights, OH | $14.22 | $14.22 – $14.22 | 48 | 1 |
| Crookston, MN | $33.93 | $32.16 – $34.59 | 48 | 2 |
| Beulaville, NC | $20.40 | $20.40 – $20.40 | 48 | 1 |
| Clear Lake, SD | $33.38 | $33.38 – $33.38 | 48 | 1 |
| Highlands, NJ | $2.33 | $2.33 – $2.33 | 48 | 1 |
| Saugerties, NY | $2.59 | $2.59 – $2.59 | 47 | 1 |
| Barstow, CA | $1.70 | $0.00 – $6.65 | 47 | 2 |
| North Mankato, MN | $380.00 | $380.00 – $380.00 | 47 | 1 |
| St. Henry, OH | $12.52 | $12.52 – $12.52 | 47 | 1 |
| Adams, MA | $0.00 | $0.00 – $0.00 | 47 | 1 |
| Columbia, IL | $46.11 | $46.11 – $46.11 | 47 | 1 |
| Parkville, MO | $1.83 | $1.83 – $1.83 | 47 | 1 |
| Reed City, MI | $0.00 | $0.00 – $0.00 | 47 | 1 |
| Baudette, MN | $36.22 | $36.22 – $36.22 | 47 | 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.