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 |
|---|---|---|---|---|
| Atkins, AR | $19.92 | $19.92 – $19.92 | 47 | 1 |
| Montville, NJ | $10.67 | $10.67 – $10.67 | 47 | 1 |
| Clarence, NY | $2.78 | $2.78 – $2.78 | 47 | 1 |
| Hardwick, NJ | $30.31 | $30.31 – $30.31 | 47 | 1 |
| Marmora, NJ | $24.44 | $24.44 – $24.44 | 46 | 1 |
| Farmers Branch, TX | $0.79 | $0.79 – $0.79 | 46 | 1 |
| Baxter, MN | $22.80 | $15.71 – $37.44 | 46 | 2 |
| Ely, NV | $0.00 | $0.00 – $0.00 | 46 | 1 |
| Mars Hill, NC | $5.27 | $0.00 – $8.65 | 46 | 2 |
| Soldotna, AK | $39.32 | $39.32 – $39.32 | 45 | 1 |
| Wasco, CA | $39.64 | $39.64 – $39.64 | 45 | 1 |
| Athol, MA | $26.33 | $26.33 – $26.33 | 45 | 1 |
| Wheatland, WY | $21.57 | $21.57 – $21.57 | 45 | 1 |
| Corydon, IA | $6.65 | $0.00 – $17.60 | 45 | 2 |
| Society Hill, SC | $0.00 | $0.00 – $0.00 | 45 | 1 |
| Hiauatha, KS | $15.90 | $15.90 – $15.90 | 45 | 1 |
| Belleville, PA | $35.88 | $35.88 – $35.88 | 45 | 1 |
| Magnolia, DE | $62.00 | $62.00 – $62.00 | 45 | 1 |
| Green Springs, OH | $8.60 | $8.60 – $8.60 | 45 | 1 |
| Paw Paw, WV | $18.78 | $18.78 – $18.78 | 45 | 1 |
| Princeton, IL | $5.59 | $0.00 – $9.83 | 44 | 2 |
| Alamosa, CO | $20.55 | $20.55 – $20.55 | 44 | 1 |
| Clyde, NC | $10.82 | $10.82 – $10.82 | 44 | 1 |
| Shelby, MT | $9.78 | $9.78 – $9.78 | 44 | 1 |
| St Francis, WI | $21.58 | $21.58 – $21.58 | 44 | 1 |
| North Haverhill, NH | $5.44 | $5.44 – $5.44 | 44 | 1 |
| Pawhuska, OK | $14.49 | $14.49 – $14.49 | 44 | 1 |
| Delran, NJ | $3.54 | $3.54 – $3.54 | 44 | 1 |
| Libby, MT | $0.00 | $0.00 – $0.00 | 44 | 1 |
| Carolina Beach, NC | $0.10 | $0.10 – $0.10 | 44 | 1 |
| Hubbard, OH | $10.08 | $10.08 – $10.08 | 44 | 1 |
| Glencoe, MN | $46.99 | $32.46 – $56.15 | 44 | 2 |
| Wahoo, NE | $1.89 | $1.89 – $1.89 | 44 | 1 |
| Polk City, IA | $8.79 | $8.79 – $8.79 | 44 | 1 |
| Mountainside, NJ | $12.85 | $12.85 – $12.85 | 44 | 1 |
| Little Falls, NJ | $0.84 | $0.84 – $0.84 | 44 | 1 |
| Biloxy, MS | $8.94 | $8.94 – $8.94 | 44 | 1 |
| Graceville, FL | $5.84 | $5.84 – $5.84 | 44 | 1 |
| Perkins, OK | $8.36 | $8.36 – $8.36 | 44 | 1 |
| Paxton, IL | $0.00 | $0.00 – $0.00 | 43 | 1 |
| Bethany, OK | $8.53 | $8.53 – $8.53 | 43 | 1 |
| Plains, MT | $0.00 | $0.00 – $0.00 | 43 | 1 |
| Los Ranchos, NM | $63.44 | $63.44 – $63.44 | 43 | 1 |
| Merrill, WI | $28.48 | $28.48 – $28.48 | 42 | 1 |
| Du Quoin, IL | $0.64 | $0.64 – $0.64 | 42 | 1 |
| Cliffside Park, NJ | $6.91 | $6.91 – $6.91 | 42 | 1 |
| Pagosa Springs, CO | $6.21 | $2.44 – $13.76 | 42 | 2 |
| Essexville, MI | $48.65 | $48.65 – $48.65 | 42 | 1 |
| Osage City, KS | $20.03 | $11.28 – $39.56 | 42 | 2 |
| Ft Mitchell, KY | $17.43 | $17.43 – $17.43 | 42 | 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.