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 |
|---|---|---|---|---|
| Frankfort, MI | $37.14 | $37.14 – $37.14 | 42 | 1 |
| Brooklyn Park, MD | $55.94 | $55.94 – $55.94 | 42 | 1 |
| Benwood, WV | $3.55 | $3.55 – $3.55 | 42 | 1 |
| Bay, AR | $9.58 | $9.58 – $9.58 | 42 | 1 |
| Halifax, PA | $24.39 | $24.39 – $24.39 | 41 | 1 |
| Kiel, WI | $3.18 | $3.18 – $3.18 | 41 | 1 |
| Jackson, GA | $15.55 | $15.55 – $15.55 | 41 | 1 |
| Sweetwater, TX | $2.68 | $2.68 – $2.68 | 41 | 1 |
| Lodi, WI | $86.81 | $86.81 – $86.81 | 41 | 1 |
| Mound City, MO | $2.50 | $2.50 – $2.50 | 41 | 1 |
| Bayville, NJ | $4.05 | $1.43 – $7.40 | 41 | 2 |
| Warm Springs, MT | $0.00 | $0.00 – $0.00 | 41 | 1 |
| Gould, AR | $29.17 | $29.17 – $29.17 | 41 | 1 |
| Wildomar, CA | $18.26 | $18.26 – $18.26 | 40 | 1 |
| Decorah, IA | $18.77 | $18.77 – $18.77 | 40 | 1 |
| Parks, LA | $4.17 | $4.17 – $4.17 | 40 | 1 |
| Rock Island, IL | $2.36 | $2.36 – $2.36 | 40 | 1 |
| Lake Butler, FL | $6.60 | $6.60 – $6.60 | 40 | 1 |
| Trafford, PA | $23.33 | $23.33 – $23.33 | 40 | 1 |
| Damascus, OR | $0.00 | $0.00 – $0.00 | 40 | 1 |
| Point Pleasant Boro, NJ | $4.97 | $4.97 – $4.97 | 40 | 1 |
| Browns Summit, NC | $12.57 | $12.57 – $12.57 | 40 | 1 |
| Ahoskie, NC | $22.56 | $22.56 – $22.56 | 39 | 1 |
| North Arlington, NJ | $7.29 | $7.29 – $7.29 | 39 | 1 |
| Medical Lake, WA | $13.70 | $10.88 – $16.68 | 39 | 2 |
| Durham, NH | $6.25 | $6.25 – $6.25 | 39 | 1 |
| Jonesborough, TN | $0.00 | $0.00 – $0.00 | 39 | 1 |
| Roaring Brook Twp, PA | $5.26 | $5.26 – $5.26 | 39 | 1 |
| Mine Hill, NJ | $12.24 | $12.24 – $12.24 | 39 | 1 |
| Tanner, AL | $44.61 | $44.61 – $44.61 | 39 | 1 |
| Runnemede, NJ | $10.09 | $10.09 – $10.09 | 38 | 1 |
| Troy, KS | $1.42 | $1.42 – $1.42 | 38 | 1 |
| West Lafayette, IN | $8.71 | $8.71 – $8.71 | 38 | 1 |
| Centerburg, OH | $0.42 | $0.42 – $0.42 | 38 | 1 |
| Myrtle Creek, OR | $44.66 | $44.66 – $44.66 | 38 | 1 |
| Seminole, TX | $33.12 | $33.12 – $33.12 | 38 | 1 |
| Blue Rapids, KS | $0.00 | $0.00 – $0.00 | 38 | 1 |
| Etna, PA | $18.46 | $18.46 – $18.46 | 38 | 1 |
| Redwood Falls, MN | $159.34 | $159.34 – $159.34 | 37 | 1 |
| Mt Pleasant, MI | $45.66 | $45.66 – $45.66 | 37 | 1 |
| Keystone Heights, FL | $3.43 | $3.43 – $3.43 | 37 | 1 |
| Benton Harbor, MI | $57.75 | $57.75 – $57.75 | 37 | 1 |
| Saint Paul, NE | $27.54 | $27.54 – $27.54 | 37 | 1 |
| Chillicothe, IL | $0.00 | $0.00 – $0.00 | 37 | 1 |
| Columbiana, AL | $2.83 | $2.83 – $2.83 | 37 | 1 |
| Quilcene, WA | $1.10 | $1.10 – $1.10 | 37 | 1 |
| Rib Lake, WI | $31.49 | $31.49 – $31.49 | 37 | 1 |
| Wayland, KY | $13.74 | $13.74 – $13.74 | 37 | 1 |
| Bailey, MS | $28.13 | $28.13 – $28.13 | 37 | 1 |
| West Union, WV | $3.18 | $3.18 – $3.18 | 36 | 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.