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 |
|---|---|---|---|---|
| Geneva, OH | $1.76 | $1.76 – $1.76 | 31 | 1 |
| Millsboro, DE | $14.52 | $14.52 – $14.52 | 31 | 1 |
| Accokeek, MD | $44.70 | $44.70 – $44.70 | 31 | 1 |
| Mendota, CA | $0.00 | $0.00 – $0.00 | 31 | 1 |
| Goliad, TX | $60.53 | $60.53 – $60.53 | 31 | 1 |
| Rockwell City, IA | $15.88 | $15.88 – $15.88 | 31 | 1 |
| Lumberton, MS | $82.86 | $82.86 – $82.86 | 31 | 1 |
| Mt Vernon, WA | $54.80 | $54.80 – $54.80 | 31 | 1 |
| Colwich, KS | $0.00 | $0.00 – $0.00 | 31 | 1 |
| Eldorado, TX | $10.35 | $10.35 – $10.35 | 31 | 1 |
| Southport, CT | $0.00 | $0.00 – $0.00 | 31 | 1 |
| Mount Pleasant, TN | $14.06 | $14.06 – $14.06 | 31 | 1 |
| San Andreas, CA | $7.57 | $2.35 – $14.38 | 30 | 2 |
| Chesterfield, MI | $24.72 | $24.72 – $24.72 | 30 | 1 |
| Linden, TN | $4.18 | $4.18 – $4.18 | 30 | 1 |
| Tyndall, SD | $21.68 | $21.68 – $21.68 | 30 | 1 |
| Steelville, MO | $58.46 | $44.59 – $72.33 | 30 | 2 |
| Tipton, IA | $16.58 | $16.58 – $16.58 | 30 | 1 |
| Lakehurst, NJ | $4.58 | $4.58 – $4.58 | 30 | 1 |
| Pocasset, MA | $7.17 | $7.17 – $7.17 | 30 | 1 |
| Mastic Beach, NY | $0.00 | $0.00 – $0.00 | 30 | 1 |
| Lindsborg, KS | $4.45 | $4.45 – $4.45 | 29 | 1 |
| Okeene, OK | $49.55 | $49.55 – $49.55 | 29 | 1 |
| New Richmond, WI | $6.30 | $6.30 – $6.30 | 29 | 1 |
| Colorado City, TX | $0.00 | $0.00 – $0.00 | 29 | 1 |
| Anadarko, OK | $2.85 | $2.85 – $2.85 | 29 | 1 |
| Audubon, IA | $11.05 | $11.05 – $11.05 | 29 | 1 |
| Dubois, PA | $0.00 | $0.00 – $0.00 | 29 | 1 |
| East Amherst, NY | $0.00 | $0.00 – $0.00 | 29 | 1 |
| Vernon, AL | $0.00 | $0.00 – $0.00 | 29 | 1 |
| New Concord, OH | $22.98 | $22.98 – $22.98 | 29 | 1 |
| Bigfork, MT | $11.70 | $11.70 – $11.70 | 29 | 1 |
| Brooklyn, MD | $57.40 | $57.40 – $57.40 | 29 | 1 |
| Misissippi State University, MS | $16.60 | $16.60 – $16.60 | 29 | 1 |
| New Brighton, PA | $10.01 | $10.01 – $10.01 | 29 | 1 |
| Lenhartsville, PA | $54.47 | $54.47 – $54.47 | 29 | 1 |
| Nevada, IA | $0.00 | $0.00 – $0.00 | 28 | 1 |
| Cherokee, IA | $2.02 | $0.00 – $4.05 | 28 | 2 |
| Toronto, OH | $8.50 | $8.50 – $8.50 | 28 | 1 |
| Whiteland, IN | $5.32 | $5.32 – $5.32 | 28 | 1 |
| Watkins Glen, NY | $7.33 | $7.33 – $7.33 | 28 | 1 |
| Martinez, GA | $43.47 | $43.47 – $43.47 | 28 | 1 |
| Horseshoe Bend, AR | $25.28 | $25.28 – $25.28 | 28 | 1 |
| North Liberty, IA | $0.93 | $0.93 – $0.93 | 28 | 1 |
| Mount Pleasant, PA | $0.00 | $0.00 – $0.00 | 28 | 1 |
| Willowick, OH | $5.74 | $5.74 – $5.74 | 28 | 1 |
| Berkley, MI | $34.20 | $34.20 – $34.20 | 28 | 1 |
| Salida, CA | $0.00 | $0.00 – $0.00 | 28 | 1 |
| Woodhaven, MI | $0.00 | $0.00 – $0.00 | 28 | 1 |
| Athens, WV | $0.00 | $0.00 – $0.00 | 28 | 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.