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 |
|---|---|---|---|---|
| New Market, MD | $41.34 | $41.34 – $41.34 | 21 | 1 |
| Dodgeville, WI | $11.31 | $11.31 – $11.31 | 21 | 1 |
| Glen Ellyn, IL | $30.06 | $30.06 – $30.06 | 21 | 1 |
| Groton, MA | $4.74 | $4.74 – $4.74 | 21 | 1 |
| Glenville, WV | $21.99 | $21.99 – $21.99 | 21 | 1 |
| Hoosick Falls, NY | $0.00 | $0.00 – $0.00 | 21 | 1 |
| Nome, AK | $11.88 | $11.88 – $11.88 | 21 | 1 |
| Moline, KS | $27.25 | $27.25 – $27.25 | 21 | 1 |
| Pleasant Prairie, WI | $15.97 | $15.97 – $15.97 | 20 | 1 |
| Mount Shasta, CA | $0.00 | $0.00 – $0.00 | 20 | 1 |
| Milpitas, CA | $0.00 | $0.00 – $0.00 | 20 | 1 |
| Warroad, MN | $55.64 | $55.64 – $55.64 | 20 | 1 |
| Suitland, MD | $8.19 | $8.19 – $8.19 | 20 | 1 |
| Fordland, MO | $31.82 | $31.82 – $31.82 | 20 | 1 |
| Arlington, WA | $30.06 | $30.06 – $30.06 | 20 | 1 |
| Hamilton, NY | $34.74 | $34.74 – $34.74 | 20 | 1 |
| Chewelah, WA | $0.93 | $0.93 – $0.93 | 20 | 1 |
| Landover Hills, MD | $87.35 | $87.35 – $87.35 | 20 | 1 |
| Nelsonville, OH | $0.00 | $0.00 – $0.00 | 20 | 1 |
| Wishek, ND | $0.76 | $0.76 – $0.76 | 20 | 1 |
| Lebanon, MO | $75.97 | $75.97 – $75.97 | 19 | 1 |
| Paris, AR | $12.78 | $12.78 – $12.78 | 19 | 1 |
| Truckee, CA | $0.00 | $0.00 – $0.00 | 19 | 1 |
| Monroe, WA | $0.00 | $0.00 – $0.00 | 19 | 1 |
| Cody, WY | $0.00 | $0.00 – $0.00 | 19 | 1 |
| Coquille, OR | $4.63 | $4.63 – $4.63 | 19 | 1 |
| Anna, OH | $14.10 | $14.10 – $14.10 | 19 | 1 |
| Lino Lakes, MN | $79.53 | $79.53 – $79.53 | 19 | 1 |
| Melissa, TX | $35.26 | $35.26 – $35.26 | 19 | 1 |
| Bogue Chitto, MS | $97.93 | $97.93 – $97.93 | 19 | 1 |
| Weleetka, OK | $18.70 | $18.70 – $18.70 | 19 | 1 |
| Hamilton Township, NJ | $14.90 | $14.90 – $14.90 | 19 | 1 |
| State Farm, VA | $12.30 | $12.30 – $12.30 | 19 | 1 |
| International Falls, MN | $192.87 | $192.87 – $192.87 | 18 | 1 |
| West Union, IA | $5.82 | $5.82 – $5.82 | 18 | 1 |
| Rockport, ME | $21.11 | $21.11 – $21.11 | 18 | 1 |
| Loudonville, OH | $7.94 | $7.94 – $7.94 | 18 | 1 |
| Commerce, TX | $8.06 | $8.06 – $8.06 | 18 | 1 |
| St. Francisville, LA | $0.00 | $0.00 – $0.00 | 18 | 1 |
| Dulles, VA | $9.74 | $9.74 – $9.74 | 18 | 1 |
| Pleasantville, NY | $3.98 | $3.98 – $3.98 | 18 | 1 |
| Rector, AR | $22.50 | $22.50 – $22.50 | 18 | 1 |
| Burnham, PA | $0.00 | $0.00 – $0.00 | 18 | 1 |
| Philip, SD | $44.88 | $44.88 – $44.88 | 18 | 1 |
| Malvern, IA | $3.19 | $3.19 – $3.19 | 18 | 1 |
| Folkston, GA | $0.00 | $0.00 – $0.00 | 18 | 1 |
| Stratford, WI | $4.75 | $4.75 – $4.75 | 18 | 1 |
| Tilton, NH | $4.52 | $4.52 – $4.52 | 18 | 1 |
| Magnolia, OH | $18.77 | $18.77 – $18.77 | 18 | 1 |
| Carson, NV | $31.79 | $31.79 – $31.79 | 18 | 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.