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 |
|---|---|---|---|---|
| Linden, NJ | $12.68 | $7.40 – $30.01 | 27,855 | 10 |
| Bowling Green, KY | $12.22 | $0.00 – $29.58 | 27,773 | 27 |
| Hoover, AL | $5.41 | $0.00 – $6.06 | 27,754 | 7 |
| Laguna Hills, CA | $25.37 | $0.00 – $33.06 | 27,742 | 12 |
| Vernon, CT | $24.27 | $1.51 – $36.33 | 27,678 | 8 |
| Mission Hills, CA | $31.67 | $2.77 – $62.58 | 27,671 | 13 |
| Jasper, TX | $7.81 | $7.68 – $11.52 | 27,661 | 2 |
| Woodridge, IL | $30.68 | $0.67 – $35.07 | 27,656 | 9 |
| Edmond, OK | $23.09 | $1.92 – $33.85 | 27,644 | 18 |
| Philadelphia, MS | $22.05 | $9.42 – $85.07 | 27,613 | 7 |
| Beckley, WV | $9.17 | $0.31 – $32.72 | 27,608 | 18 |
| Franklinton, LA | $11.71 | $0.00 – $14.47 | 27,557 | 7 |
| Waterloo, IA | $15.72 | $0.81 – $28.77 | 27,536 | 20 |
| Barberton, OH | $12.53 | $4.04 – $13.52 | 27,514 | 3 |
| Brooklyn, OH | $16.44 | $8.20 – $22.33 | 27,472 | 8 |
| Plainview, NY | $5.34 | $2.79 – $22.76 | 27,390 | 10 |
| Tarrytown, NY | $7.51 | $0.51 – $19.34 | 27,387 | 8 |
| Williamsville, NY | $11.56 | $0.00 – $16.89 | 27,372 | 19 |
| Elizabethton, TN | $8.74 | $2.48 – $20.39 | 27,370 | 7 |
| Homestead, FL | $4.32 | $0.00 – $10.93 | 27,359 | 14 |
| Lenexa, KS | $5.98 | $0.00 – $73.43 | 27,347 | 19 |
| Annapolis, MD | $48.37 | $4.66 – $81.11 | 27,233 | 25 |
| Maumelle, AR | $15.91 | $10.47 – $26.92 | 27,186 | 8 |
| Moraine, OH | $16.41 | $4.45 – $20.53 | 27,152 | 7 |
| Pasadena, TX | $9.95 | $0.71 – $35.75 | 27,102 | 15 |
| Cooper City, FL | $3.03 | $1.25 – $88.07 | 27,098 | 7 |
| Lake City, FL | $3.85 | $0.00 – $16.09 | 26,961 | 15 |
| Lawrenceville, GA | $8.06 | $0.00 – $22.26 | 26,937 | 11 |
| Cranston, RI | $19.15 | $2.56 – $53.63 | 26,931 | 23 |
| Newark, OH | $9.26 | $0.00 – $26.80 | 26,889 | 9 |
| East Lansing, MI | $30.47 | $15.60 – $48.14 | 26,766 | 7 |
| Broken Arrow, OK | $12.51 | $6.40 – $26.13 | 26,726 | 9 |
| Pittsfield, MA | $9.38 | $1.19 – $36.25 | 26,527 | 20 |
| Hempstead, NY | $9.85 | $0.27 – $22.78 | 26,502 | 12 |
| San Dimas, CA | $12.02 | $3.30 – $29.74 | 26,500 | 12 |
| Milton, FL | $4.72 | $0.00 – $72.00 | 26,465 | 12 |
| Elizabethtown, KY | $6.04 | $0.00 – $7.62 | 26,388 | 10 |
| Millbrae, CA | $19.92 | $7.01 – $32.77 | 26,312 | 4 |
| Williamston, NC | $18.25 | $4.60 – $20.68 | 26,278 | 5 |
| Plainfield, IL | $15.38 | $2.25 – $33.04 | 26,211 | 15 |
| Snow Hill, NC | $16.40 | $0.00 – $16.50 | 26,183 | 3 |
| Richardson, TX | $8.00 | $0.00 – $13.69 | 26,181 | 15 |
| Shelbyville, IN | $21.27 | $5.32 – $56.90 | 26,151 | 11 |
| Hallandale Beach, FL | $9.12 | $0.00 – $20.86 | 26,137 | 6 |
| Madisonville, KY | $9.95 | $3.21 – $107.79 | 25,934 | 18 |
| Scottsburg, IN | $9.91 | $3.78 – $12.84 | 25,927 | 6 |
| Sparta, MO | $50.17 | $37.40 – $76.69 | 25,899 | 3 |
| Leominster, MA | $11.57 | $6.57 – $34.26 | 25,763 | 13 |
| Jefferson City, MO | $17.31 | $3.82 – $52.29 | 25,682 | 17 |
| Warren, OH | $12.60 | $0.00 – $22.80 | 25,680 | 21 |
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.