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 |
|---|---|---|---|---|
| Palm Harbor, FL | $4.35 | $0.00 – $70.59 | 22,361 | 13 |
| Elizabeth, NJ | $20.19 | $1.34 – $28.40 | 22,341 | 27 |
| East Liverpool, OH | $12.92 | $0.00 – $24.56 | 22,321 | 12 |
| Oviedo, FL | $3.29 | $0.34 – $6.55 | 22,313 | 6 |
| Astoria, NY | $10.42 | $0.00 – $56.49 | 22,303 | 14 |
| Paducah, KY | $11.56 | $1.60 – $34.78 | 22,220 | 16 |
| Aberdeen, MS | $34.09 | $5.31 – $86.99 | 22,174 | 5 |
| Kewanee, IL | $1.44 | $0.78 – $27.43 | 22,154 | 3 |
| Camarillo, CA | $30.46 | $0.00 – $115.59 | 22,134 | 15 |
| Mexico, MO | $24.97 | $22.41 – $32.06 | 22,088 | 4 |
| Bristol, PA | $14.37 | $6.83 – $22.69 | 22,069 | 20 |
| Muskogee, OK | $16.89 | $6.33 – $39.52 | 22,015 | 11 |
| Monsey, NY | $29.53 | $3.24 – $42.41 | 21,952 | 3 |
| Beltsville, MD | $9.65 | $9.65 – $9.65 | 21,940 | 1 |
| Wyandanch, NY | $7.59 | $7.59 – $7.59 | 21,905 | 1 |
| Mishawaka, IN | $11.97 | $2.26 – $19.74 | 21,901 | 13 |
| Colchester, CT | $22.68 | $5.59 – $24.89 | 21,899 | 5 |
| Bastrop, LA | $1.21 | $0.00 – $14.43 | 21,867 | 11 |
| Lebanon, NH | $12.65 | $0.00 – $35.51 | 21,853 | 23 |
| Bethpage, NY | $8.88 | $0.00 – $24.12 | 21,823 | 16 |
| Seymour, IN | $7.23 | $4.55 – $16.79 | 21,750 | 6 |
| Stow, OH | $13.34 | $3.80 – $17.50 | 21,725 | 8 |
| Starkville, MS | $22.27 | $0.00 – $87.61 | 21,718 | 10 |
| Jacksonville, NC | $13.27 | $0.00 – $23.53 | 21,717 | 17 |
| Gastonia, NC | $21.46 | $0.00 – $59.88 | 21,711 | 18 |
| Manchester, TN | $30.33 | $1.77 – $42.00 | 21,673 | 11 |
| Wheat Ridge, CO | $24.02 | $7.34 – $46.52 | 21,672 | 13 |
| Morehead City, NC | $14.93 | $8.15 – $39.24 | 21,668 | 5 |
| Rockledge, FL | $11.75 | $0.67 – $103.35 | 21,550 | 16 |
| Lebanon, OH | $17.18 | $9.11 – $30.80 | 21,541 | 9 |
| Southington, CT | $13.77 | $1.98 – $33.02 | 21,527 | 11 |
| Cross City, FL | $3.03 | $0.56 – $7.86 | 21,525 | 2 |
| Homer, LA | $4.76 | $0.42 – $11.45 | 21,516 | 8 |
| Somerset, KY | $9.73 | $0.58 – $31.54 | 21,494 | 17 |
| Bessemer, AL | $10.33 | $0.00 – $27.73 | 21,494 | 12 |
| Raynham, MA | $6.12 | $0.00 – $6.14 | 21,464 | 2 |
| Statesville, NC | $18.56 | $7.13 – $25.63 | 21,448 | 19 |
| Portsmouth, VA | $14.40 | $0.00 – $41.76 | 21,396 | 18 |
| Circleville, OH | $15.10 | $8.81 – $28.27 | 21,355 | 9 |
| Waltham, MA | $14.67 | $0.00 – $44.17 | 21,336 | 13 |
| Garland, TX | $4.69 | $2.02 – $31.44 | 21,285 | 11 |
| Harlingen, TX | $6.75 | $0.00 – $23.56 | 21,269 | 15 |
| Gretna, LA | $5.38 | $0.00 – $16.34 | 21,259 | 11 |
| Spanish Fort, AL | $3.58 | $0.89 – $11.35 | 21,249 | 5 |
| Chambersburg, PA | $21.54 | $0.00 – $38.88 | 21,223 | 13 |
| Woodland Hills, CA | $22.92 | $0.00 – $61.64 | 21,171 | 17 |
| Pleasantville, NJ | $32.87 | $0.48 – $52.02 | 21,110 | 13 |
| Panorama City, CA | $12.20 | $0.36 – $20.49 | 21,103 | 16 |
| Oak Ridge, TN | $11.52 | $1.83 – $37.77 | 21,099 | 9 |
| Center Valley, PA | $26.74 | $0.00 – $39.06 | 21,084 | 26 |
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.