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 |
|---|---|---|---|---|
| Johnson City, TN | $9.59 | $0.00 – $34.94 | 243,361 | 73 |
| Van Nuys, CA | $30.33 | $2.09 – $39.05 | 243,035 | 22 |
| Washington, DC | $27.03 | $0.00 – $103.76 | 237,041 | 117 |
| Pensacola, FL | $15.05 | $0.00 – $86.02 | 234,998 | 72 |
| Fort Myers, FL | $5.28 | $0.00 – $56.98 | 234,013 | 88 |
| Flushing, NY | $14.44 | $0.00 – $70.05 | 225,246 | 54 |
| Atlanta, GA | $11.13 | $0.00 – $49.13 | 221,828 | 48 |
| Vicksburg, MS | $34.77 | $0.00 – $102.70 | 218,574 | 20 |
| Toledo, OH | $17.41 | $0.00 – $48.42 | 208,043 | 102 |
| Albuquerque, NM | $42.76 | $0.00 – $125.32 | 207,906 | 151 |
| Dunedin, FL | $6.64 | $0.15 – $71.20 | 206,431 | 25 |
| Columbia, SC | $16.14 | $0.00 – $70.12 | 206,406 | 141 |
| Clearwater, FL | $6.96 | $0.00 – $27.25 | 205,762 | 87 |
| Shreveport, LA | $7.55 | $0.00 – $27.65 | 201,835 | 67 |
| Norfolk, VA | $15.50 | $0.00 – $111.84 | 201,218 | 117 |
| Irvine, CA | $15.60 | $0.00 – $69.47 | 200,937 | 37 |
| Lakeland, FL | $6.01 | $0.00 – $35.86 | 199,921 | 53 |
| Melbourne, FL | $6.25 | $0.00 – $124.18 | 188,982 | 76 |
| Pittsburgh, PA | $17.82 | $0.00 – $59.77 | 186,338 | 141 |
| Boston, MA | $13.23 | $0.53 – $58.25 | 185,676 | 116 |
| Farmington, CT | $15.14 | $0.00 – $50.94 | 184,269 | 47 |
| Lake Mary, FL | $17.56 | $0.45 – $78.15 | 184,169 | 39 |
| Columbia, MD | $22.07 | $0.00 – $78.11 | 181,219 | 44 |
| Wichita, KS | $6.82 | $0.24 – $38.99 | 180,368 | 106 |
| Wilmington, NC | $11.97 | $0.00 – $66.38 | 179,556 | 75 |
| Lubbock, TX | $10.12 | $0.00 – $37.75 | 179,345 | 54 |
| Bradenton, FL | $6.36 | $0.00 – $40.93 | 174,390 | 61 |
| Mesa, AZ | $38.36 | $0.00 – $72.12 | 173,922 | 63 |
| Chester, VA | $18.88 | $0.08 – $28.11 | 173,013 | 16 |
| Lexington, KY | $8.77 | $0.00 – $73.14 | 172,652 | 97 |
| Rockville, MD | $31.81 | $5.81 – $91.95 | 172,324 | 55 |
| Richland, MS | $30.95 | $20.44 – $115.67 | 168,713 | 4 |
| Tulsa, OK | $19.47 | $3.44 – $62.61 | 165,995 | 61 |
| Parma, OH | $13.95 | $0.41 – $28.83 | 165,570 | 64 |
| Riverside, CA | $32.40 | $0.00 – $146.82 | 161,410 | 47 |
| Hialeah, FL | $6.25 | $0.00 – $75.22 | 159,202 | 63 |
| Seattle, WA | $11.75 | $0.00 – $73.38 | 154,283 | 114 |
| Rockford, IL | $32.74 | $-1.61 – $122.27 | 153,601 | 82 |
| Gainesville, FL | $4.09 | $0.14 – $65.77 | 152,628 | 57 |
| Parker, CO | $21.18 | $0.80 – $62.11 | 150,895 | 92 |
| Daytona Beach, FL | $6.33 | $0.00 – $30.13 | 150,880 | 35 |
| Monroe, CT | $28.24 | $0.57 – $48.45 | 150,562 | 25 |
| Glen Burnie, MD | $33.06 | $9.03 – $112.62 | 149,828 | 23 |
| Dayton, OH | $14.87 | $0.78 – $33.59 | 146,496 | 63 |
| Gardendale, AL | $23.44 | $0.00 – $26.00 | 145,920 | 8 |
| Akron, OH | $14.56 | $0.00 – $31.53 | 145,119 | 63 |
| Worcester, MA | $15.59 | $1.44 – $49.34 | 144,972 | 102 |
| Medina, OH | $12.19 | $0.00 – $22.67 | 144,463 | 50 |
| Virginia Beach, VA | $14.24 | $0.09 – $67.86 | 141,273 | 75 |
| Fort Worth, TX | $10.71 | $0.00 – $64.00 | 140,211 | 77 |
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.