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 |
|---|---|---|---|---|
| Whitesburg, KY | $19.75 | $0.00 – $104.09 | 19,915 | 9 |
| Dedham, MA | $13.20 | $6.19 – $36.21 | 19,895 | 6 |
| Fort Collins, CO | $11.83 | $0.65 – $20.05 | 19,884 | 31 |
| Charleston, SC | $25.04 | $0.00 – $50.25 | 19,862 | 31 |
| Leawood, KS | $10.57 | $0.00 – $30.66 | 19,847 | 21 |
| Mount Dora, FL | $1.74 | $0.87 – $5.52 | 19,838 | 6 |
| Vidor, TX | $5.73 | $5.73 – $5.73 | 19,816 | 1 |
| Oxnard, CA | $63.98 | $0.00 – $93.75 | 19,811 | 26 |
| Grand Rapids, MI | $34.56 | $3.57 – $50.93 | 19,779 | 14 |
| Coral Gables, FL | $5.13 | $0.00 – $38.93 | 19,748 | 17 |
| Penn Valley, PA | $27.08 | $16.05 – $39.39 | 19,696 | 4 |
| Norristown, PA | $51.36 | $0.00 – $78.51 | 19,690 | 7 |
| Moreno Valley, CA | $17.40 | $0.00 – $37.23 | 19,688 | 11 |
| Rayville, LA | $2.50 | $0.00 – $29.32 | 19,666 | 9 |
| Mooresville, NC | $16.61 | $0.00 – $34.33 | 19,646 | 15 |
| Los Gatos, CA | $12.75 | $0.00 – $29.64 | 19,570 | 11 |
| Bardstown, KY | $6.91 | $0.70 – $10.05 | 19,567 | 7 |
| Kensington, MD | $50.41 | $13.04 – $68.79 | 19,544 | 2 |
| Springvalley, NY | $0.32 | $0.32 – $0.32 | 19,540 | 1 |
| New Albany, MS | $15.32 | $0.00 – $157.66 | 19,527 | 11 |
| Montebello, CA | $18.78 | $0.00 – $48.10 | 19,505 | 19 |
| Everett, WA | $12.31 | $0.00 – $61.57 | 19,504 | 20 |
| Hayti, MO | $27.46 | $25.49 – $30.35 | 19,489 | 5 |
| Bloomingdale, IL | $17.16 | $4.36 – $70.47 | 19,471 | 8 |
| Sicklerville, NJ | $15.90 | $0.86 – $25.57 | 19,458 | 8 |
| Ronkonkoma, NY | $23.46 | $0.00 – $27.42 | 19,441 | 4 |
| North Las Vegas, NV | $16.97 | $1.02 – $63.58 | 19,414 | 12 |
| York, PA | $16.21 | $0.00 – $51.27 | 19,408 | 34 |
| Greenville, NC | $21.68 | $0.00 – $64.16 | 19,406 | 20 |
| Stuart, FL | $5.67 | $0.00 – $27.15 | 19,405 | 15 |
| Uniontown, OH | $9.12 | $2.07 – $28.64 | 19,391 | 10 |
| Southbury, CT | $14.91 | $0.00 – $25.38 | 19,379 | 14 |
| Haledon, NJ | $19.57 | $2.65 – $32.13 | 19,379 | 5 |
| Villanova, PA | $25.03 | $24.60 – $25.07 | 19,372 | 2 |
| Zion, IL | $20.03 | $3.80 – $42.27 | 19,305 | 5 |
| Ocoee, FL | $5.22 | $0.00 – $13.06 | 19,301 | 11 |
| Bridgeport, WV | $13.63 | $6.34 – $23.39 | 19,292 | 6 |
| Gaithersburg, MD | $33.14 | $2.55 – $92.40 | 19,282 | 8 |
| Zachary, LA | $9.60 | $3.89 – $12.39 | 19,269 | 4 |
| Glastonbury, CT | $17.51 | $0.00 – $31.33 | 19,254 | 14 |
| Champaign, IL | $20.25 | $11.91 – $35.09 | 19,250 | 13 |
| Freeport, ME | $21.09 | $13.79 – $42.54 | 19,243 | 12 |
| Glen Allen, VA | $11.23 | $4.42 – $88.68 | 19,216 | 14 |
| Lockhart, TX | $44.08 | $6.17 – $49.50 | 19,202 | 5 |
| Germantown, MD | $15.90 | $0.00 – $69.59 | 19,157 | 12 |
| Erwin, TN | $4.54 | $0.00 – $5.08 | 19,136 | 4 |
| Altavista, VA | $11.63 | $11.63 – $11.63 | 19,087 | 1 |
| Tinley Park, IL | $14.29 | $1.67 – $79.48 | 19,059 | 10 |
| Woodstock, VA | $7.95 | $0.29 – $12.91 | 19,015 | 5 |
| Fox Lake, IL | $16.62 | $14.79 – $17.72 | 19,015 | 2 |
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.