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 |
|---|---|---|---|---|
| Shavano Park, TX | $13.36 | $4.45 – $18.23 | 19,002 | 3 |
| Hoboken, NJ | $8.33 | $0.00 – $27.95 | 18,979 | 10 |
| Willoughby, OH | $11.61 | $0.00 – $33.71 | 18,933 | 16 |
| Lakewood, OH | $18.10 | $7.01 – $21.58 | 18,924 | 9 |
| Rockwall, TX | $14.28 | $4.57 – $28.94 | 18,882 | 5 |
| Corinth, MS | $13.70 | $0.21 – $33.12 | 18,779 | 14 |
| Hamilton Square, NJ | $15.47 | $5.95 – $23.38 | 18,767 | 2 |
| Niles, IL | $11.22 | $2.23 – $27.21 | 18,746 | 8 |
| Kingston, NY | $5.36 | $1.98 – $20.10 | 18,730 | 10 |
| Cedar Knolls, NJ | $9.07 | $4.29 – $25.26 | 18,710 | 21 |
| Wheeling, IL | $18.38 | $4.12 – $33.40 | 18,706 | 6 |
| Cheverly, MD | $28.37 | $8.21 – $71.49 | 18,685 | 8 |
| Torrington, CT | $17.02 | $0.00 – $29.76 | 18,679 | 14 |
| Harrison, NY | $9.36 | $0.00 – $60.21 | 18,676 | 7 |
| Manhasset Hills, NY | $10.17 | $4.71 – $14.40 | 18,648 | 4 |
| Dixon, CA | $13.42 | $13.42 – $13.42 | 18,647 | 1 |
| Somerset, NJ | $8.28 | $2.77 – $23.41 | 18,624 | 14 |
| Norwich, CT | $21.04 | $6.37 – $41.30 | 18,615 | 13 |
| Capistrano Beach, CA | $3.84 | $3.84 – $3.84 | 18,593 | 1 |
| Lynn, MA | $11.71 | $4.64 – $26.07 | 18,588 | 12 |
| Dearborn, MI | $17.24 | $0.00 – $52.66 | 18,578 | 15 |
| Chestnut Hill, MA | $7.68 | $1.33 – $12.19 | 18,556 | 4 |
| New City, NY | $6.53 | $3.82 – $15.34 | 18,544 | 6 |
| Greenwood Village, CO | $31.66 | $0.00 – $66.60 | 18,534 | 14 |
| Lumberton, NC | $12.96 | $0.00 – $20.44 | 18,527 | 14 |
| Sparks, MD | $24.86 | $0.00 – $52.94 | 18,514 | 10 |
| Eden, NC | $10.97 | $10.03 – $22.45 | 18,510 | 4 |
| Pineland, FL | $7.24 | $7.24 – $7.24 | 18,506 | 1 |
| Montclair, NJ | $7.55 | $0.44 – $31.87 | 18,471 | 14 |
| Boardman, OH | $15.06 | $0.00 – $64.91 | 18,444 | 16 |
| Friendswood, TX | $27.46 | $0.00 – $32.34 | 18,439 | 7 |
| Port Arthur, TX | $4.41 | $0.00 – $11.63 | 18,429 | 6 |
| Mankato, MN | $58.15 | $41.47 – $75.82 | 18,424 | 8 |
| Lawrence, NY | $9.11 | $1.51 – $47.50 | 18,423 | 8 |
| Arlington, KY | $10.09 | $4.43 – $10.20 | 18,420 | 2 |
| Tustin, CA | $11.63 | $0.12 – $72.47 | 18,384 | 15 |
| Bolivar, TN | $11.00 | $6.06 – $26.87 | 18,332 | 5 |
| Ft Wayne, IN | $12.58 | $12.58 – $12.58 | 18,324 | 1 |
| Haleyville, AL | $2.23 | $0.00 – $27.81 | 18,252 | 8 |
| Enfield, CT | $13.78 | $5.73 – $26.93 | 18,233 | 8 |
| Steubenville, OH | $8.42 | $4.70 – $34.44 | 18,218 | 12 |
| Marlton, NJ | $14.14 | $3.34 – $29.61 | 18,217 | 16 |
| Hauppauge, NY | $11.92 | $0.71 – $11.94 | 18,182 | 2 |
| Secaucus, NJ | $16.41 | $0.00 – $30.87 | 18,167 | 6 |
| Newington, CT | $19.28 | $10.81 – $35.52 | 18,141 | 8 |
| West Nyack, NY | $4.68 | $0.01 – $14.44 | 18,129 | 4 |
| Shepherdstown, WV | $12.79 | $12.79 – $12.79 | 18,128 | 1 |
| San Marcos, TX | $6.49 | $1.42 – $8.63 | 18,110 | 7 |
| Carthage, MS | $13.36 | $0.00 – $14.64 | 18,088 | 7 |
| Copley, OH | $14.88 | $10.64 – $21.61 | 18,037 | 4 |
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.