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 |
|---|---|---|---|---|
| Portage, OH | $16.34 | $16.34 – $16.34 | 18,003 | 1 |
| Montgomery, OH | $16.34 | $6.33 – $24.24 | 17,993 | 3 |
| Walterboro, SC | $38.41 | $14.01 – $43.14 | 17,991 | 4 |
| Goldsboro, NC | $15.24 | $0.00 – $46.64 | 17,965 | 18 |
| Fremont, CA | $21.32 | $0.00 – $104.96 | 17,869 | 20 |
| Alpine, CA | $11.37 | $6.81 – $25.24 | 17,868 | 8 |
| Paintsville, KY | $4.31 | $2.76 – $24.15 | 17,845 | 8 |
| Schenectady, NY | $9.47 | $0.00 – $18.97 | 17,778 | 19 |
| Covina, CA | $16.52 | $0.00 – $873.75 | 17,769 | 17 |
| Kankakee, IL | $15.88 | $4.56 – $32.28 | 17,734 | 11 |
| Lorain, OH | $12.00 | $0.00 – $41.20 | 17,713 | 11 |
| Caro, MI | $20.04 | $0.00 – $66.50 | 17,703 | 7 |
| Berea, KY | $13.12 | $0.00 – $31.03 | 17,660 | 5 |
| Coram, NY | $7.54 | $7.54 – $7.54 | 17,655 | 1 |
| Franklin, VA | $13.98 | $7.18 – $24.97 | 17,653 | 7 |
| Colton, CA | $79.83 | $0.00 – $84.28 | 17,626 | 7 |
| Decatur, AL | $2.55 | $0.00 – $10.24 | 17,611 | 11 |
| Merchantville, NJ | $16.80 | $0.56 – $27.12 | 17,597 | 4 |
| Northfield, NJ | $9.22 | $0.00 – $20.10 | 17,595 | 18 |
| Amherst, OH | $12.38 | $8.17 – $15.12 | 17,559 | 9 |
| Seymour, CT | $21.52 | $7.07 – $23.85 | 17,554 | 2 |
| Nutley, NJ | $13.87 | $4.31 – $15.68 | 17,530 | 9 |
| Jupiter, FL | $7.23 | $0.00 – $61.55 | 17,529 | 11 |
| Newburgh, NY | $5.54 | $0.63 – $19.58 | 17,519 | 13 |
| Vancouver, WA | $19.24 | $0.00 – $110.33 | 17,516 | 26 |
| Wellington, KS | $6.95 | $0.00 – $25.54 | 17,510 | 5 |
| Elkton, KY | $27.97 | $27.27 – $113.58 | 17,505 | 2 |
| Sidney, OH | $9.87 | $3.28 – $21.15 | 17,489 | 8 |
| Greenwich, CT | $10.94 | $0.29 – $24.94 | 17,478 | 9 |
| Orange, CT | $22.55 | $5.81 – $44.59 | 17,468 | 7 |
| Mer Rouge, LA | $1.27 | $1.27 – $1.27 | 17,455 | 1 |
| Malvern, AR | $13.22 | $7.93 – $18.24 | 17,448 | 8 |
| Conway, NC | $16.21 | $16.21 – $16.21 | 17,431 | 1 |
| Burlington, MA | $12.78 | $1.50 – $81.20 | 17,426 | 16 |
| Coventry, CT | $9.57 | $0.00 – $30.23 | 17,420 | 3 |
| Piqua, OH | $9.67 | $9.11 – $13.31 | 17,411 | 2 |
| Canal Fulton, OH | $9.51 | $3.57 – $11.26 | 17,409 | 3 |
| Prospect, OH | $9.37 | $9.37 – $9.37 | 17,380 | 1 |
| University Place, WA | $14.79 | $1.86 – $26.06 | 17,371 | 7 |
| La Porte, IN | $8.77 | $4.22 – $17.55 | 17,317 | 9 |
| Lathrup Village, MI | $30.88 | $23.41 – $32.03 | 17,315 | 3 |
| Richmond, KY | $12.17 | $1.11 – $79.49 | 17,313 | 13 |
| New Brunswick, NJ | $16.08 | $8.67 – $23.23 | 17,294 | 11 |
| San Benito, TX | $10.81 | $0.94 – $12.69 | 17,290 | 4 |
| Greenbelt, MD | $21.16 | $8.66 – $54.95 | 17,289 | 9 |
| Lancaster, NH | $24.98 | $20.47 – $26.34 | 17,276 | 3 |
| Poplarville, MS | $21.60 | $16.73 – $23.29 | 17,273 | 4 |
| Newport, TN | $9.39 | $3.65 – $34.51 | 17,254 | 7 |
| Collinsville, VA | $14.07 | $14.07 – $14.07 | 17,242 | 1 |
| Wilson, NC | $8.42 | $7.78 – $9.71 | 17,149 | 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.