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 |
|---|---|---|---|---|
| Miramar Beach, FL | $3.82 | $0.00 – $9.77 | 16,487 | 5 |
| Sandusky, OH | $10.15 | $4.07 – $20.80 | 16,478 | 13 |
| Addison, IL | $21.55 | $17.57 – $27.72 | 16,471 | 4 |
| Farmington Hills, MI | $30.30 | $3.03 – $68.26 | 16,458 | 10 |
| Brownwood, TX | $7.59 | $3.26 – $8.16 | 16,445 | 7 |
| Walnut Creek, CA | $22.63 | $0.00 – $143.10 | 16,418 | 20 |
| Northport, AL | $2.20 | $0.00 – $15.49 | 16,418 | 10 |
| Carlsbad, CA | $11.27 | $0.00 – $51.26 | 16,374 | 11 |
| Anderson, IN | $12.33 | $3.82 – $19.69 | 16,370 | 17 |
| Andalusia, AL | $2.18 | $0.00 – $8.29 | 16,363 | 10 |
| Union, NJ | $6.86 | $2.24 – $71.27 | 16,349 | 16 |
| Kosciusko, MS | $25.99 | $10.43 – $91.78 | 16,333 | 10 |
| Wynnewood, PA | $26.64 | $0.96 – $49.74 | 16,332 | 12 |
| Addison, TX | $6.47 | $1.07 – $11.65 | 16,326 | 6 |
| Huntington, NY | $8.70 | $0.32 – $15.86 | 16,306 | 7 |
| Osage Beach, MO | $30.90 | $26.22 – $34.72 | 16,299 | 4 |
| Guntersville, AL | $3.28 | $0.00 – $8.88 | 16,272 | 9 |
| Dorchester Center, MA | $10.88 | $3.10 – $15.24 | 16,267 | 6 |
| Laurel Springs, NJ | $15.39 | $1.35 – $26.33 | 16,204 | 8 |
| Taunton, MA | $10.68 | $0.77 – $34.10 | 16,199 | 10 |
| Rancho Mirage, CA | $37.42 | $0.00 – $63.35 | 16,147 | 11 |
| Coronado, CA | $17.03 | $11.02 – $56.51 | 16,128 | 6 |
| West Covina, CA | $28.35 | $1.01 – $211.89 | 16,096 | 18 |
| Montgomery Village, MD | $7.34 | $0.01 – $15.13 | 16,085 | 3 |
| East Brunswick, NJ | $14.45 | $0.00 – $49.94 | 16,084 | 17 |
| Hanover, MA | $11.66 | $0.00 – $27.86 | 16,046 | 17 |
| Plantsville, CT | $19.09 | $0.00 – $25.11 | 16,046 | 4 |
| Quincy, IL | $21.68 | $0.00 – $41.16 | 16,042 | 15 |
| Rensselaer, IN | $5.15 | $4.02 – $13.44 | 16,003 | 3 |
| Williamsport, PA | $9.77 | $0.00 – $48.96 | 15,992 | 17 |
| Defuniak Springs, FL | $7.60 | $5.72 – $29.76 | 15,979 | 2 |
| Ravenna, OH | $13.14 | $7.18 – $23.10 | 15,971 | 6 |
| Springfield, TN | $18.85 | $6.16 – $30.67 | 15,951 | 4 |
| Inman, SC | $17.95 | $10.62 – $20.77 | 15,951 | 4 |
| Lake Worth, FL | $2.65 | $0.00 – $8.93 | 15,949 | 12 |
| Riverdale, MD | $19.83 | $13.37 – $58.82 | 15,944 | 4 |
| New Britain, CT | $20.81 | $0.00 – $59.70 | 15,936 | 16 |
| Potomac, MD | $15.90 | $1.38 – $107.46 | 15,933 | 5 |
| Davenport, FL | $11.53 | $0.00 – $16.38 | 15,929 | 9 |
| Layton, UT | $27.74 | $16.28 – $77.42 | 15,929 | 11 |
| Moorestown, NJ | $10.73 | $6.25 – $17.83 | 15,921 | 8 |
| Sherman, TX | $4.32 | $0.27 – $61.25 | 15,912 | 12 |
| Braintree, MA | $15.40 | $2.13 – $20.40 | 15,864 | 7 |
| Hot Springs Village, AR | $18.73 | $18.32 – $20.29 | 15,836 | 4 |
| Brookville, IN | $14.80 | $7.34 – $18.42 | 15,825 | 2 |
| Fulton, IL | $5.61 | $3.55 – $7.68 | 15,825 | 2 |
| Palmyra, NJ | $23.45 | $23.45 – $23.45 | 15,785 | 1 |
| Sandy, UT | $26.97 | $13.05 – $89.52 | 15,765 | 9 |
| Saint Joseph, MI | $13.34 | $7.76 – $55.32 | 15,757 | 5 |
| Lakewood, WA | $14.63 | $0.00 – $43.12 | 15,737 | 15 |
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.