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 |
|---|---|---|---|---|
| Bettendorf, IA | $8.81 | $0.21 – $13.90 | 15,700 | 12 |
| Santa Fe, NM | $35.71 | $1.83 – $48.05 | 15,676 | 13 |
| New Albany, OH | $10.67 | $5.03 – $14.27 | 15,672 | 4 |
| Cheyenne, WY | $16.12 | $6.53 – $25.33 | 15,661 | 9 |
| Leesburg, VA | $7.43 | $1.80 – $28.58 | 15,661 | 16 |
| West Chester, PA | $13.53 | $0.25 – $26.14 | 15,653 | 14 |
| Spokane Valley, WA | $12.29 | $1.97 – $39.16 | 15,653 | 11 |
| Ft Pierce, FL | $15.31 | $15.31 – $15.31 | 15,637 | 1 |
| Fort Campbell, KY | $8.58 | $2.38 – $19.11 | 15,625 | 4 |
| Rocklin, CA | $10.29 | $0.00 – $19.98 | 15,617 | 3 |
| Bolingbrook, IL | $25.58 | $0.32 – $54.51 | 15,608 | 17 |
| Jamaica Plain, MA | $8.67 | $4.25 – $24.82 | 15,587 | 7 |
| Rapid City, SD | $19.56 | $5.92 – $39.59 | 15,581 | 7 |
| Ridgewood, NJ | $3.53 | $0.04 – $67.50 | 15,580 | 10 |
| Maplewood, NJ | $15.74 | $1.71 – $33.61 | 15,545 | 10 |
| Troup, TX | $15.47 | $8.70 – $30.47 | 15,528 | 2 |
| Monterey Park, CA | $23.01 | $0.00 – $50.58 | 15,520 | 22 |
| Humansville, MO | $51.68 | $51.48 – $52.15 | 15,508 | 2 |
| Cleveland, TX | $7.53 | $3.80 – $7.60 | 15,498 | 2 |
| Berwyn, IL | $23.21 | $0.35 – $33.41 | 15,493 | 12 |
| Anchorage, AK | $68.17 | $0.00 – $143.58 | 15,485 | 37 |
| Long Grove, IL | $13.35 | $2.11 – $40.05 | 15,485 | 9 |
| Medford, OR | $15.11 | $0.00 – $49.43 | 15,454 | 15 |
| Mokena, IL | $28.04 | $5.48 – $32.27 | 15,439 | 5 |
| Anderson, SC | $18.70 | $0.00 – $36.89 | 15,412 | 14 |
| Maryville, IL | $8.30 | $0.00 – $28.04 | 15,400 | 15 |
| Winchester, VA | $10.99 | $0.00 – $86.50 | 15,397 | 25 |
| Dallas, GA | $11.32 | $11.32 – $11.32 | 15,375 | 1 |
| Arverne, NY | $16.20 | $10.50 – $17.38 | 15,349 | 2 |
| Lawrenceville, NJ | $19.36 | $6.26 – $25.41 | 15,334 | 8 |
| Northampton, MA | $14.09 | $9.40 – $65.52 | 15,330 | 6 |
| Pennington, NJ | $12.32 | $4.34 – $21.46 | 15,322 | 8 |
| Galloway, NJ | $15.29 | $0.55 – $32.46 | 15,320 | 14 |
| Jefferson, NC | $8.52 | $8.46 – $24.32 | 15,313 | 4 |
| Du Bois, PA | $15.76 | $0.00 – $30.38 | 15,289 | 12 |
| Fontana, CA | $29.12 | $0.00 – $51.50 | 15,285 | 13 |
| Cortlandt Manor, NY | $11.43 | $0.00 – $62.95 | 15,275 | 5 |
| Brooksville, FL | $4.36 | $0.00 – $26.66 | 15,272 | 15 |
| Cherryville, NC | $12.99 | $10.23 – $19.03 | 15,272 | 3 |
| Opp, AL | $2.79 | $0.00 – $4.65 | 15,229 | 6 |
| Myrtle Beach, SC | $17.27 | $0.00 – $48.26 | 15,226 | 24 |
| San Gabriel, CA | $52.22 | $0.00 – $596.93 | 15,226 | 18 |
| Patchogue, NY | $18.68 | $0.03 – $50.09 | 15,223 | 8 |
| Trenton, MI | $15.34 | $15.24 – $33.37 | 15,215 | 3 |
| Los Alamitos, CA | $22.29 | $1.82 – $34.06 | 15,191 | 15 |
| Stuart, VA | $22.05 | $13.03 – $23.31 | 15,172 | 4 |
| Easton, PA | $11.34 | $0.00 – $47.65 | 15,140 | 10 |
| Mesquite, TX | $10.55 | $0.00 – $28.30 | 15,136 | 15 |
| Liberty, MO | $24.37 | $1.73 – $32.44 | 15,116 | 8 |
| Selmer, TN | $9.28 | $9.11 – $9.78 | 15,115 | 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.