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 |
|---|---|---|---|---|
| Upland, CA | $19.77 | $0.00 – $44.85 | 15,098 | 21 |
| Crestview, FL | $6.55 | $0.26 – $31.49 | 15,082 | 12 |
| Elmhurst, IL | $20.62 | $2.38 – $49.80 | 15,072 | 19 |
| Thornton, CO | $26.82 | $14.26 – $73.02 | 15,071 | 11 |
| Greensburg, KY | $8.35 | $2.78 – $16.45 | 15,064 | 4 |
| Mansfield, OH | $6.18 | $1.55 – $22.63 | 15,046 | 15 |
| Tigard, OR | $23.39 | $10.12 – $34.08 | 15,029 | 6 |
| Fords, NJ | $17.31 | $0.16 – $19.16 | 15,025 | 4 |
| Smyrna, TN | $25.55 | $4.58 – $38.24 | 15,015 | 5 |
| Spring, TX | $8.29 | $0.00 – $23.60 | 14,986 | 9 |
| Kingston, PA | $17.41 | $0.87 – $47.60 | 14,981 | 11 |
| Guilford, CT | $9.01 | $3.20 – $25.96 | 14,972 | 8 |
| Luray, VA | $13.49 | $8.62 – $21.91 | 14,970 | 6 |
| Oneonta, AL | $2.57 | $0.00 – $53.51 | 14,969 | 4 |
| Rossford, OH | $15.06 | $9.51 – $23.93 | 14,965 | 6 |
| Cresskill, NJ | $5.70 | $2.42 – $5.79 | 14,942 | 2 |
| Anniston, AL | $5.71 | $0.00 – $22.48 | 14,934 | 10 |
| Blountstown, FL | $5.67 | $5.40 – $6.03 | 14,908 | 2 |
| Sparta, NJ | $16.56 | $0.00 – $21.36 | 14,900 | 4 |
| Longmeadow, MA | $10.53 | $6.76 – $18.72 | 14,872 | 5 |
| Whiting, IN | $16.42 | $1.78 – $25.03 | 14,864 | 5 |
| Salinas, CA | $11.73 | $0.00 – $28.16 | 14,860 | 8 |
| Kings Mountain, NC | $11.63 | $11.52 – $38.75 | 14,840 | 4 |
| Barboursville, WV | $14.21 | $4.69 – $26.48 | 14,839 | 5 |
| Verona, NJ | $12.32 | $0.83 – $19.36 | 14,831 | 9 |
| Parkersburg, WV | $14.19 | $1.56 – $27.26 | 14,830 | 12 |
| Willow Springs, MO | $26.78 | $14.21 – $47.82 | 14,827 | 4 |
| Basile, LA | $6.01 | $6.01 – $6.01 | 14,816 | 1 |
| Simi Valley, CA | $44.21 | $0.00 – $75.39 | 14,810 | 15 |
| Lufkin, TX | $7.19 | $0.65 – $14.50 | 14,806 | 10 |
| Spencer, MA | $5.85 | $5.85 – $5.85 | 14,804 | 1 |
| Jacksonville Beach, FL | $7.17 | $2.29 – $43.98 | 14,778 | 5 |
| Goodlettsville, TN | $12.08 | $0.00 – $12.42 | 14,769 | 5 |
| Cortland, OH | $15.92 | $6.42 – $21.20 | 14,750 | 7 |
| Atlantis, FL | $7.50 | $0.00 – $54.23 | 14,726 | 15 |
| Plymouth, MA | $12.36 | $0.00 – $23.17 | 14,703 | 13 |
| Shepherdsville, KY | $5.77 | $3.82 – $7.92 | 14,702 | 4 |
| Highland, IN | $11.11 | $0.00 – $21.55 | 14,692 | 12 |
| Eugene, OR | $13.87 | $2.31 – $39.97 | 14,649 | 16 |
| Ruston, LA | $8.18 | $2.83 – $18.80 | 14,606 | 11 |
| Pomona, NY | $11.50 | $6.48 – $36.56 | 14,599 | 6 |
| Springdale, AR | $15.70 | $5.12 – $44.99 | 14,596 | 11 |
| Dolton, IL | $26.27 | $22.28 – $31.48 | 14,580 | 3 |
| Lake Oswego, OR | $31.12 | $0.00 – $37.08 | 14,551 | 8 |
| Mount Vernon, MO | $18.06 | $15.14 – $19.66 | 14,544 | 3 |
| Nathalie, VA | $8.16 | $6.08 – $12.26 | 14,531 | 3 |
| Saint Joseph, MO | $19.59 | $1.93 – $32.61 | 14,526 | 18 |
| Bismarck, ND | $18.30 | $6.39 – $33.98 | 14,487 | 18 |
| Wauwatosa, WI | $11.53 | $2.44 – $80.26 | 14,470 | 14 |
| Fairhaven, MA | $8.55 | $3.89 – $12.18 | 14,468 | 9 |
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.