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 |
|---|---|---|---|---|
| Greenwood, MS | $14.77 | $7.93 – $87.40 | 13,713 | 6 |
| Hampton, VA | $13.47 | $0.09 – $22.08 | 13,701 | 22 |
| Carmel, NY | $5.97 | $0.00 – $22.61 | 13,653 | 5 |
| Brookfield, WI | $19.98 | $6.73 – $25.01 | 13,643 | 13 |
| Sylacauga, AL | $13.36 | $2.03 – $16.71 | 13,612 | 4 |
| Keene, NH | $7.91 | $0.00 – $34.62 | 13,589 | 20 |
| Clinton, LA | $8.01 | $0.00 – $8.48 | 13,541 | 2 |
| Pilot Knob, MO | $49.33 | $23.67 – $57.77 | 13,532 | 4 |
| Lexington, VA | $11.94 | $10.92 – $11.98 | 13,522 | 2 |
| Burgaw, NC | $12.75 | $9.82 – $17.62 | 13,498 | 5 |
| Arlington Heights, IL | $13.17 | $1.64 – $36.90 | 13,486 | 18 |
| El Centro, CA | $11.22 | $1.43 – $36.35 | 13,476 | 7 |
| Alamo, TN | $17.99 | $9.49 – $18.13 | 13,459 | 3 |
| Lexington, TN | $9.05 | $5.82 – $34.05 | 13,455 | 9 |
| Poteau, OK | $45.34 | $16.23 – $68.52 | 13,454 | 5 |
| Plaquemine, LA | $5.45 | $5.45 – $5.45 | 13,450 | 1 |
| Sumter, SC | $18.66 | $0.00 – $40.37 | 13,442 | 10 |
| Santa Maria, CA | $11.47 | $0.00 – $40.06 | 13,439 | 13 |
| Avon Park, FL | $5.19 | $2.98 – $9.61 | 13,438 | 6 |
| Sylvania, OH | $13.38 | $2.83 – $21.21 | 13,418 | 11 |
| Nashville, AR | $16.97 | $16.04 – $21.76 | 13,406 | 3 |
| Sandy Hook, CT | $20.36 | $18.36 – $20.77 | 13,405 | 3 |
| Charles Town, WV | $9.80 | $2.01 – $13.46 | 13,400 | 6 |
| Tinton Falls, NJ | $19.25 | $2.72 – $37.99 | 13,393 | 9 |
| Johns Creek, GA | $4.54 | $0.00 – $25.07 | 13,390 | 4 |
| Ashland, OH | $8.65 | $0.00 – $16.12 | 13,389 | 10 |
| Timonium, MD | $39.28 | $0.00 – $81.93 | 13,370 | 6 |
| Mullica Hill, NJ | $37.43 | $0.00 – $43.88 | 13,360 | 7 |
| Hamilton, NJ | $20.68 | $0.43 – $72.77 | 13,303 | 10 |
| Reading, PA | $22.23 | $0.13 – $37.76 | 13,303 | 11 |
| Sandwich, IL | $14.44 | $14.15 – $14.57 | 13,303 | 2 |
| Lebanon, VA | $9.00 | $3.37 – $21.14 | 13,298 | 6 |
| Charleston, MS | $19.57 | $18.27 – $33.04 | 13,278 | 3 |
| Lockport, LA | $1.58 | $1.58 – $1.58 | 13,270 | 1 |
| Oxford, MS | $10.56 | $0.00 – $211.63 | 13,269 | 8 |
| Savannah, TN | $4.11 | $0.16 – $13.12 | 13,265 | 9 |
| Midlothian, TX | $4.87 | $0.23 – $5.08 | 13,247 | 2 |
| Airmont, NY | $14.72 | $10.99 – $19.88 | 13,246 | 2 |
| Gautier, MS | $19.66 | $0.00 – $21.88 | 13,236 | 5 |
| Portage, MI | $41.57 | $15.04 – $42.55 | 13,233 | 3 |
| Litchfield Park, AZ | $36.77 | $4.54 – $41.67 | 13,231 | 4 |
| Nickelsville, VA | $8.91 | $3.84 – $10.47 | 13,226 | 2 |
| Sewell, NJ | $15.07 | $1.86 – $28.81 | 13,223 | 12 |
| Palm Coast, FL | $5.11 | $0.00 – $60.08 | 13,214 | 12 |
| Lewisburg, TN | $11.28 | $4.18 – $28.34 | 13,212 | 8 |
| Cockeysville, MD | $26.25 | $13.04 – $58.28 | 13,210 | 4 |
| Berea, OH | $15.98 | $8.43 – $19.36 | 13,205 | 4 |
| Springfield, VA | $11.54 | $0.00 – $41.87 | 13,201 | 13 |
| Bay Shore, NY | $6.59 | $0.00 – $16.29 | 13,189 | 10 |
| Joplin, MO | $27.01 | $2.07 – $34.19 | 13,188 | 11 |
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.