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 |
|---|---|---|---|---|
| Pearland, TX | $10.78 | $0.00 – $23.63 | 13,186 | 14 |
| Hartsville, SC | $22.41 | $19.85 – $24.35 | 13,157 | 4 |
| South Richmond Hill, NY | $9.56 | $9.56 – $9.56 | 13,142 | 1 |
| Woodland Park, NJ | $17.08 | $5.47 – $19.24 | 13,128 | 4 |
| Warwick, RI | $10.17 | $0.96 – $29.06 | 13,127 | 15 |
| Sioux Falls, SD | $20.84 | $0.00 – $44.82 | 13,119 | 9 |
| Bel Air, MD | $27.91 | $0.15 – $66.91 | 13,119 | 8 |
| Matthews, NC | $16.79 | $0.00 – $19.71 | 13,119 | 7 |
| Louisville, MS | $21.26 | $7.10 – $61.72 | 13,114 | 8 |
| Tonganoxie, KS | $9.04 | $2.78 – $18.61 | 13,111 | 6 |
| Selinsgrove, PA | $9.87 | $1.62 – $57.48 | 13,092 | 9 |
| Exeter, NH | $5.97 | $4.74 – $35.55 | 13,084 | 6 |
| De Soto, MO | $4.68 | $0.00 – $46.58 | 13,050 | 4 |
| Batavia, OH | $17.35 | $5.29 – $19.42 | 13,030 | 7 |
| Loudon, TN | $7.74 | $3.87 – $14.66 | 13,019 | 5 |
| Weirton, WV | $9.68 | $0.00 – $65.80 | 13,009 | 14 |
| Fort Defiance, AZ | $7.16 | $4.10 – $9.78 | 13,005 | 4 |
| Cypress, TX | $15.51 | $3.08 – $29.99 | 13,002 | 11 |
| Wyandotte, MI | $32.31 | $16.78 – $47.77 | 12,996 | 8 |
| Walla Walla, WA | $5.72 | $0.00 – $20.46 | 12,979 | 6 |
| Crystal River, FL | $6.63 | $3.62 – $11.57 | 12,975 | 5 |
| Morris, IL | $17.33 | $1.48 – $54.42 | 12,960 | 7 |
| Loganville, GA | $11.12 | $11.12 – $11.12 | 12,932 | 1 |
| Kerrville, TX | $7.75 | $0.00 – $39.05 | 12,917 | 10 |
| Oak Park, IL | $13.79 | $2.84 – $52.08 | 12,897 | 18 |
| West Seneca, NY | $13.35 | $6.12 – $22.47 | 12,893 | 3 |
| Longmont, CO | $17.05 | $8.98 – $20.66 | 12,892 | 9 |
| Laurel Fork, VA | $12.30 | $8.45 – $18.45 | 12,890 | 3 |
| Highwood, IL | $20.43 | $18.95 – $23.86 | 12,889 | 2 |
| Rogersville, TN | $6.43 | $5.45 – $8.07 | 12,883 | 4 |
| Millersburg, OH | $8.32 | $1.86 – $9.89 | 12,881 | 5 |
| Wading River, NY | $4.30 | $0.00 – $5.37 | 12,877 | 5 |
| Corydon, IN | $6.14 | $1.21 – $35.52 | 12,873 | 8 |
| Clinton, CT | $21.81 | $21.81 – $21.81 | 12,867 | 1 |
| Wethersfield, CT | $16.79 | $4.86 – $49.29 | 12,853 | 7 |
| River Forest, IL | $13.71 | $8.91 – $18.25 | 12,834 | 3 |
| West Hollywood, CA | $30.25 | $0.00 – $153.18 | 12,824 | 26 |
| Scranton, PA | $12.59 | $0.00 – $47.87 | 12,788 | 27 |
| Milan, TN | $11.78 | $8.10 – $16.48 | 12,788 | 4 |
| Tarboro, NC | $12.56 | $0.00 – $13.74 | 12,784 | 3 |
| Swansea, IL | $17.58 | $10.29 – $23.01 | 12,777 | 3 |
| Bonifay, FL | $12.97 | $5.39 – $46.91 | 12,768 | 5 |
| Ardmore, OK | $20.46 | $6.05 – $23.72 | 12,758 | 6 |
| Winnfield, LA | $4.90 | $0.00 – $5.10 | 12,751 | 3 |
| Whitestone, NY | $5.42 | $1.26 – $11.55 | 12,746 | 5 |
| Wilsonville, OR | $18.46 | $5.34 – $19.11 | 12,730 | 3 |
| Prince Frederick, MD | $21.93 | $18.57 – $82.24 | 12,715 | 5 |
| Bartlett, TN | $8.99 | $0.00 – $12.26 | 12,683 | 11 |
| Nacogdoches, TX | $6.18 | $0.00 – $14.51 | 12,663 | 11 |
| Universal City, TX | $7.24 | $0.00 – $7.90 | 12,658 | 3 |
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.