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 |
|---|---|---|---|---|
| Golden, CO | $22.53 | $1.60 – $82.59 | 138,576 | 90 |
| Winston Salem, NC | $19.18 | $0.00 – $52.73 | 136,907 | 95 |
| San Jose, CA | $13.35 | $0.00 – $57.70 | 136,378 | 54 |
| Birmingham, AL | $4.66 | $0.00 – $36.31 | 136,363 | 90 |
| Santa Monica, CA | $51.77 | $0.00 – $129.79 | 135,686 | 39 |
| Hartford, CT | $18.75 | $0.00 – $51.63 | 135,034 | 68 |
| Encino, CA | $13.94 | $3.11 – $36.74 | 134,655 | 24 |
| San Bernardino, CA | $30.57 | $0.00 – $71.90 | 134,436 | 19 |
| Arcadia, FL | $5.04 | $0.96 – $22.67 | 132,795 | 38 |
| Sarasota, FL | $4.87 | $0.00 – $119.51 | 131,915 | 77 |
| Bowie, MD | $25.93 | $1.30 – $73.08 | 131,841 | 23 |
| Salisbury, MD | $30.84 | $0.00 – $91.31 | 131,668 | 26 |
| Springfield, MA | $14.71 | $0.46 – $52.64 | 130,669 | 76 |
| Weston, MA | $14.29 | $4.56 – $24.31 | 129,769 | 10 |
| Jeffersonville, IN | $10.58 | $2.92 – $28.95 | 128,943 | 33 |
| Milwaukee, WI | $16.44 | $0.00 – $44.61 | 127,344 | 79 |
| Kissimmee, FL | $5.75 | $0.00 – $81.67 | 126,902 | 38 |
| West Springfield, MA | $15.62 | $1.04 – $39.01 | 124,081 | 40 |
| Skokie, IL | $15.50 | $1.65 – $84.05 | 123,501 | 35 |
| Severna Park, MD | $21.74 | $21.74 – $21.74 | 123,011 | 1 |
| Buffalo, NY | $11.40 | $0.00 – $49.91 | 122,169 | 69 |
| Pikesville, MD | $30.85 | $6.27 – $94.54 | 121,153 | 12 |
| Henderson, NV | $24.33 | $0.00 – $73.22 | 120,706 | 55 |
| Honolulu, HI | $19.87 | $0.00 – $112.98 | 117,511 | 52 |
| Bakersfield, CA | $29.74 | $0.00 – $86.52 | 117,482 | 62 |
| New Orleans, LA | $7.01 | $0.00 – $20.79 | 116,396 | 42 |
| Park Ridge, IL | $16.35 | $0.00 – $29.93 | 116,231 | 30 |
| Middletown, CT | $20.07 | $3.79 – $67.80 | 115,841 | 36 |
| Little Rock, AR | $19.03 | $0.00 – $89.26 | 115,625 | 100 |
| Lake Charles, LA | $4.84 | $0.00 – $22.47 | 115,525 | 27 |
| North Andover, MA | $12.94 | $0.00 – $54.84 | 115,481 | 35 |
| Clinton, MD | $21.79 | $6.51 – $68.01 | 114,190 | 15 |
| Tallahassee, FL | $7.11 | $0.00 – $36.78 | 112,881 | 42 |
| Santa Ana, CA | $26.64 | $0.86 – $109.90 | 112,685 | 48 |
| New Haven, CT | $26.81 | $0.00 – $92.74 | 112,303 | 64 |
| Altamonte Springs, FL | $5.75 | $1.77 – $93.83 | 112,201 | 31 |
| Overland Park, KS | $9.84 | $0.00 – $33.78 | 111,952 | 48 |
| Casselberry, FL | $4.88 | $0.09 – $16.10 | 111,689 | 34 |
| Maumee, OH | $15.23 | $0.57 – $76.15 | 111,620 | 25 |
| Newark, NJ | $25.85 | $0.00 – $54.79 | 110,785 | 41 |
| Murray, UT | $26.22 | $0.67 – $94.69 | 109,278 | 12 |
| Corpus Christi, TX | $6.06 | $0.00 – $68.56 | 107,074 | 53 |
| New Bedford, MA | $11.01 | $3.47 – $21.30 | 106,590 | 19 |
| Aurora, CO | $19.97 | $0.00 – $74.49 | 105,536 | 78 |
| Hollywood, FL | $5.70 | $0.25 – $79.70 | 104,780 | 60 |
| Oakbrook Terrace, IL | $16.60 | $4.15 – $39.36 | 104,547 | 19 |
| Evansville, IN | $12.29 | $0.00 – $53.36 | 104,119 | 62 |
| Apopka, FL | $4.42 | $0.00 – $13.99 | 103,581 | 23 |
| Beachwood, OH | $14.19 | $0.00 – $44.30 | 103,448 | 57 |
| Elgin, IL | $11.55 | $0.00 – $35.51 | 102,966 | 41 |
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.