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 |
|---|---|---|---|---|
| Mundelein, IL | $23.09 | $6.75 – $25.29 | 12,646 | 4 |
| Wakeman, OH | $15.90 | $15.33 – $21.94 | 12,634 | 2 |
| Euclid, OH | $13.28 | $2.55 – $22.28 | 12,628 | 8 |
| Hudson, OH | $12.92 | $5.44 – $34.43 | 12,593 | 6 |
| Irvington, NJ | $17.93 | $5.56 – $29.57 | 12,580 | 7 |
| Southampton, NJ | $25.16 | $25.16 – $25.16 | 12,571 | 1 |
| Paoli, PA | $43.12 | $0.33 – $45.08 | 12,528 | 5 |
| Manchester, NJ | $12.78 | $2.58 – $15.86 | 12,526 | 4 |
| New Castle, IN | $5.61 | $4.78 – $12.01 | 12,505 | 7 |
| Roslyn Heights, NY | $7.70 | $3.23 – $8.69 | 12,491 | 4 |
| Belvidere, IL | $27.13 | $4.52 – $33.09 | 12,489 | 3 |
| Oak Brook, IL | $27.05 | $2.26 – $363.40 | 12,460 | 10 |
| Indian Harbour Beach, FL | $3.35 | $3.19 – $6.96 | 12,439 | 3 |
| Hillsborough, NJ | $17.49 | $0.00 – $24.76 | 12,437 | 29 |
| Whiteville, NC | $13.44 | $3.05 – $21.21 | 12,435 | 11 |
| Placentia, CA | $23.42 | $5.11 – $70.83 | 12,434 | 10 |
| Barbourville, KY | $25.93 | $0.00 – $119.86 | 12,424 | 7 |
| Milford, OH | $10.99 | $0.00 – $22.18 | 12,395 | 7 |
| Lindenhurst, NY | $12.77 | $3.08 – $28.99 | 12,383 | 5 |
| Hilo, HI | $17.14 | $1.98 – $24.73 | 12,377 | 6 |
| Ellenville, NY | $14.65 | $14.65 – $14.65 | 12,375 | 1 |
| Shenandoah, TX | $5.51 | $2.28 – $22.32 | 12,369 | 12 |
| Simpsonville, SC | $11.49 | $0.87 – $50.28 | 12,365 | 9 |
| Greeley, CO | $13.63 | $0.00 – $25.19 | 12,357 | 10 |
| Bridgeton, MO | $11.60 | $0.91 – $18.42 | 12,357 | 9 |
| Okmulgee, OK | $15.35 | $15.35 – $15.35 | 12,354 | 1 |
| Saluda, SC | $18.46 | $5.30 – $30.84 | 12,351 | 4 |
| Bristol, VA | $6.15 | $1.63 – $8.59 | 12,339 | 5 |
| Elmont, NY | $7.58 | $6.63 – $10.39 | 12,336 | 3 |
| Plymouth, IN | $10.47 | $4.53 – $24.00 | 12,318 | 10 |
| Millington, TN | $7.89 | $5.47 – $16.57 | 12,315 | 4 |
| Pottsville, PA | $13.04 | $0.00 – $29.54 | 12,286 | 16 |
| Claremore, OK | $36.71 | $12.36 – $37.13 | 12,277 | 2 |
| Florence, KY | $13.68 | $6.95 – $34.07 | 12,266 | 11 |
| Southampton, NY | $6.45 | $3.52 – $7.96 | 12,265 | 2 |
| Kenosha, WI | $22.19 | $0.00 – $43.96 | 12,258 | 14 |
| Alexander City, AL | $4.53 | $0.00 – $17.92 | 12,252 | 11 |
| Madison, FL | $8.12 | $6.09 – $56.02 | 12,244 | 4 |
| Billings, MT | $28.45 | $0.00 – $54.65 | 12,243 | 22 |
| Grandview, MO | $23.81 | $15.18 – $32.69 | 12,232 | 3 |
| Shelby, OH | $9.27 | $1.42 – $10.53 | 12,198 | 4 |
| Hays, KS | $4.03 | $0.00 – $19.09 | 12,192 | 4 |
| Seven Hills, OH | $13.90 | $6.16 – $15.17 | 12,185 | 6 |
| Lauderdale Lakes, FL | $3.75 | $0.00 – $10.68 | 12,184 | 9 |
| Nolensville, TN | $25.39 | $25.39 – $25.39 | 12,183 | 1 |
| Baldwinsville, NY | $16.46 | $12.39 – $16.50 | 12,174 | 2 |
| Groesbeck, TX | $15.93 | $4.37 – $27.83 | 12,172 | 3 |
| Gilroy, CA | $12.02 | $3.34 – $33.43 | 12,169 | 3 |
| Woodbridge, CT | $6.29 | $2.63 – $7.74 | 12,159 | 4 |
| Fredericktown, MO | $31.05 | $8.42 – $91.86 | 12,154 | 7 |
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.