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 |
|---|---|---|---|---|
| Westborough, MA | $25.67 | $0.86 – $35.29 | 11,525 | 6 |
| Sun City, AZ | $29.95 | $0.00 – $44.57 | 11,519 | 6 |
| Grapevine, TX | $11.41 | $0.00 – $73.82 | 11,502 | 10 |
| National City, CA | $15.79 | $0.08 – $114.54 | 11,494 | 22 |
| San Pedro, CA | $14.23 | $3.45 – $50.52 | 11,489 | 9 |
| Oakdale, LA | $2.84 | $2.51 – $4.39 | 11,485 | 2 |
| East Meadow, NY | $13.01 | $2.76 – $54.30 | 11,484 | 13 |
| Gooding, ID | $20.07 | $2.20 – $29.89 | 11,432 | 3 |
| Bethesda, MD | $28.57 | $0.00 – $66.77 | 11,411 | 8 |
| Richmond Heights, OH | $19.12 | $10.49 – $22.66 | 11,369 | 4 |
| Brandon, MS | $36.99 | $9.20 – $108.24 | 11,356 | 10 |
| Winsted, CT | $15.32 | $15.32 – $15.32 | 11,343 | 1 |
| Grundy, VA | $15.13 | $7.27 – $16.67 | 11,342 | 4 |
| Louisa, KY | $5.02 | $2.39 – $9.14 | 11,333 | 7 |
| Perrysburg, OH | $13.26 | $4.70 – $37.31 | 11,317 | 20 |
| Middlefield, OH | $15.87 | $15.39 – $16.32 | 11,315 | 2 |
| Westmont, IL | $9.47 | $1.33 – $50.48 | 11,313 | 7 |
| Mayfield Village, OH | $11.62 | $7.63 – $28.04 | 11,307 | 6 |
| Wake Forest, NC | $30.59 | $0.00 – $57.55 | 11,272 | 8 |
| Montgomeryville, PA | $16.52 | $7.70 – $27.16 | 11,249 | 4 |
| Brazil, IN | $5.29 | $1.28 – $13.93 | 11,235 | 8 |
| Templeton, CA | $0.71 | $0.31 – $0.80 | 11,231 | 2 |
| Weatherford, TX | $7.28 | $0.41 – $21.61 | 11,222 | 9 |
| Punta Gorda, FL | $2.45 | $2.01 – $5.98 | 11,221 | 3 |
| Beloit, WI | $12.24 | $4.58 – $13.50 | 11,215 | 7 |
| Monticello, MS | $13.81 | $10.86 – $34.45 | 11,171 | 5 |
| Maricopa, AZ | $52.90 | $3.95 – $53.11 | 11,137 | 2 |
| Lawrenceville, VA | $7.67 | $5.74 – $7.79 | 11,125 | 2 |
| Midwest City, OK | $18.32 | $7.96 – $41.35 | 11,111 | 10 |
| Erlanger, KY | $13.50 | $3.64 – $15.48 | 11,083 | 4 |
| Tallassee, AL | $11.81 | $0.00 – $13.62 | 11,049 | 3 |
| Bogalusa, LA | $3.02 | $1.34 – $15.97 | 11,048 | 9 |
| Winfield, AL | $4.38 | $0.00 – $12.39 | 11,044 | 6 |
| Fewtus, MO | $19.28 | $19.28 – $19.28 | 11,037 | 1 |
| Hicksville, NY | $5.50 | $0.00 – $15.36 | 11,036 | 5 |
| Nahant, MA | $8.80 | $8.80 – $8.80 | 11,017 | 1 |
| Wiggins, MS | $19.22 | $2.39 – $34.38 | 11,015 | 7 |
| Reston, VA | $15.33 | $4.92 – $53.08 | 11,011 | 13 |
| Langhorne, PA | $21.73 | $1.90 – $37.69 | 10,990 | 13 |
| Flat Rock, NC | $14.49 | $0.00 – $44.45 | 10,990 | 24 |
| Kenneth City, FL | $7.69 | $5.80 – $7.91 | 10,989 | 3 |
| Broomall, PA | $15.96 | $2.25 – $37.24 | 10,987 | 5 |
| Miami Lakes, FL | $4.99 | $0.00 – $15.45 | 10,984 | 12 |
| Marlborough, CT | $7.14 | $2.28 – $9.32 | 10,982 | 2 |
| Crofton, KY | $38.28 | $38.28 – $38.28 | 10,929 | 1 |
| Winnie, TX | $3.74 | $0.00 – $4.17 | 10,927 | 3 |
| Trumbull, CT | $23.81 | $18.03 – $37.56 | 10,925 | 4 |
| Lewiston, ME | $23.45 | $8.98 – $29.31 | 10,920 | 15 |
| Chino, CA | $13.92 | $1.30 – $44.66 | 10,909 | 11 |
| Brunswick, OH | $13.40 | $12.00 – $18.74 | 10,904 | 2 |
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.