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 |
|---|---|---|---|---|
| Kendallville, IN | $9.33 | $0.00 – $10.80 | 10,038 | 6 |
| East Dundee, IL | $11.50 | $7.96 – $16.46 | 10,035 | 4 |
| San Antonio, FL | $6.16 | $6.16 – $6.16 | 10,017 | 1 |
| Arcadia, CA | $18.09 | $5.22 – $37.88 | 10,011 | 16 |
| Scarsdale, NY | $13.87 | $0.00 – $23.46 | 10,008 | 6 |
| Uniondale, NY | $4.54 | $3.73 – $25.49 | 9,986 | 4 |
| Palm Springs, CA | $22.10 | $0.00 – $68.75 | 9,983 | 17 |
| Lincolnwood, IL | $17.22 | $1.81 – $43.72 | 9,977 | 10 |
| Bay City, MI | $27.72 | $12.89 – $53.61 | 9,969 | 5 |
| Elmira, NY | $10.60 | $1.28 – $22.42 | 9,959 | 9 |
| Arlington, TN | $8.18 | $5.30 – $11.95 | 9,951 | 2 |
| Ocean Springs, MS | $18.94 | $0.00 – $56.25 | 9,943 | 7 |
| Winona, MS | $16.52 | $0.41 – $35.46 | 9,938 | 4 |
| Armonk, NY | $11.85 | $11.85 – $11.85 | 9,935 | 1 |
| Okeechobee, FL | $3.05 | $0.00 – $6.62 | 9,932 | 9 |
| Fort Walton Beach, FL | $6.94 | $0.00 – $87.90 | 9,921 | 8 |
| Monterey, TN | $8.66 | $7.95 – $9.35 | 9,920 | 3 |
| Leesville, LA | $3.24 | $0.00 – $4.64 | 9,915 | 5 |
| Mt Pleasant, TN | $15.58 | $15.58 – $15.58 | 9,914 | 1 |
| Harrison, AR | $12.75 | $5.67 – $15.97 | 9,912 | 8 |
| Santa Clarita, CA | $15.48 | $7.74 – $28.07 | 9,907 | 7 |
| Lawrenceburg, IN | $7.35 | $1.38 – $10.13 | 9,904 | 7 |
| North Olmsted, OH | $14.19 | $10.21 – $15.51 | 9,898 | 3 |
| Rosedale, MD | $45.60 | $0.00 – $70.36 | 9,870 | 13 |
| Encinitas, CA | $30.69 | $10.66 – $62.43 | 9,855 | 8 |
| Augusta, ME | $12.70 | $3.37 – $29.74 | 9,854 | 11 |
| Charlestown, IN | $9.08 | $5.70 – $10.61 | 9,849 | 2 |
| Mason City, IA | $9.60 | $1.57 – $50.15 | 9,827 | 21 |
| Palo Alto, CA | $14.88 | $0.00 – $23.29 | 9,826 | 12 |
| Woodbury, NJ | $18.35 | $1.39 – $53.84 | 9,820 | 13 |
| Ann Arbor, MI | $32.53 | $7.47 – $76.48 | 9,812 | 10 |
| Tabernacle, NJ | $18.89 | $18.89 – $18.89 | 9,808 | 1 |
| Vivian, LA | $10.48 | $0.58 – $11.09 | 9,797 | 2 |
| Edgewater, FL | $9.06 | $9.06 – $9.06 | 9,795 | 1 |
| Franklin, LA | $8.66 | $0.00 – $19.07 | 9,788 | 5 |
| Weeki Wachee, FL | $2.47 | $2.47 – $2.47 | 9,740 | 1 |
| Richmond Hill, NY | $5.38 | $0.49 – $5.72 | 9,734 | 4 |
| Massapequa, NY | $7.27 | $1.65 – $98.10 | 9,733 | 10 |
| Fort Hood, TX | $6.70 | $6.70 – $6.70 | 9,728 | 1 |
| Newark, DE | $20.36 | $0.00 – $71.92 | 9,724 | 21 |
| Columbus, NC | $12.95 | $3.11 – $15.40 | 9,719 | 4 |
| Cary, NC | $8.04 | $0.00 – $24.08 | 9,714 | 10 |
| Boone, NC | $12.18 | $0.06 – $25.76 | 9,712 | 9 |
| Weaverville, NC | $9.03 | $0.22 – $13.20 | 9,695 | 5 |
| Gray, KY | $16.14 | $11.03 – $59.91 | 9,692 | 3 |
| Greenwood, SC | $14.87 | $0.00 – $43.39 | 9,685 | 12 |
| Marshall, MO | $23.30 | $22.66 – $54.77 | 9,675 | 6 |
| Parkland, FL | $7.77 | $0.35 – $8.03 | 9,670 | 4 |
| Saratoga, CA | $13.81 | $0.00 – $13.95 | 9,668 | 2 |
| Ada, OK | $18.00 | $5.79 – $28.23 | 9,659 | 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.