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 |
|---|---|---|---|---|
| Rocky River, OH | $15.99 | $2.30 – $26.23 | 9,651 | 6 |
| Lansdowne, PA | $19.61 | $4.64 – $32.78 | 9,645 | 5 |
| North Hills, CA | $11.52 | $0.00 – $25.45 | 9,644 | 3 |
| Hobbs, NM | $30.09 | $5.58 – $41.35 | 9,635 | 4 |
| Farmerville, LA | $5.56 | $0.00 – $8.72 | 9,620 | 3 |
| Lady Lake, FL | $10.65 | $0.63 – $32.12 | 9,611 | 12 |
| Wesley Chapel, FL | $4.84 | $0.00 – $13.56 | 9,610 | 10 |
| The Villages, FL | $5.14 | $0.00 – $49.18 | 9,610 | 14 |
| East Bridgewater, MA | $18.41 | $7.47 – $45.10 | 9,596 | 4 |
| Roswell, NM | $21.59 | $5.65 – $84.65 | 9,570 | 11 |
| Mechanicsville, VA | $10.48 | $3.68 – $18.47 | 9,561 | 14 |
| Salem, OH | $10.27 | $4.39 – $13.82 | 9,552 | 6 |
| Eden Prairie, MN | $28.38 | $26.92 – $31.05 | 9,550 | 2 |
| U Saddle Riv, NJ | $29.07 | $29.07 – $29.07 | 9,545 | 1 |
| City Of Industry, CA | $13.09 | $7.99 – $18.94 | 9,541 | 4 |
| Holladay, UT | $11.93 | $11.80 – $20.70 | 9,540 | 2 |
| Broomfield, CO | $31.49 | $25.49 – $64.68 | 9,535 | 4 |
| Far Rokaway, NY | $13.74 | $13.74 – $13.74 | 9,527 | 1 |
| Murray, KY | $5.38 | $1.62 – $19.35 | 9,526 | 6 |
| Jackson, MO | $27.27 | $10.42 – $56.18 | 9,526 | 7 |
| Lincolnton, NC | $10.44 | $0.00 – $12.21 | 9,522 | 4 |
| Manchester, KY | $44.40 | $0.00 – $49.43 | 9,520 | 8 |
| Franklin, KY | $11.17 | $0.00 – $21.50 | 9,513 | 10 |
| Talladega, AL | $4.78 | $0.00 – $9.20 | 9,510 | 6 |
| Monroe, OH | $22.84 | $1.54 – $22.93 | 9,498 | 2 |
| East Granby, CT | $15.73 | $15.73 – $15.73 | 9,495 | 1 |
| Webster, MA | $13.78 | $11.00 – $27.64 | 9,490 | 4 |
| Woonsocket, RI | $14.40 | $7.31 – $28.04 | 9,481 | 6 |
| Centreville, AL | $0.91 | $0.00 – $11.29 | 9,479 | 11 |
| Greenfield, IN | $12.71 | $0.92 – $24.84 | 9,475 | 5 |
| Rochester, MN | $77.19 | $2.20 – $254.51 | 9,467 | 24 |
| Canton, MI | $25.93 | $4.66 – $25.98 | 9,449 | 2 |
| Ripley, MS | $13.52 | $11.79 – $21.59 | 9,428 | 3 |
| Fulton, MS | $16.19 | $8.91 – $46.82 | 9,391 | 4 |
| Owingsville, KY | $7.36 | $7.36 – $7.36 | 9,388 | 1 |
| Carthage, TN | $6.11 | $6.11 – $6.11 | 9,387 | 1 |
| Pikeville, KY | $10.58 | $0.00 – $60.11 | 9,369 | 8 |
| Port Allen, LA | $15.77 | $12.86 – $17.05 | 9,362 | 3 |
| Saginaw, MI | $22.32 | $0.00 – $64.95 | 9,360 | 14 |
| Glen Ridge, NJ | $8.96 | $8.78 – $25.60 | 9,347 | 2 |
| North Brunswick, NJ | $7.79 | $0.00 – $21.08 | 9,343 | 11 |
| Citrus Springs, FL | $3.67 | $2.60 – $3.74 | 9,323 | 2 |
| Bonita Springs, FL | $5.78 | $0.00 – $6.16 | 9,316 | 3 |
| Moline, IL | $7.10 | $2.28 – $11.34 | 9,313 | 8 |
| Nottingham, MD | $42.62 | $-7.81 – $85.56 | 9,308 | 6 |
| Midland, MI | $19.69 | $19.56 – $46.37 | 9,296 | 2 |
| Columbus, MS | $21.76 | $0.00 – $37.15 | 9,275 | 10 |
| Mount Holly, NJ | $13.73 | $1.42 – $21.68 | 9,262 | 11 |
| Junction City, KS | $19.51 | $3.01 – $114.62 | 9,252 | 5 |
| Bridgewater, NJ | $14.60 | $0.00 – $19.15 | 9,243 | 13 |
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.