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 |
|---|---|---|---|---|
| Oxford, FL | $3.90 | $2.31 – $4.51 | 8,816 | 2 |
| Spotswood, NJ | $18.11 | $9.44 – $23.68 | 8,808 | 3 |
| Prestonsburg, KY | $8.61 | $0.00 – $34.42 | 8,805 | 6 |
| Lenoir City, TN | $7.25 | $4.11 – $11.44 | 8,805 | 5 |
| East Stroudsburg, PA | $3.64 | $0.00 – $17.33 | 8,803 | 7 |
| Randolph, MA | $10.69 | $5.50 – $16.69 | 8,799 | 8 |
| Bolivar, MO | $41.27 | $19.80 – $65.42 | 8,797 | 8 |
| Winchester, IN | $15.65 | $7.27 – $16.39 | 8,791 | 3 |
| Victoria, TX | $9.24 | $0.00 – $25.68 | 8,774 | 14 |
| Richton Park, IL | $15.50 | $4.36 – $28.04 | 8,762 | 5 |
| Oakhurst, NJ | $7.08 | $0.35 – $30.38 | 8,752 | 10 |
| Livingston, TN | $6.25 | $3.37 – $16.73 | 8,742 | 4 |
| Bremerton, WA | $15.87 | $10.48 – $38.56 | 8,732 | 5 |
| Elkins, WV | $26.95 | $6.65 – $81.63 | 8,725 | 7 |
| Unionville, CT | $5.70 | $5.70 – $5.70 | 8,721 | 1 |
| Dickinson, TX | $14.15 | $0.86 – $21.38 | 8,717 | 7 |
| Stonewall, LA | $8.00 | $3.73 – $13.27 | 8,714 | 3 |
| Granada Hills, CA | $15.85 | $1.32 – $17.55 | 8,709 | 5 |
| Thief River Falls, MN | $17.17 | $17.17 – $17.17 | 8,698 | 1 |
| Williamsburg, OH | $11.51 | $11.51 – $11.51 | 8,695 | 1 |
| Ogden, UT | $19.27 | $1.62 – $27.62 | 8,666 | 12 |
| Thousand Oaks, CA | $44.94 | $0.00 – $68.89 | 8,661 | 14 |
| Waldorf, MD | $18.31 | $3.31 – $70.46 | 8,657 | 6 |
| Gaffney, SC | $21.64 | $13.18 – $43.44 | 8,654 | 3 |
| Deridder, LA | $2.37 | $2.00 – $7.61 | 8,642 | 3 |
| Snead, AL | $0.38 | $0.00 – $1.58 | 8,633 | 4 |
| Fond Du Lac, WI | $18.27 | $0.95 – $68.91 | 8,615 | 9 |
| Sewickley, PA | $22.09 | $6.32 – $26.08 | 8,611 | 5 |
| Oconomowoc, WI | $13.09 | $8.54 – $21.18 | 8,602 | 3 |
| Meadville, MS | $14.67 | $14.67 – $14.67 | 8,601 | 1 |
| Vienna, VA | $25.21 | $14.03 – $58.35 | 8,596 | 3 |
| South Fulton, TN | $5.91 | $5.62 – $32.38 | 8,584 | 2 |
| Carlisle, PA | $10.92 | $4.98 – $34.03 | 8,579 | 6 |
| Garfield Hts, OH | $17.64 | $15.34 – $17.67 | 8,573 | 2 |
| Wilmington, OH | $11.71 | $4.60 – $21.09 | 8,564 | 8 |
| Roxbury, MA | $13.15 | $2.57 – $21.70 | 8,556 | 5 |
| Morgan City, LA | $5.89 | $0.00 – $11.41 | 8,554 | 6 |
| Picayune, MS | $5.20 | $5.20 – $5.20 | 8,546 | 1 |
| St Johns, FL | $8.40 | $0.00 – $9.41 | 8,546 | 4 |
| Richmond Hts, OH | $14.73 | $10.79 – $14.80 | 8,545 | 2 |
| Holliston, MA | $19.21 | $0.00 – $19.24 | 8,539 | 2 |
| Beaufort, NC | $14.77 | $7.50 – $15.87 | 8,526 | 3 |
| Marblehead, MA | $5.63 | $5.19 – $7.09 | 8,521 | 2 |
| Sheridan, CO | $24.73 | $24.73 – $24.73 | 8,515 | 1 |
| Mill Valley, CA | $19.17 | $0.00 – $19.21 | 8,509 | 2 |
| Olathe, KS | $9.36 | $0.00 – $35.85 | 8,504 | 15 |
| Huntington, IN | $9.94 | $0.41 – $17.89 | 8,504 | 5 |
| Brownsville, KY | $2.53 | $1.12 – $4.11 | 8,504 | 3 |
| Peabody, MA | $10.75 | $3.18 – $29.82 | 8,503 | 11 |
| Janesville, WI | $20.95 | $6.93 – $59.39 | 8,496 | 6 |
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.