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 |
|---|---|---|---|---|
| Omaha, NE | $18.25 | $0.90 – $117.43 | 102,503 | 90 |
| Salt Lake City, UT | $31.33 | $0.00 – $101.24 | 102,475 | 52 |
| Jackson, TN | $8.67 | $0.75 – $27.23 | 102,347 | 39 |
| White Plains, NY | $9.51 | $0.46 – $22.06 | 102,001 | 34 |
| Fresno, CA | $12.22 | $0.00 – $50.00 | 101,120 | 61 |
| West Palm Beach, FL | $5.73 | $0.00 – $64.64 | 100,696 | 41 |
| Wayne, NJ | $10.92 | $0.00 – $21.07 | 100,358 | 45 |
| Hattiesburg, MS | $14.17 | $0.00 – $99.58 | 99,990 | 29 |
| Reno, NV | $19.36 | $0.00 – $81.84 | 99,897 | 67 |
| Long Beach, CA | $26.04 | $0.00 – $637.67 | 98,896 | 78 |
| Far Rockaway, NY | $13.63 | $0.00 – $45.85 | 98,847 | 25 |
| Detroit, MI | $35.38 | $5.29 – $83.45 | 98,659 | 26 |
| Independence, OH | $12.08 | $0.52 – $36.39 | 98,637 | 46 |
| Orange Park, FL | $6.36 | $0.00 – $71.95 | 97,970 | 35 |
| Largo, FL | $5.77 | $0.00 – $45.26 | 97,513 | 42 |
| Amarillo, TX | $9.03 | $0.00 – $76.03 | 95,787 | 39 |
| Kingsport, TN | $8.27 | $0.00 – $28.95 | 95,203 | 26 |
| La Grange, NC | $35.51 | $34.79 – $38.85 | 94,129 | 2 |
| Cumberland, MD | $45.76 | $0.00 – $82.19 | 93,967 | 33 |
| Town And Country, MO | $28.36 | $24.95 – $30.68 | 93,829 | 5 |
| Mobile, AL | $5.63 | $0.00 – $103.83 | 93,822 | 56 |
| Woodlawn, VA | $9.52 | $3.76 – $16.06 | 93,735 | 12 |
| Bedford, OH | $13.55 | $11.62 – $21.78 | 93,050 | 9 |
| Jackson, MS | $25.81 | $0.00 – $202.56 | 92,931 | 44 |
| Minneapolis, MN | $50.46 | $0.00 – $380.00 | 92,705 | 139 |
| Fall River, MA | $10.57 | $1.48 – $41.88 | 92,585 | 40 |
| Stamford, CT | $13.05 | $1.08 – $34.52 | 90,947 | 19 |
| Dover, NC | $32.92 | $0.00 – $38.08 | 90,677 | 3 |
| Linthicum Heights, MD | $29.25 | $12.99 – $77.11 | 90,073 | 8 |
| Durham, NC | $17.27 | $0.00 – $31.61 | 89,857 | 64 |
| Tacoma, WA | $14.59 | $0.00 – $49.62 | 89,095 | 96 |
| Meridian, MS | $14.16 | $0.00 – $84.54 | 88,871 | 51 |
| Denver, CO | $15.78 | $0.00 – $130.87 | 88,674 | 81 |
| Pembroke Pines, FL | $9.44 | $0.00 – $51.83 | 88,159 | 34 |
| Chelmsford, MA | $12.87 | $1.32 – $76.51 | 87,704 | 35 |
| Harrisburg, PA | $19.22 | $0.00 – $114.29 | 87,654 | 48 |
| Bayside, NY | $9.87 | $3.02 – $87.83 | 87,602 | 14 |
| Merrillville, IN | $10.54 | $0.00 – $57.43 | 87,122 | 26 |
| Riverwoods, IL | $28.84 | $8.20 – $36.25 | 86,974 | 6 |
| Lynchburg, VA | $10.05 | $3.03 – $26.90 | 85,902 | 43 |
| Elmhurst, NY | $11.87 | $3.95 – $77.74 | 85,361 | 19 |
| Torrance, CA | $14.33 | $1.98 – $67.30 | 85,193 | 47 |
| Waukesha, WI | $21.56 | $4.10 – $36.38 | 85,079 | 49 |
| Sand Springs, OK | $16.52 | $2.35 – $23.92 | 84,834 | 5 |
| Springfield, MO | $27.03 | $0.00 – $69.24 | 84,700 | 40 |
| Sugar Land, TX | $9.10 | $0.00 – $38.72 | 84,608 | 58 |
| Jacksboro, TX | $8.66 | $0.00 – $8.73 | 84,318 | 3 |
| Hyattsville, MD | $34.24 | $0.00 – $75.09 | 84,236 | 15 |
| Avon, CT | $17.23 | $0.00 – $38.88 | 84,213 | 22 |
| Shelton, CT | $26.93 | $2.02 – $49.70 | 84,063 | 19 |
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.