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 |
|---|---|---|---|---|
| Woodsville, NH | $0.11 | $0.11 – $0.11 | 7,605 | 1 |
| Bluffton, IN | $5.76 | $2.71 – $9.60 | 7,601 | 6 |
| Gurnee, IL | $16.70 | $1.45 – $38.73 | 7,592 | 14 |
| Salem, MO | $25.53 | $25.47 – $62.20 | 7,581 | 2 |
| Cold Spring, NY | $5.00 | $5.00 – $5.00 | 7,561 | 1 |
| Olmsted Township, OH | $7.40 | $7.40 – $7.40 | 7,561 | 1 |
| Elyria, OH | $9.52 | $4.88 – $23.18 | 7,555 | 9 |
| Point Pleasant, WV | $5.06 | $0.00 – $13.17 | 7,555 | 4 |
| Laveen, AZ | $42.26 | $29.39 – $42.74 | 7,554 | 3 |
| Bradford, PA | $7.90 | $0.00 – $51.27 | 7,553 | 8 |
| Piscataway, NJ | $13.38 | $0.58 – $21.74 | 7,551 | 11 |
| Cave Creek, AZ | $51.16 | $15.12 – $59.50 | 7,550 | 4 |
| Palmer, MA | $10.22 | $3.67 – $26.13 | 7,546 | 6 |
| Choctaw, MS | $10.73 | $10.73 – $10.73 | 7,546 | 1 |
| Port Washington, NY | $9.54 | $0.00 – $9.64 | 7,546 | 2 |
| Decherd, TN | $6.60 | $6.60 – $6.60 | 7,541 | 1 |
| Pflugerville, TX | $5.37 | $0.70 – $33.86 | 7,530 | 7 |
| Gleason, TN | $7.33 | $6.02 – $9.11 | 7,526 | 2 |
| Burlington, VT | $12.73 | $11.49 – $20.95 | 7,520 | 10 |
| Hancock, MI | $23.46 | $0.24 – $29.69 | 7,501 | 3 |
| Tracy, CA | $11.40 | $0.00 – $15.91 | 7,498 | 6 |
| Fort Mohave, AZ | $26.37 | $26.37 – $26.37 | 7,498 | 1 |
| Floral Park, NY | $16.88 | $14.48 – $25.54 | 7,494 | 4 |
| Prentiss, MS | $20.65 | $14.57 – $44.98 | 7,494 | 5 |
| Menands, NY | $14.00 | $14.00 – $14.00 | 7,481 | 1 |
| Belleville, NJ | $6.19 | $0.32 – $35.26 | 7,451 | 11 |
| Cedar Hill, TX | $7.94 | $0.29 – $8.94 | 7,449 | 3 |
| Conroe, TX | $4.24 | $0.00 – $10.94 | 7,434 | 7 |
| Saint Peters, MO | $19.71 | $9.06 – $63.00 | 7,419 | 11 |
| Loveland, CO | $21.57 | $4.56 – $28.22 | 7,413 | 11 |
| Seminole, OK | $16.13 | $10.98 – $18.54 | 7,413 | 3 |
| Barboursville, VA | $7.40 | $7.40 – $7.40 | 7,409 | 1 |
| Wharton, TX | $9.39 | $2.79 – $10.41 | 7,388 | 3 |
| Yuba City, CA | $24.43 | $0.00 – $399.79 | 7,372 | 9 |
| Phoenixville, PA | $9.64 | $2.55 – $36.34 | 7,370 | 3 |
| Wentzville, MO | $20.71 | $7.35 – $26.56 | 7,368 | 8 |
| Lancaster, CA | $25.49 | $4.71 – $55.84 | 7,363 | 8 |
| New Athens, IL | $13.31 | $13.31 – $13.31 | 7,358 | 1 |
| Peterborough, NH | $3.95 | $3.11 – $8.59 | 7,357 | 2 |
| Fairlawn, OH | $6.13 | $1.98 – $11.97 | 7,352 | 7 |
| La Grange Highlands, IL | $21.68 | $21.68 – $21.68 | 7,349 | 1 |
| Reform, AL | $8.55 | $8.01 – $9.21 | 7,348 | 2 |
| Wernersville, PA | $11.17 | $0.56 – $41.09 | 7,341 | 15 |
| Raytown, MO | $16.65 | $0.81 – $18.70 | 7,329 | 4 |
| Brownsville, TN | $9.64 | $3.55 – $15.30 | 7,326 | 5 |
| Eunice, LA | $3.19 | $0.00 – $8.56 | 7,322 | 9 |
| Munfordville, KY | $4.84 | $0.00 – $9.66 | 7,317 | 5 |
| Harwich, MA | $18.04 | $6.02 – $18.25 | 7,315 | 3 |
| Lansing, MI | $17.23 | $12.96 – $40.53 | 7,312 | 4 |
| Flint, MI | $23.43 | $5.64 – $83.42 | 7,306 | 12 |
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.