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 |
|---|---|---|---|---|
| Smiths Station, AL | $0.70 | $0.70 – $0.70 | 6,980 | 1 |
| Maurice, LA | $2.19 | $2.19 – $2.19 | 6,979 | 1 |
| Port Saint Lucie, FL | $3.35 | $0.00 – $32.69 | 6,975 | 14 |
| Carrollton, MO | $30.66 | $14.72 – $31.06 | 6,967 | 4 |
| Jamesburg, NJ | $7.87 | $2.10 – $14.70 | 6,966 | 3 |
| Waconia, MN | $44.67 | $30.98 – $60.53 | 6,919 | 7 |
| Mount Pleasant, WI | $18.87 | $13.65 – $35.15 | 6,900 | 5 |
| Sheboygan, WI | $23.54 | $4.76 – $35.16 | 6,897 | 11 |
| Clintwood, VA | $20.61 | $6.60 – $22.80 | 6,890 | 3 |
| Jennings, LA | $5.91 | $0.00 – $13.38 | 6,883 | 5 |
| Wappingers Falls, NY | $6.48 | $2.16 – $17.91 | 6,878 | 4 |
| Bridgeton, NJ | $11.35 | $2.81 – $18.30 | 6,877 | 5 |
| Pleasant Grove, AL | $2.85 | $2.85 – $2.85 | 6,873 | 1 |
| Lexington, NE | $13.90 | $13.90 – $13.90 | 6,867 | 1 |
| Farmville, VA | $11.35 | $0.19 – $16.42 | 6,862 | 11 |
| Cedarhurst, NY | $9.60 | $1.68 – $42.64 | 6,861 | 8 |
| Pleasant View, TN | $9.71 | $9.20 – $18.33 | 6,855 | 2 |
| Lancaster, SC | $19.85 | $7.44 – $26.12 | 6,837 | 6 |
| Marlborough, MA | $12.94 | $6.38 – $33.53 | 6,834 | 4 |
| Ventura, CA | $24.13 | $8.30 – $77.90 | 6,832 | 6 |
| Hockessin, DE | $10.37 | $0.09 – $10.66 | 6,822 | 2 |
| Mount Prospect, IL | $23.58 | $5.78 – $41.11 | 6,820 | 6 |
| Martinsville, NJ | $8.62 | $8.57 – $9.05 | 6,805 | 2 |
| Westfield, MA | $16.34 | $6.16 – $20.65 | 6,804 | 5 |
| Centralia, IL | $6.67 | $0.00 – $14.13 | 6,796 | 9 |
| Sevierville, TN | $14.79 | $0.00 – $32.67 | 6,776 | 7 |
| Tuscumbia, AL | $3.83 | $3.18 – $4.16 | 6,776 | 2 |
| Palmetto, FL | $2.79 | $0.29 – $4.60 | 6,770 | 4 |
| Melrose Park, IL | $16.32 | $0.00 – $32.85 | 6,768 | 7 |
| Medina, NY | $8.65 | $8.27 – $25.80 | 6,768 | 2 |
| Titusville, FL | $6.70 | $0.00 – $8.98 | 6,762 | 6 |
| Manalapan, NJ | $15.27 | $0.28 – $19.71 | 6,755 | 13 |
| Duncan, OK | $20.28 | $9.26 – $56.89 | 6,749 | 8 |
| Lincoln, CA | $27.60 | $1.37 – $51.75 | 6,749 | 5 |
| Davenport, IA | $16.14 | $5.25 – $48.78 | 6,747 | 13 |
| Lithia Springs, GA | $7.50 | $7.50 – $7.50 | 6,745 | 1 |
| Danville, IL | $18.27 | $0.12 – $37.42 | 6,735 | 11 |
| Pompton Plains, NJ | $13.69 | $0.05 – $16.91 | 6,733 | 8 |
| South Plainfield, NJ | $9.69 | $0.00 – $14.48 | 6,731 | 8 |
| Southbridge, MA | $20.41 | $5.09 – $21.15 | 6,721 | 4 |
| Heber City, UT | $18.45 | $1.68 – $37.54 | 6,716 | 5 |
| Mays Landing, NJ | $20.50 | $10.02 – $30.38 | 6,708 | 3 |
| Conneaut, OH | $11.00 | $6.10 – $13.93 | 6,707 | 5 |
| Muscatine, IA | $21.36 | $0.00 – $39.23 | 6,685 | 7 |
| Alexandria, KY | $12.29 | $12.29 – $12.29 | 6,682 | 1 |
| Orleans, IN | $9.26 | $9.12 – $9.38 | 6,682 | 3 |
| West Jordan, UT | $13.46 | $3.62 – $75.95 | 6,678 | 3 |
| Newburgh, IN | $4.94 | $0.00 – $11.41 | 6,676 | 9 |
| Kimbolton, OH | $11.20 | $11.20 – $11.20 | 6,676 | 1 |
| Clovis, CA | $5.08 | $1.70 – $29.86 | 6,663 | 4 |
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.