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 |
|---|---|---|---|---|
| Bryan, TX | $5.04 | $2.45 – $9.51 | 6,663 | 3 |
| Fayetteville, WV | $10.13 | $5.71 – $11.42 | 6,660 | 3 |
| Irvington, KY | $5.70 | $0.96 – $5.88 | 6,653 | 3 |
| Long Island City, NY | $8.01 | $5.36 – $33.42 | 6,649 | 6 |
| Whiting, NJ | $16.77 | $5.36 – $19.25 | 6,645 | 2 |
| Wheeling, WV | $15.43 | $5.19 – $19.71 | 6,642 | 7 |
| Rancho Cordova, CA | $4.80 | $0.00 – $19.39 | 6,636 | 9 |
| Leeds, AL | $0.87 | $0.87 – $0.87 | 6,630 | 1 |
| Grass Valley, CA | $9.04 | $0.00 – $10.90 | 6,624 | 6 |
| Bethel, OH | $16.03 | $8.01 – $16.21 | 6,615 | 2 |
| Clinton, MS | $15.30 | $6.30 – $17.85 | 6,613 | 4 |
| Land O Lakes, FL | $13.81 | $0.00 – $22.62 | 6,609 | 7 |
| Pueblo, CO | $36.21 | $2.90 – $149.23 | 6,609 | 14 |
| Clinton, NC | $18.35 | $10.36 – $31.27 | 6,606 | 6 |
| Middle Island, NY | $3.18 | $3.18 – $3.18 | 6,603 | 1 |
| Bend, OR | $15.47 | $0.00 – $44.03 | 6,600 | 12 |
| Shaker Heights, OH | $14.21 | $0.00 – $16.93 | 6,597 | 6 |
| Woodbury, NY | $9.33 | $0.00 – $13.69 | 6,594 | 4 |
| Farmington, NM | $25.30 | $0.00 – $31.82 | 6,580 | 8 |
| Oakdale, NY | $3.03 | $3.03 – $3.03 | 6,566 | 1 |
| Peebles, OH | $8.14 | $8.14 – $8.14 | 6,562 | 1 |
| Manhasset, NY | $3.47 | $1.90 – $13.16 | 6,560 | 6 |
| Jackson, KY | $30.55 | $10.00 – $37.89 | 6,559 | 5 |
| Ypsilanti, MI | $29.00 | $0.30 – $58.20 | 6,557 | 9 |
| Ponchatoula, LA | $8.11 | $4.54 – $10.33 | 6,535 | 3 |
| Salem, AR | $15.57 | $11.95 – $22.09 | 6,533 | 9 |
| Powell, OH | $21.54 | $4.07 – $28.35 | 6,533 | 6 |
| Mountain City, TN | $9.72 | $7.98 – $29.80 | 6,532 | 5 |
| Godfrey, IL | $3.13 | $1.57 – $6.51 | 6,510 | 2 |
| Montgomery, NY | $7.13 | $5.42 – $8.42 | 6,506 | 4 |
| Burley, ID | $19.63 | $0.00 – $51.71 | 6,505 | 6 |
| Northfield, IL | $19.18 | $12.42 – $26.69 | 6,495 | 3 |
| Benton, KY | $4.52 | $0.84 – $9.77 | 6,494 | 9 |
| East Saint Louis, IL | $13.89 | $10.77 – $19.78 | 6,483 | 3 |
| Moundville, AL | $3.85 | $3.85 – $3.85 | 6,460 | 1 |
| Iowa City, IA | $11.91 | $5.27 – $40.36 | 6,455 | 14 |
| Covington, KY | $6.64 | $0.00 – $26.99 | 6,453 | 6 |
| Raymore, MO | $10.05 | $5.89 – $10.17 | 6,447 | 2 |
| Vidalia, LA | $2.76 | $2.12 – $7.04 | 6,443 | 2 |
| Sunny Isles Beach, FL | $2.23 | $0.00 – $28.45 | 6,442 | 4 |
| Ceres, CA | $5.36 | $5.36 – $5.36 | 6,438 | 1 |
| Ste Genevieve, MO | $58.25 | $34.68 – $82.80 | 6,430 | 8 |
| Westfield, IN | $13.75 | $6.03 – $16.55 | 6,420 | 4 |
| Hazlet, NJ | $12.18 | $1.36 – $31.13 | 6,419 | 6 |
| Lincolnshire, IL | $11.69 | $8.97 – $12.71 | 6,419 | 3 |
| Cranford, NJ | $15.18 | $10.84 – $17.28 | 6,415 | 3 |
| Nassawadox, VA | $9.00 | $5.51 – $12.47 | 6,394 | 3 |
| Pembroke, MA | $12.88 | $4.46 – $48.87 | 6,392 | 9 |
| Oxford, NC | $17.19 | $0.00 – $20.82 | 6,391 | 4 |
| Rayne, LA | $4.61 | $3.05 – $8.18 | 6,390 | 3 |
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.