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 |
|---|---|---|---|---|
| Highland Hts, OH | $14.02 | $9.54 – $14.87 | 6,389 | 2 |
| Eastpointe, MI | $47.36 | $35.49 – $55.19 | 6,386 | 5 |
| West Valley City, UT | $127.98 | $22.35 – $135.49 | 6,382 | 3 |
| Byrdstown, TN | $7.27 | $2.07 – $7.78 | 6,381 | 3 |
| Magee, MS | $17.34 | $0.00 – $64.25 | 6,381 | 7 |
| Edgewood, KY | $9.84 | $0.00 – $35.35 | 6,364 | 8 |
| San Juan Capistrano, CA | $18.41 | $2.25 – $105.76 | 6,360 | 4 |
| Wakarusa, IN | $9.08 | $9.08 – $9.08 | 6,355 | 1 |
| Bremond, TX | $0.71 | $0.71 – $0.71 | 6,355 | 1 |
| West Roxbury, MA | $14.21 | $14.21 – $14.21 | 6,352 | 1 |
| Green Bay, WI | $14.72 | $1.02 – $124.01 | 6,340 | 20 |
| Mariposa, CA | $1.91 | $1.91 – $1.91 | 6,340 | 1 |
| Roseland, NJ | $22.12 | $14.45 – $26.03 | 6,337 | 6 |
| Ottumwa, IA | $14.02 | $0.00 – $16.29 | 6,335 | 5 |
| West Islip, NY | $6.99 | $0.00 – $8.04 | 6,328 | 7 |
| Glenn Dale, MD | $50.53 | $19.61 – $82.51 | 6,328 | 7 |
| Augusta, AR | $11.70 | $11.70 – $11.70 | 6,328 | 1 |
| Cynthiana, KY | $8.96 | $0.09 – $30.91 | 6,320 | 8 |
| Bridgewater, MA | $8.26 | $4.75 – $21.56 | 6,318 | 3 |
| East Hanover, NJ | $2.17 | $0.00 – $3.83 | 6,318 | 7 |
| Alton, IL | $6.39 | $0.38 – $19.92 | 6,306 | 7 |
| Kingston, TN | $17.70 | $17.70 – $17.70 | 6,305 | 1 |
| Summit, NJ | $11.20 | $10.44 – $11.62 | 6,301 | 3 |
| Bridgton, ME | $8.94 | $6.04 – $19.42 | 6,295 | 3 |
| Sylmar, CA | $5.92 | $2.26 – $667.16 | 6,292 | 8 |
| Franklin, IN | $5.38 | $0.00 – $18.95 | 6,287 | 5 |
| Hope, AR | $16.27 | $9.47 – $23.17 | 6,272 | 4 |
| Neosho, MO | $37.02 | $18.30 – $52.14 | 6,267 | 3 |
| Jersey Village, TX | $3.00 | $3.00 – $3.00 | 6,263 | 1 |
| Columbia Falls, MT | $0.02 | $0.00 – $6.37 | 6,260 | 2 |
| Hermitage, TN | $8.04 | $0.74 – $21.39 | 6,250 | 8 |
| Baldwinville, MA | $17.21 | $11.13 – $26.70 | 6,245 | 2 |
| El Dorado Hills, CA | $2.08 | $2.08 – $2.08 | 6,245 | 1 |
| Palmer, TX | $1.94 | $1.94 – $1.94 | 6,238 | 1 |
| Prattville, AL | $1.18 | $0.62 – $2.03 | 6,228 | 3 |
| Johnstown, PA | $14.19 | $6.87 – $44.05 | 6,228 | 9 |
| Olmsted Twp, OH | $15.37 | $15.19 – $15.94 | 6,223 | 2 |
| Demopolis, AL | $8.84 | $0.00 – $23.77 | 6,210 | 4 |
| Lawndale, CA | $12.26 | $9.90 – $31.84 | 6,210 | 3 |
| Amsterdam, NY | $8.79 | $0.00 – $19.74 | 6,209 | 6 |
| Mount Kisco, NY | $26.10 | $5.27 – $42.28 | 6,200 | 4 |
| Hacienda Heights, CA | $15.03 | $12.83 – $17.53 | 6,199 | 2 |
| Flemingsburg, KY | $3.53 | $0.00 – $4.46 | 6,190 | 5 |
| Lake Forest, IL | $3.07 | $2.11 – $45.75 | 6,188 | 4 |
| Pennsville, NJ | $23.47 | $23.47 – $23.47 | 6,178 | 1 |
| Franklin, NC | $9.51 | $9.51 – $9.51 | 6,175 | 1 |
| Sagamore Hills, OH | $16.46 | $4.58 – $16.90 | 6,175 | 2 |
| Fishkill, NY | $8.46 | $5.59 – $8.79 | 6,172 | 2 |
| Syosset, NY | $5.37 | $0.04 – $25.48 | 6,170 | 12 |
| Hayward, CA | $21.25 | $4.53 – $22.97 | 6,155 | 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.