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 |
|---|---|---|---|---|
| Cuyahoga Falls, OH | $10.59 | $1.79 – $25.87 | 83,778 | 18 |
| Port Orange, FL | $4.37 | $0.00 – $43.38 | 83,128 | 11 |
| Naperville, IL | $13.20 | $3.29 – $47.31 | 82,800 | 26 |
| Katy, TX | $7.85 | $0.00 – $45.73 | 82,453 | 43 |
| Carmel, IN | $10.28 | $0.00 – $27.67 | 81,928 | 30 |
| Great Neck, NY | $9.13 | $0.00 – $23.44 | 81,370 | 9 |
| Brighton, MI | $36.26 | $36.26 – $36.26 | 81,323 | 1 |
| Laurel, MD | $41.24 | $0.00 – $75.64 | 80,910 | 27 |
| Clermont, FL | $9.17 | $0.29 – $31.08 | 80,077 | 22 |
| Linwood, NJ | $23.57 | $2.64 – $36.61 | 79,930 | 10 |
| Strongsville, OH | $18.98 | $5.64 – $31.07 | 79,853 | 17 |
| Hopewell, VA | $43.17 | $3.01 – $70.96 | 79,330 | 12 |
| Evanston, IL | $11.42 | $0.00 – $52.06 | 78,976 | 18 |
| Batesville, MS | $36.33 | $0.00 – $52.10 | 78,439 | 10 |
| Petersburg, VA | $47.28 | $2.41 – $85.50 | 78,407 | 17 |
| El Segundo, CA | $21.30 | $0.00 – $46.68 | 77,992 | 22 |
| Redlands, CA | $20.07 | $0.00 – $68.60 | 77,673 | 14 |
| Pomona, CA | $15.96 | $0.00 – $100.53 | 77,180 | 39 |
| Boerne, TX | $9.63 | $1.01 – $22.88 | 77,145 | 28 |
| Greenville, SC | $17.56 | $0.00 – $77.31 | 77,023 | 75 |
| Saint Petersburg, FL | $3.94 | $0.00 – $18.39 | 76,925 | 22 |
| Anaheim, CA | $16.30 | $0.00 – $52.00 | 76,851 | 38 |
| Kansas City, MO | $17.12 | $0.00 – $113.53 | 76,811 | 71 |
| Pasadena, MD | $27.40 | $0.00 – $146.42 | 76,307 | 13 |
| El Paso, TX | $12.32 | $0.00 – $45.99 | 76,242 | 62 |
| Naples, FL | $7.47 | $0.00 – $70.13 | 76,196 | 56 |
| Portland, OR | $21.29 | $0.00 – $61.72 | 75,859 | 60 |
| Corona, CA | $35.36 | $0.00 – $83.72 | 75,346 | 22 |
| Yonkers, NY | $11.52 | $0.60 – $63.91 | 75,172 | 39 |
| Westchester, IL | $19.60 | $1.96 – $21.91 | 74,946 | 8 |
| Youngstown, OH | $14.17 | $0.00 – $61.65 | 74,636 | 45 |
| Palos Heights, IL | $9.03 | $1.25 – $44.25 | 74,468 | 18 |
| Norwalk, CT | $17.54 | $0.00 – $32.25 | 74,212 | 22 |
| Waterbury, CT | $19.19 | $0.74 – $42.18 | 73,922 | 39 |
| Hendersonville, NC | $18.89 | $0.00 – $50.74 | 73,686 | 35 |
| Arlington, TX | $7.15 | $0.00 – $27.44 | 73,291 | 31 |
| Brandon, FL | $5.26 | $0.00 – $39.18 | 73,127 | 29 |
| Alhambra, CA | $16.38 | $3.82 – $29.31 | 72,858 | 31 |
| Plymouth Meeting, PA | $25.16 | $0.00 – $68.39 | 72,828 | 76 |
| Edgewater, NJ | $13.04 | $0.00 – $28.64 | 72,603 | 7 |
| Forest Hills, NY | $6.00 | $0.00 – $31.92 | 72,589 | 25 |
| South Bend, IN | $11.85 | $0.00 – $36.77 | 72,408 | 23 |
| Boca Raton, FL | $6.43 | $0.00 – $33.73 | 71,320 | 49 |
| Lees Summit, MO | $12.34 | $0.00 – $54.11 | 71,297 | 39 |
| Bossier City, LA | $10.66 | $0.00 – $18.33 | 71,014 | 13 |
| Redding, CA | $22.97 | $0.00 – $348.31 | 70,958 | 33 |
| Plano, TX | $8.55 | $0.00 – $45.68 | 70,616 | 50 |
| New Port Richey, FL | $5.64 | $0.00 – $53.89 | 70,165 | 20 |
| Bangor, ME | $5.65 | $0.00 – $116.31 | 69,909 | 21 |
| Tempe, AZ | $26.32 | $0.00 – $64.19 | 69,776 | 34 |
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.