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 |
|---|---|---|---|---|
| North Port, FL | $0.89 | $0.88 – $2.24 | 5,567 | 2 |
| Port Angeles, WA | $12.26 | $0.55 – $22.16 | 5,566 | 7 |
| Savannah, GA | $16.05 | $2.01 – $114.34 | 5,562 | 12 |
| Sedalia, MO | $19.58 | $3.90 – $47.36 | 5,562 | 8 |
| Muskego, WI | $24.20 | $24.20 – $24.20 | 5,557 | 1 |
| Climax, NC | $8.42 | $8.42 – $8.42 | 5,551 | 1 |
| East Providence, RI | $18.57 | $0.19 – $23.66 | 5,543 | 7 |
| Elko, NV | $13.24 | $0.00 – $24.72 | 5,536 | 5 |
| Kingston Springs, TN | $11.67 | $11.67 – $11.67 | 5,535 | 1 |
| Alamogordo, NM | $22.88 | $4.73 – $39.33 | 5,531 | 5 |
| West Memphis, AR | $15.85 | $0.00 – $25.65 | 5,523 | 10 |
| Caldwell, ID | $19.75 | $10.22 – $38.32 | 5,517 | 4 |
| North Bend, OH | $19.87 | $19.87 – $19.87 | 5,513 | 1 |
| Decatur, IN | $12.37 | $7.47 – $33.83 | 5,511 | 7 |
| Morton, MS | $28.74 | $16.72 – $30.45 | 5,508 | 5 |
| Lodi, NJ | $12.94 | $0.00 – $13.70 | 5,505 | 4 |
| Forsyth, IL | $19.53 | $19.53 – $19.53 | 5,504 | 1 |
| Summit, WI | $23.43 | $21.21 – $25.24 | 5,500 | 2 |
| Randleman, NC | $14.64 | $14.64 – $14.64 | 5,496 | 1 |
| Fayetteville, AR | $15.60 | $0.00 – $19.19 | 5,493 | 11 |
| Havre De Grace, MD | $17.99 | $15.00 – $49.71 | 5,472 | 4 |
| Plainsboro, NJ | $12.69 | $0.00 – $18.15 | 5,471 | 5 |
| Saco, ME | $22.59 | $15.91 – $26.93 | 5,461 | 14 |
| Madison, CT | $4.45 | $0.00 – $7.17 | 5,460 | 4 |
| South Carolina, SC | $15.91 | $15.91 – $15.91 | 5,455 | 1 |
| Yorktown Heights, NY | $8.25 | $0.00 – $9.84 | 5,454 | 4 |
| Mccordsville, IN | $14.15 | $14.15 – $14.15 | 5,454 | 1 |
| Indio, CA | $21.12 | $9.63 – $31.97 | 5,452 | 4 |
| Latham, NY | $5.77 | $0.03 – $15.28 | 5,443 | 7 |
| Little River, SC | $15.32 | $4.58 – $16.81 | 5,441 | 2 |
| Garwood, NJ | $15.55 | $15.55 – $15.55 | 5,434 | 1 |
| Destin, FL | $7.52 | $0.00 – $7.54 | 5,432 | 2 |
| Booneville, MS | $19.01 | $4.20 – $137.68 | 5,427 | 12 |
| Hyde Park, MA | $13.91 | $6.14 – $24.61 | 5,417 | 3 |
| Campton, KY | $3.63 | $3.36 – $6.45 | 5,410 | 4 |
| La Grange Park, IL | $7.99 | $7.98 – $8.60 | 5,410 | 2 |
| Lavonia, GA | $3.09 | $3.09 – $3.09 | 5,405 | 1 |
| Bulverde, TX | $5.71 | $5.71 – $5.71 | 5,404 | 1 |
| Hartford City, IN | $10.93 | $5.70 – $11.94 | 5,404 | 2 |
| Mexia, TX | $13.91 | $1.80 – $25.81 | 5,401 | 4 |
| Watsontown, PA | $9.84 | $9.84 – $9.84 | 5,396 | 1 |
| Highland Springs, VA | $5.95 | $5.95 – $5.95 | 5,395 | 1 |
| Erwin, NC | $9.81 | $1.35 – $20.41 | 5,394 | 4 |
| Seymour, WI | $22.73 | $10.65 – $24.36 | 5,388 | 2 |
| Sandrock, AL | $0.00 | $0.00 – $0.00 | 5,382 | 1 |
| Clinton, IL | $0.03 | $0.00 – $2.22 | 5,381 | 2 |
| Macon, GA | $10.23 | $3.78 – $54.67 | 5,375 | 10 |
| Plymouth, MI | $14.59 | $13.45 – $26.46 | 5,374 | 2 |
| Provo, UT | $51.12 | $5.29 – $76.24 | 5,373 | 8 |
| Carencro, LA | $3.08 | $3.08 – $3.08 | 5,372 | 1 |
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.