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 |
|---|---|---|---|---|
| Newburyport, MA | $12.47 | $1.21 – $16.33 | 5,370 | 8 |
| Newport, KY | $9.49 | $7.71 – $12.02 | 5,365 | 3 |
| Willingboro, NJ | $17.51 | $10.85 – $26.97 | 5,360 | 2 |
| Kemp, TX | $7.98 | $7.98 – $7.98 | 5,358 | 1 |
| Monroe, MI | $11.60 | $1.16 – $57.69 | 5,355 | 9 |
| Romeoville, IL | $19.14 | $5.12 – $43.71 | 5,354 | 3 |
| Portland, CT | $11.54 | $11.54 – $11.54 | 5,348 | 1 |
| Fuquay Varina, NC | $13.91 | $4.02 – $15.66 | 5,327 | 3 |
| South Point, OH | $6.95 | $6.95 – $6.95 | 5,323 | 1 |
| Jefferson Hills, PA | $16.80 | $10.48 – $38.99 | 5,300 | 7 |
| Laurelton, NY | $11.61 | $11.61 – $11.61 | 5,297 | 1 |
| Princeton, IN | $12.30 | $0.00 – $15.48 | 5,288 | 4 |
| Centralia, WA | $10.89 | $5.10 – $11.25 | 5,288 | 3 |
| West New York, NJ | $5.90 | $5.15 – $6.36 | 5,284 | 4 |
| Barnesville, OH | $1.73 | $0.02 – $9.16 | 5,273 | 5 |
| Cedar Hill, MO | $23.51 | $13.55 – $24.16 | 5,268 | 5 |
| Pataskala, OH | $22.65 | $4.51 – $23.32 | 5,263 | 4 |
| Benton, IL | $1.06 | $0.02 – $20.38 | 5,261 | 3 |
| Crooksville, OH | $11.78 | $1.22 – $12.13 | 5,260 | 2 |
| Austintown, OH | $9.67 | $1.82 – $19.75 | 5,249 | 11 |
| Aurora, MO | $23.84 | $23.84 – $23.84 | 5,240 | 1 |
| Robbinsville, NC | $18.88 | $12.99 – $19.64 | 5,238 | 2 |
| Burkesville, KY | $19.34 | $0.00 – $42.91 | 5,237 | 4 |
| Independence, KY | $6.59 | $6.59 – $6.59 | 5,237 | 1 |
| Marshfield, WI | $16.77 | $2.49 – $36.47 | 5,231 | 11 |
| Red Bank, NJ | $6.78 | $2.30 – $19.72 | 5,221 | 11 |
| Bonne Terre, MO | $15.02 | $12.63 – $74.74 | 5,218 | 4 |
| Cedar Grove, NJ | $5.31 | $0.00 – $7.70 | 5,217 | 5 |
| Lugoff, SC | $6.66 | $2.11 – $12.00 | 5,214 | 3 |
| Highland Mills, NY | $8.47 | $4.56 – $8.52 | 5,210 | 2 |
| Idaho Falls, ID | $30.32 | $9.36 – $46.65 | 5,209 | 11 |
| Boonville, IN | $5.39 | $3.15 – $15.16 | 5,196 | 3 |
| Rainbow City, AL | $3.88 | $3.61 – $26.88 | 5,187 | 3 |
| Malverne, NY | $6.18 | $6.18 – $6.18 | 5,184 | 1 |
| Jeffersonvlle, IN | $8.00 | $8.00 – $8.00 | 5,182 | 1 |
| Estherwood, LA | $0.88 | $0.88 – $0.88 | 5,179 | 1 |
| Amesbury, MA | $9.41 | $0.59 – $9.87 | 5,173 | 3 |
| Newport, NH | $22.22 | $22.22 – $22.22 | 5,171 | 1 |
| Essex, MD | $66.88 | $23.34 – $73.45 | 5,168 | 4 |
| Columbia, LA | $0.71 | $0.00 – $1.15 | 5,163 | 5 |
| Upper Arlington, OH | $13.44 | $0.00 – $16.78 | 5,162 | 4 |
| Niantic, CT | $18.38 | $5.62 – $24.36 | 5,159 | 4 |
| Olive Branch, MS | $9.28 | $5.88 – $21.68 | 5,153 | 3 |
| Gettysburg, PA | $8.80 | $6.13 – $21.85 | 5,148 | 6 |
| Pacoima, CA | $11.76 | $11.76 – $11.76 | 5,147 | 1 |
| Riverton, UT | $26.02 | $18.36 – $41.89 | 5,146 | 5 |
| Atmore, AL | $2.57 | $0.00 – $4.50 | 5,145 | 3 |
| Groveland, FL | $0.20 | $0.20 – $0.20 | 5,144 | 1 |
| Miami, OK | $23.26 | $15.84 – $25.10 | 5,142 | 3 |
| Russellville, AR | $14.16 | $1.72 – $19.92 | 5,134 | 5 |
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.