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 |
|---|---|---|---|---|
| Grandview, TX | $8.47 | $8.47 – $8.47 | 4,539 | 1 |
| Donaldsonville, LA | $10.80 | $7.94 – $11.82 | 4,534 | 3 |
| Portsmouth, NH | $5.14 | $1.67 – $6.82 | 4,533 | 7 |
| Belen, NM | $7.57 | $2.38 – $76.46 | 4,529 | 4 |
| Broadview Hts, OH | $13.40 | $13.40 – $13.40 | 4,529 | 1 |
| Marysville, MI | $29.98 | $29.98 – $29.98 | 4,528 | 1 |
| Nicholasville, KY | $5.40 | $4.69 – $11.80 | 4,526 | 4 |
| North Chelmsford, MA | $18.36 | $7.63 – $38.25 | 4,520 | 3 |
| New Canton, VA | $10.74 | $0.00 – $16.21 | 4,520 | 3 |
| Lemoyne, PA | $4.25 | $0.00 – $14.78 | 4,518 | 7 |
| Marengo, IN | $4.30 | $3.64 – $6.00 | 4,511 | 3 |
| Roseburg, OR | $13.70 | $5.56 – $18.14 | 4,510 | 5 |
| Niles, MI | $1.66 | $0.00 – $1.67 | 4,510 | 2 |
| Burlington, NJ | $8.53 | $4.05 – $14.99 | 4,509 | 6 |
| Colleyville, TX | $20.65 | $3.08 – $28.61 | 4,508 | 2 |
| Littleton, CO | $20.75 | $0.00 – $121.89 | 4,501 | 16 |
| Gramercy, LA | $1.72 | $1.72 – $1.72 | 4,501 | 1 |
| Stony Brook, NY | $10.77 | $0.00 – $34.64 | 4,499 | 9 |
| Fountainville, PA | $22.44 | $1.31 – $39.76 | 4,498 | 4 |
| Rockford, IA | $7.38 | $7.09 – $13.32 | 4,498 | 2 |
| Williamsburg, KY | $18.82 | $1.99 – $38.16 | 4,497 | 6 |
| Marshalltown, IA | $10.25 | $0.56 – $15.77 | 4,496 | 4 |
| Alvord, TX | $2.99 | $2.99 – $2.99 | 4,483 | 1 |
| Barton, VT | $24.96 | $24.96 – $24.96 | 4,479 | 1 |
| East Cleveland, OH | $17.33 | $17.33 – $17.33 | 4,479 | 1 |
| Lake Havasu City, AZ | $28.76 | $20.85 – $39.83 | 4,475 | 4 |
| Ledyard, CT | $8.69 | $8.69 – $8.69 | 4,473 | 1 |
| La Palma, CA | $17.72 | $1.77 – $24.26 | 4,472 | 5 |
| Lake Hiawatha, NJ | $1.65 | $1.65 – $1.65 | 4,472 | 1 |
| Haughton, LA | $4.65 | $0.00 – $5.76 | 4,464 | 2 |
| Hollis, NH | $18.96 | $18.96 – $18.96 | 4,463 | 1 |
| Mountain Home, TN | $5.04 | $0.00 – $5.18 | 4,461 | 3 |
| Tolland, CT | $2.37 | $2.00 – $7.89 | 4,460 | 3 |
| Summersville, WV | $4.25 | $0.00 – $6.51 | 4,451 | 4 |
| Mc Donald, PA | $3.88 | $3.88 – $3.88 | 4,448 | 1 |
| Wayne, MI | $6.88 | $6.56 – $15.99 | 4,445 | 2 |
| Palmdale, CA | $12.98 | $7.50 – $44.16 | 4,440 | 4 |
| Gordonsville, TN | $5.29 | $5.29 – $5.29 | 4,440 | 1 |
| Fort Lee, NJ | $13.27 | $0.00 – $31.33 | 4,439 | 7 |
| Pottstown, PA | $23.89 | $0.52 – $34.15 | 4,436 | 9 |
| Santa Paula, CA | $48.70 | $5.58 – $74.60 | 4,434 | 5 |
| Mansfield, LA | $0.00 | $0.00 – $0.00 | 4,420 | 3 |
| Camden, AR | $14.60 | $9.24 – $26.99 | 4,408 | 7 |
| Pahrump, NV | $13.80 | $4.01 – $21.34 | 4,405 | 4 |
| Celina, TX | $1.94 | $1.94 – $1.94 | 4,401 | 1 |
| Lansdale, PA | $21.99 | $0.00 – $23.89 | 4,398 | 6 |
| Lynnville, IN | $12.24 | $12.24 – $12.24 | 4,395 | 1 |
| Mulvane, KS | $4.24 | $4.24 – $4.24 | 4,394 | 1 |
| Darien, CT | $13.40 | $0.36 – $25.05 | 4,384 | 4 |
| Marshfield, MA | $16.06 | $3.57 – $18.41 | 4,384 | 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.