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 |
|---|---|---|---|---|
| Harrisburg, AR | $12.36 | $8.51 – $20.22 | 4,382 | 2 |
| Wharton, NJ | $12.87 | $2.69 – $15.89 | 4,375 | 3 |
| Amory, MS | $19.82 | $1.72 – $43.92 | 4,373 | 7 |
| Whitefish, MT | $18.05 | $3.40 – $28.53 | 4,369 | 3 |
| Levittown, NY | $26.29 | $25.41 – $27.29 | 4,360 | 2 |
| Gibson City, IL | $15.69 | $14.72 – $17.93 | 4,358 | 2 |
| Crestwood, IL | $19.43 | $19.10 – $27.29 | 4,349 | 2 |
| Pepper Pike, OH | $11.30 | $5.51 – $11.73 | 4,345 | 3 |
| Hudson, NY | $4.34 | $2.02 – $13.78 | 4,341 | 5 |
| Sugar Grove, VA | $14.85 | $14.85 – $14.85 | 4,340 | 1 |
| San Luis Obispo, CA | $13.35 | $13.35 – $13.35 | 4,335 | 1 |
| New Tazewell, TN | $19.89 | $5.63 – $22.58 | 4,330 | 4 |
| Waynesboro, TN | $8.28 | $5.84 – $11.66 | 4,324 | 5 |
| South Orange, NJ | $15.07 | $2.10 – $19.04 | 4,323 | 7 |
| Hollis, OK | $12.52 | $12.52 – $12.52 | 4,318 | 1 |
| Oakland, MD | $25.12 | $0.00 – $60.66 | 4,313 | 7 |
| River Ridge, LA | $4.32 | $4.32 – $4.32 | 4,305 | 1 |
| Alcoa, TN | $5.54 | $0.32 – $7.13 | 4,305 | 7 |
| Sumner, WA | $24.42 | $5.75 – $25.65 | 4,302 | 3 |
| Paris, TN | $10.98 | $4.98 – $14.76 | 4,298 | 5 |
| Gulfport, FL | $7.07 | $7.07 – $7.07 | 4,297 | 1 |
| Bellefontaine, OH | $6.48 | $0.00 – $20.88 | 4,297 | 5 |
| Vernon Rockville, CT | $21.68 | $7.93 – $47.34 | 4,296 | 3 |
| Monroeville, PA | $18.43 | $8.03 – $30.79 | 4,295 | 8 |
| Prescott Valley, AZ | $41.28 | $14.48 – $51.49 | 4,290 | 4 |
| Gwinn, MI | $0.25 | $0.22 – $0.29 | 4,287 | 2 |
| Payson, AZ | $21.43 | $10.75 – $30.43 | 4,285 | 4 |
| Florala, AL | $2.83 | $2.83 – $2.83 | 4,281 | 1 |
| Knox, IN | $12.42 | $7.74 – $13.98 | 4,279 | 2 |
| Waterville, OH | $15.69 | $6.18 – $17.45 | 4,278 | 6 |
| Springfield, NJ | $7.92 | $2.22 – $20.65 | 4,272 | 7 |
| Luling, TX | $26.28 | $1.75 – $43.66 | 4,270 | 3 |
| Waurika, OK | $14.50 | $14.50 – $14.50 | 4,262 | 1 |
| Le Roy, NY | $7.62 | $3.08 – $15.48 | 4,262 | 2 |
| Ravenswood, WV | $7.68 | $4.23 – $8.46 | 4,256 | 3 |
| Farmington, ME | $14.62 | $12.61 – $28.12 | 4,255 | 3 |
| Mckeesport, PA | $25.59 | $20.47 – $26.18 | 4,251 | 3 |
| Melrose, FL | $8.40 | $5.27 – $8.58 | 4,247 | 2 |
| Dover, OH | $6.78 | $1.26 – $9.27 | 4,246 | 7 |
| Clarkston, WA | $7.62 | $5.17 – $13.56 | 4,245 | 4 |
| Peninsula, OH | $8.14 | $8.14 – $8.14 | 4,241 | 1 |
| Hartselle, AL | $4.25 | $2.76 – $4.67 | 4,240 | 3 |
| Sahuarita, AZ | $34.35 | $11.05 – $35.44 | 4,231 | 3 |
| Ojai, CA | $64.09 | $14.14 – $107.02 | 4,229 | 5 |
| East Norriton, PA | $21.14 | $8.38 – $40.37 | 4,228 | 5 |
| Beverly, MA | $13.36 | $8.89 – $42.34 | 4,222 | 11 |
| Campbellsport, WI | $7.11 | $7.11 – $7.11 | 4,221 | 1 |
| Huntingdon, TN | $10.40 | $4.94 – $18.48 | 4,217 | 2 |
| Eufaula, OK | $31.11 | $12.63 – $39.81 | 4,215 | 4 |
| Friendship, TN | $8.14 | $8.14 – $8.14 | 4,212 | 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.