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 |
|---|---|---|---|---|
| Grenada, MS | $13.32 | $10.45 – $38.57 | 4,207 | 5 |
| Center Point, LA | $4.20 | $4.20 – $4.20 | 4,207 | 1 |
| Homer Glen, IL | $32.20 | $22.00 – $38.01 | 4,206 | 2 |
| Shippensburg, PA | $16.26 | $9.35 – $20.68 | 4,198 | 2 |
| East Elmhurst, NY | $7.65 | $7.61 – $23.90 | 4,193 | 2 |
| Freeport, NY | $6.42 | $0.00 – $12.80 | 4,192 | 7 |
| Richland Center, WI | $10.56 | $7.21 – $38.10 | 4,184 | 3 |
| Atwater, CA | $18.42 | $8.90 – $24.58 | 4,181 | 4 |
| Piedmont, AL | $11.65 | $2.63 – $11.90 | 4,180 | 2 |
| Marengo, IL | $8.54 | $8.54 – $8.54 | 4,176 | 1 |
| Church Point, LA | $4.45 | $2.39 – $4.95 | 4,175 | 3 |
| Ossining, NY | $4.60 | $4.18 – $5.00 | 4,173 | 2 |
| Homewood, AL | $8.86 | $8.44 – $8.90 | 4,164 | 2 |
| East Haven, CT | $3.33 | $3.07 – $8.27 | 4,164 | 3 |
| Wesson, MS | $13.44 | $13.44 – $13.44 | 4,162 | 1 |
| American Canyon, CA | $16.49 | $16.49 – $16.49 | 4,150 | 1 |
| Sugarcreek, OH | $10.22 | $10.22 – $10.22 | 4,149 | 1 |
| Camden, SC | $14.38 | $8.81 – $33.92 | 4,146 | 4 |
| Athens, AL | $3.04 | $0.00 – $5.74 | 4,142 | 7 |
| Royal Palm Beach, FL | $5.55 | $2.70 – $14.26 | 4,142 | 3 |
| Whitwell, TN | $8.35 | $8.35 – $8.35 | 4,140 | 1 |
| Salida, CO | $6.67 | $2.55 – $19.54 | 4,134 | 3 |
| Jackson, OH | $4.63 | $4.08 – $19.30 | 4,133 | 4 |
| West Dundee, IL | $12.35 | $0.00 – $14.25 | 4,120 | 3 |
| Greenbrae, CA | $24.40 | $0.00 – $355.36 | 4,119 | 5 |
| Danville, WV | $17.69 | $14.99 – $18.45 | 4,116 | 2 |
| Ruskin, FL | $7.66 | $0.00 – $18.10 | 4,104 | 7 |
| Colfax, WA | $5.59 | $4.89 – $9.18 | 4,100 | 2 |
| Rolling Hills Estates, CA | $18.18 | $10.43 – $21.23 | 4,097 | 2 |
| Norton, MA | $25.73 | $15.09 – $31.28 | 4,092 | 2 |
| Cankton, LA | $4.76 | $0.00 – $7.70 | 4,088 | 2 |
| Englewood, CO | $25.74 | $1.64 – $55.01 | 4,085 | 9 |
| Middleburg Hts, OH | $18.35 | $10.10 – $20.62 | 4,084 | 2 |
| Hugo, OK | $39.70 | $6.03 – $53.38 | 4,082 | 7 |
| Grayslake, IL | $8.76 | $7.71 – $9.75 | 4,080 | 3 |
| Maineville, OH | $25.90 | $21.79 – $33.93 | 4,079 | 3 |
| Trent Woods, NC | $15.44 | $15.44 – $15.44 | 4,071 | 1 |
| Hyannis, MA | $10.08 | $1.81 – $25.33 | 4,066 | 7 |
| Maplewood, MN | $45.47 | $44.96 – $49.20 | 4,066 | 2 |
| Shawnee, KS | $7.00 | $2.43 – $20.14 | 4,063 | 6 |
| Whitehall, OH | $11.75 | $11.75 – $11.75 | 4,059 | 1 |
| Ambler, PA | $10.61 | $0.25 – $15.85 | 4,057 | 3 |
| Leavenworth, KS | $3.78 | $0.00 – $11.22 | 4,056 | 3 |
| Gatesville, TX | $9.53 | $8.03 – $10.76 | 4,054 | 2 |
| Port Jefferson, NY | $5.14 | $0.00 – $5.51 | 4,054 | 6 |
| West Long Branch, NJ | $12.80 | $10.35 – $44.42 | 4,048 | 2 |
| Kirksville, MO | $14.90 | $1.23 – $42.98 | 4,044 | 11 |
| Baden, PA | $12.73 | $10.79 – $17.20 | 4,041 | 2 |
| Vanceburg, KY | $9.31 | $3.44 – $10.23 | 4,039 | 3 |
| Higley, AZ | $29.22 | $29.22 – $29.22 | 4,033 | 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.