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 |
|---|---|---|---|---|
| Pawtucket, RI | $15.96 | $4.83 – $39.44 | 4,030 | 8 |
| New Milford, CT | $25.29 | $5.23 – $38.57 | 4,021 | 4 |
| East Aurora, NY | $7.51 | $5.14 – $20.45 | 4,018 | 2 |
| Paso Robles, CA | $13.41 | $13.41 – $13.41 | 4,017 | 1 |
| Randolph, NJ | $21.48 | $5.13 – $49.51 | 4,015 | 10 |
| Arcadia, IN | $11.73 | $8.51 – $32.00 | 4,000 | 2 |
| Piketon, OH | $17.46 | $3.20 – $17.51 | 3,999 | 2 |
| Campbellsville, KY | $2.96 | $2.18 – $4.15 | 3,997 | 4 |
| Cumberland, RI | $18.24 | $11.84 – $21.10 | 3,990 | 4 |
| Nederland, TX | $3.97 | $2.95 – $9.54 | 3,988 | 7 |
| Roslindale, MA | $12.00 | $2.85 – $59.01 | 3,986 | 6 |
| Jericho, NY | $8.08 | $8.08 – $8.08 | 3,984 | 1 |
| Auburn, IL | $22.16 | $22.16 – $22.16 | 3,980 | 1 |
| Russellville, KY | $17.66 | $0.00 – $83.88 | 3,979 | 4 |
| Mercedes, TX | $9.35 | $9.35 – $9.35 | 3,977 | 1 |
| Dunbar, WV | $13.60 | $13.60 – $13.60 | 3,976 | 1 |
| Iselin, NJ | $20.34 | $0.00 – $21.25 | 3,975 | 3 |
| Elberton, GA | $19.58 | $0.00 – $19.85 | 3,972 | 2 |
| Gowanda, NY | $17.73 | $16.23 – $25.92 | 3,971 | 2 |
| W Amherst, NY | $22.75 | $9.62 – $39.56 | 3,964 | 2 |
| Brentwood, NY | $20.11 | $6.87 – $21.63 | 3,958 | 2 |
| Fort Plain, NY | $3.09 | $3.09 – $3.09 | 3,957 | 1 |
| Seguin, TX | $9.34 | $1.45 – $12.47 | 3,953 | 8 |
| Columbia, KY | $8.21 | $0.00 – $36.27 | 3,952 | 5 |
| Newport, AR | $8.88 | $4.39 – $16.41 | 3,951 | 4 |
| Moorefield, WV | $0.10 | $0.10 – $0.10 | 3,951 | 1 |
| Spencer, IN | $7.80 | $7.80 – $7.80 | 3,948 | 1 |
| Port Barre, LA | $9.04 | $9.04 – $9.04 | 3,940 | 1 |
| Slidell, LA | $4.26 | $0.00 – $8.88 | 3,938 | 7 |
| Florence, NJ | $4.65 | $4.65 – $4.65 | 3,937 | 1 |
| Mora, NM | $24.61 | $24.61 – $24.61 | 3,936 | 1 |
| Altoona, AL | $2.17 | $0.00 – $4.13 | 3,932 | 2 |
| Siler City, NC | $22.13 | $11.14 – $22.50 | 3,929 | 2 |
| Chadds Ford, PA | $17.98 | $17.98 – $17.98 | 3,927 | 1 |
| Deer Park, IL | $5.68 | $4.04 – $12.89 | 3,924 | 2 |
| Bath, ME | $19.43 | $17.87 – $23.10 | 3,921 | 3 |
| Huddleston, VA | $7.38 | $7.38 – $7.38 | 3,909 | 1 |
| Eau Claire, WI | $14.14 | $0.00 – $17.55 | 3,903 | 12 |
| Cleburne, TX | $9.32 | $3.87 – $33.70 | 3,902 | 7 |
| Dunn Loring, VA | $8.12 | $8.12 – $8.12 | 3,901 | 1 |
| Merriam, KS | $1.78 | $1.55 – $3.69 | 3,896 | 5 |
| Mcdonough, GA | $4.55 | $1.46 – $10.17 | 3,894 | 3 |
| Richlands, VA | $6.75 | $2.50 – $6.76 | 3,891 | 2 |
| Delafield, WI | $17.71 | $17.71 – $17.71 | 3,888 | 1 |
| Madison, IN | $6.34 | $3.70 – $12.45 | 3,881 | 3 |
| Harrisburg, IL | $1.56 | $0.00 – $6.04 | 3,881 | 8 |
| Marathon, FL | $3.30 | $1.40 – $8.91 | 3,880 | 4 |
| Mount Orab, OH | $6.72 | $2.17 – $11.55 | 3,880 | 4 |
| Manasquan, NJ | $6.78 | $1.91 – $31.23 | 3,878 | 4 |
| Elwood, IL | $4.17 | $4.17 – $4.17 | 3,873 | 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.