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 |
|---|---|---|---|---|
| Lisle, IL | $16.59 | $8.21 – $45.10 | 3,871 | 7 |
| Lompoc, CA | $27.17 | $3.86 – $54.29 | 3,870 | 8 |
| Muskegon, MI | $22.47 | $7.83 – $22.76 | 3,866 | 2 |
| Newton, IA | $9.06 | $1.92 – $11.95 | 3,866 | 5 |
| La Grange, IL | $8.10 | $4.43 – $26.08 | 3,863 | 4 |
| Flatwoods, KY | $5.17 | $2.88 – $8.38 | 3,854 | 3 |
| Piedmont, SC | $17.30 | $6.70 – $17.77 | 3,852 | 2 |
| Bloomington, IL | $17.56 | $3.17 – $95.19 | 3,849 | 7 |
| Gracewood, GA | $13.45 | $13.45 – $13.45 | 3,849 | 1 |
| Hawthorne, NV | $12.07 | $9.20 – $12.11 | 3,848 | 2 |
| Sweeny, TX | $7.86 | $7.86 – $7.86 | 3,846 | 1 |
| New Roads, LA | $13.17 | $0.00 – $14.58 | 3,843 | 3 |
| Belmont, NC | $23.09 | $23.09 – $23.09 | 3,840 | 1 |
| Waynesboro, MS | $11.29 | $6.88 – $19.03 | 3,840 | 6 |
| Harrisville, MI | $0.67 | $0.00 – $0.67 | 3,839 | 2 |
| Natchitoches, LA | $5.61 | $0.00 – $11.91 | 3,838 | 9 |
| Wisconsin Rapids, WI | $33.26 | $22.10 – $33.34 | 3,838 | 2 |
| Lindale, TX | $7.33 | $1.54 – $7.86 | 3,837 | 3 |
| Hazlehurst, MS | $14.00 | $11.65 – $15.48 | 3,835 | 3 |
| Purcell, OK | $14.45 | $11.35 – $16.89 | 3,832 | 3 |
| Maryville, MO | $26.66 | $7.91 – $38.32 | 3,829 | 6 |
| Cottleville, MO | $11.00 | $11.00 – $11.00 | 3,829 | 1 |
| Amelia, OH | $5.71 | $4.71 – $6.44 | 3,826 | 2 |
| Sisseton, SD | $104.91 | $20.38 – $195.56 | 3,824 | 5 |
| Glen Cove, NY | $6.77 | $0.00 – $14.13 | 3,822 | 8 |
| Clinton, KY | $3.01 | $3.01 – $3.01 | 3,822 | 1 |
| Pinole, CA | $12.97 | $2.98 – $34.09 | 3,820 | 6 |
| Houston, MS | $33.49 | $9.75 – $75.40 | 3,818 | 5 |
| Sullivan, MO | $40.73 | $21.08 – $62.77 | 3,814 | 8 |
| Quantico, VA | $3.02 | $3.02 – $3.02 | 3,813 | 1 |
| Ballston Spa, NY | $14.15 | $5.02 – $14.53 | 3,811 | 3 |
| Kailua Kona, HI | $30.64 | $1.24 – $31.49 | 3,809 | 3 |
| Novato, CA | $225.17 | $0.00 – $315.27 | 3,807 | 5 |
| Statesboro, GA | $11.52 | $2.25 – $16.04 | 3,806 | 2 |
| Gainesville, GA | $7.46 | $0.00 – $16.39 | 3,793 | 6 |
| Oceanside, NY | $6.22 | $0.00 – $19.65 | 3,783 | 11 |
| San Rafael, CA | $204.89 | $0.00 – $394.17 | 3,780 | 11 |
| West Allis, WI | $14.21 | $8.58 – $32.65 | 3,780 | 5 |
| Defiance, OH | $8.01 | $1.72 – $26.32 | 3,777 | 10 |
| Redmond, OR | $20.17 | $0.00 – $20.67 | 3,776 | 3 |
| Bluefield, WV | $15.93 | $2.29 – $16.06 | 3,776 | 3 |
| Ball Ground, GA | $5.41 | $5.41 – $5.41 | 3,775 | 1 |
| Blackfoot, ID | $23.33 | $11.87 – $52.61 | 3,771 | 6 |
| Magnolia, AR | $17.40 | $0.00 – $29.37 | 3,767 | 8 |
| Archdale, NC | $22.39 | $0.47 – $23.16 | 3,761 | 2 |
| Macungie, PA | $13.49 | $0.37 – $16.25 | 3,760 | 3 |
| Coventry, RI | $16.73 | $10.97 – $17.37 | 3,759 | 2 |
| Sutton, WV | $13.63 | $13.63 – $13.63 | 3,759 | 1 |
| Ashland City, TN | $8.84 | $4.45 – $16.38 | 3,758 | 5 |
| Angola, IN | $12.80 | $7.40 – $25.44 | 3,755 | 2 |
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.