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 |
|---|---|---|---|---|
| Granville, OH | $11.20 | $9.50 – $12.86 | 3,755 | 6 |
| Logan, UT | $27.52 | $18.56 – $35.67 | 3,752 | 3 |
| Lake Forest, CA | $3.86 | $3.61 – $5.81 | 3,750 | 3 |
| Lumberton, NJ | $5.65 | $5.08 – $18.13 | 3,746 | 4 |
| Celebration, FL | $6.78 | $1.55 – $9.61 | 3,744 | 2 |
| Chicago Heights, IL | $10.89 | $6.57 – $22.48 | 3,744 | 6 |
| Eagan, MN | $30.03 | $2.75 – $154.40 | 3,743 | 8 |
| Palm Desert, CA | $26.59 | $0.00 – $29.67 | 3,741 | 3 |
| Madison, WV | $2.57 | $0.00 – $8.47 | 3,738 | 5 |
| Metuchen, NJ | $16.90 | $4.74 – $17.61 | 3,737 | 3 |
| Pocatello, ID | $27.48 | $-9.39 – $72.23 | 3,734 | 11 |
| Elmsford, NY | $5.94 | $1.90 – $18.80 | 3,734 | 4 |
| Mountain Home, AR | $17.06 | $12.25 – $23.80 | 3,731 | 6 |
| Northport, NY | $3.51 | $3.51 – $3.51 | 3,725 | 1 |
| Grand Island, NE | $9.29 | $3.88 – $35.94 | 3,724 | 4 |
| Heath, OH | $17.05 | $16.00 – $17.25 | 3,722 | 3 |
| Altus, OK | $50.91 | $7.24 – $65.14 | 3,721 | 5 |
| Viera, FL | $4.52 | $4.05 – $4.66 | 3,710 | 2 |
| Joppa, MD | $54.48 | $35.77 – $73.45 | 3,709 | 2 |
| Chatham, NY | $5.34 | $5.34 – $5.34 | 3,707 | 1 |
| Monroeville, AL | $3.89 | $2.32 – $8.34 | 3,706 | 3 |
| Hershey, PA | $17.27 | $9.68 – $29.57 | 3,704 | 6 |
| Plymouth, CT | $0.00 | $0.00 – $0.00 | 3,699 | 1 |
| Lamar, MO | $33.78 | $0.00 – $55.44 | 3,695 | 4 |
| Ocean City, NJ | $17.85 | $5.30 – $18.52 | 3,691 | 3 |
| Sun City Center, FL | $14.34 | $0.00 – $20.02 | 3,688 | 7 |
| Indian Orchard, MA | $18.27 | $18.27 – $18.27 | 3,687 | 1 |
| Plattsburgh, NY | $13.12 | $0.00 – $22.75 | 3,680 | 7 |
| Rexburg, ID | $7.26 | $3.01 – $38.66 | 3,678 | 3 |
| Chilton, WI | $10.10 | $7.82 – $10.11 | 3,677 | 2 |
| Apollo, PA | $16.58 | $7.91 – $16.74 | 3,673 | 2 |
| Church Hill, TN | $3.21 | $3.21 – $3.21 | 3,672 | 1 |
| Mc Rae, GA | $0.00 | $0.00 – $0.00 | 3,671 | 1 |
| Columbus, NJ | $16.38 | $16.38 – $16.38 | 3,660 | 1 |
| Derry, NH | $3.06 | $0.00 – $9.70 | 3,650 | 8 |
| Cocoa, FL | $8.80 | $0.00 – $11.98 | 3,647 | 5 |
| Gretna, VA | $7.52 | $7.52 – $7.52 | 3,647 | 1 |
| Shorewood, IL | $26.05 | $6.63 – $37.36 | 3,640 | 3 |
| Topsham, ME | $20.12 | $20.10 – $21.04 | 3,639 | 2 |
| Prescott, AR | $14.61 | $2.13 – $18.41 | 3,631 | 3 |
| Lowell, AR | $19.49 | $18.62 – $20.69 | 3,629 | 2 |
| Plymouth, NH | $3.68 | $3.68 – $3.68 | 3,627 | 1 |
| Garden City Park, NY | $4.95 | $4.95 – $4.95 | 3,626 | 1 |
| Havertown, PA | $7.95 | $2.65 – $12.76 | 3,625 | 5 |
| Dequincy, LA | $9.38 | $0.00 – $9.45 | 3,621 | 2 |
| Somerville, TN | $7.04 | $0.26 – $10.28 | 3,621 | 5 |
| Somerville, NJ | $8.14 | $0.49 – $14.90 | 3,617 | 6 |
| Galax, VA | $9.61 | $6.83 – $21.47 | 3,616 | 3 |
| Newton, IL | $6.08 | $6.08 – $6.08 | 3,615 | 1 |
| Jonesboro, LA | $2.09 | $0.00 – $4.38 | 3,609 | 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.