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 |
|---|---|---|---|---|
| Lake Hopatcong, NJ | $11.42 | $11.42 – $11.42 | 3,609 | 1 |
| Orangeburg, SC | $24.75 | $4.83 – $52.92 | 3,605 | 7 |
| Ralston, NE | $21.65 | $21.65 – $21.65 | 3,604 | 1 |
| Cos Cob, CT | $13.76 | $13.76 – $13.76 | 3,602 | 1 |
| Hewlett, NY | $6.08 | $0.03 – $12.68 | 3,600 | 4 |
| Corry, PA | $6.59 | $0.00 – $15.16 | 3,594 | 4 |
| Bingham Farms, MI | $59.06 | $0.00 – $62.85 | 3,591 | 2 |
| West Sacramento, CA | $10.31 | $0.00 – $284.50 | 3,589 | 4 |
| Chantilly, VA | $16.99 | $0.01 – $42.12 | 3,588 | 6 |
| Cooperstown, NY | $18.96 | $3.51 – $51.52 | 3,585 | 4 |
| Millersville, MD | $15.03 | $7.97 – $63.37 | 3,582 | 4 |
| Webster, NY | $13.58 | $0.00 – $36.99 | 3,581 | 5 |
| Euless, TX | $5.40 | $0.00 – $49.64 | 3,579 | 6 |
| Everett, MA | $12.66 | $9.17 – $42.34 | 3,569 | 5 |
| Essex, CT | $15.61 | $11.99 – $25.47 | 3,566 | 3 |
| Mountain View, CA | $6.75 | $0.00 – $23.43 | 3,564 | 6 |
| Alba, TX | $6.07 | $6.07 – $6.07 | 3,563 | 1 |
| Osawatomie, KS | $1.52 | $0.96 – $2.28 | 3,555 | 4 |
| Ames, IA | $7.79 | $2.32 – $8.00 | 3,550 | 4 |
| Eustis, FL | $4.64 | $0.00 – $4.69 | 3,549 | 2 |
| Lynchburg, TN | $10.24 | $10.22 – $10.59 | 3,547 | 2 |
| Englewood, FL | $7.76 | $7.06 – $11.07 | 3,546 | 2 |
| Newberry, SC | $29.63 | $29.11 – $33.00 | 3,546 | 2 |
| Jasper, IN | $10.42 | $5.00 – $11.49 | 3,545 | 7 |
| Storm Lake, IA | $8.74 | $0.00 – $10.62 | 3,544 | 5 |
| Adamsville, TN | $5.41 | $0.00 – $8.16 | 3,543 | 3 |
| Shawnee, OK | $32.81 | $8.26 – $33.85 | 3,542 | 4 |
| Morehead, KY | $5.00 | $0.60 – $25.34 | 3,530 | 10 |
| Canonsburg, PA | $20.33 | $13.46 – $23.99 | 3,525 | 3 |
| Seward, NE | $18.54 | $18.54 – $18.54 | 3,522 | 1 |
| Follansbee, WV | $20.15 | $20.15 – $20.15 | 3,520 | 1 |
| Knoxville, IL | $19.32 | $19.32 – $19.32 | 3,516 | 1 |
| Carthage, MO | $16.13 | $13.44 – $39.19 | 3,512 | 7 |
| Albany, CA | $28.43 | $28.43 – $28.43 | 3,511 | 1 |
| Moulton, AL | $2.45 | $2.45 – $2.76 | 3,509 | 2 |
| Indiana, PA | $12.37 | $0.00 – $21.33 | 3,508 | 9 |
| Great Barrington, MA | $18.58 | $16.27 – $35.47 | 3,506 | 3 |
| Calhoun, GA | $18.40 | $7.89 – $24.72 | 3,505 | 2 |
| Greenville, IL | $12.52 | $3.17 – $20.98 | 3,505 | 3 |
| Lewis Center, OH | $14.13 | $9.98 – $14.34 | 3,503 | 3 |
| Flossmoor, IL | $18.06 | $16.18 – $48.54 | 3,502 | 3 |
| Cresson, PA | $10.51 | $0.00 – $14.35 | 3,501 | 4 |
| Saraland, AL | $5.21 | $5.13 – $5.89 | 3,498 | 2 |
| Colusa, CA | $41.06 | $41.06 – $41.06 | 3,492 | 1 |
| Wolfeboro, NH | $3.17 | $0.00 – $5.81 | 3,490 | 5 |
| Laconia, NH | $4.94 | $1.88 – $12.19 | 3,490 | 6 |
| Pasco, WA | $39.84 | $7.69 – $41.95 | 3,483 | 2 |
| Ellenwood, GA | $12.61 | $12.61 – $12.61 | 3,480 | 1 |
| Richfield, MN | $22.29 | $9.45 – $56.64 | 3,477 | 12 |
| Monticello, AR | $17.63 | $10.44 – $19.56 | 3,476 | 7 |
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.