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 |
|---|---|---|---|---|
| Inwood, NY | $20.52 | $20.52 – $20.52 | 3,474 | 1 |
| Manitowoc, WI | $19.94 | $5.11 – $23.27 | 3,469 | 4 |
| Oberlin, OH | $10.49 | $1.51 – $10.52 | 3,468 | 2 |
| Carbondale, IL | $16.49 | $1.16 – $22.42 | 3,468 | 5 |
| Mattapoisett, MA | $9.02 | $9.02 – $9.02 | 3,468 | 1 |
| Muncy, PA | $9.51 | $1.11 – $14.22 | 3,467 | 3 |
| Lake Villa, IL | $14.36 | $3.21 – $16.78 | 3,460 | 4 |
| Edgewater, MD | $27.67 | $2.89 – $48.10 | 3,458 | 3 |
| Hastings, NE | $21.49 | $20.42 – $22.54 | 3,457 | 2 |
| Dalton, GA | $8.43 | $1.99 – $19.47 | 3,455 | 6 |
| Navarre, FL | $19.23 | $1.32 – $52.86 | 3,454 | 2 |
| Pascagoula, MS | $14.78 | $0.00 – $34.52 | 3,453 | 10 |
| Kilmarnock, VA | $11.37 | $11.33 – $13.27 | 3,449 | 2 |
| Palo Cedro, CA | $5.38 | $5.38 – $5.38 | 3,447 | 1 |
| Lee, MA | $13.59 | $0.00 – $20.69 | 3,443 | 6 |
| Staten Islan, NY | $11.77 | $11.77 – $11.77 | 3,443 | 1 |
| Concord Twp, OH | $13.30 | $12.70 – $13.30 | 3,433 | 2 |
| Doylestown, PA | $10.51 | $2.51 – $29.50 | 3,429 | 6 |
| Plainville, CT | $20.73 | $2.72 – $41.18 | 3,428 | 5 |
| Woodbury, CT | $18.17 | $18.17 – $18.17 | 3,426 | 1 |
| Richmond, CA | $5.27 | $1.83 – $26.79 | 3,418 | 5 |
| Windsor, CT | $14.29 | $9.21 – $23.87 | 3,417 | 4 |
| New Carlisle, OH | $15.12 | $15.12 – $15.12 | 3,417 | 1 |
| Denver City, TX | $33.60 | $20.20 – $36.94 | 3,410 | 2 |
| Placerville, CA | $10.23 | $0.55 – $12.20 | 3,408 | 3 |
| Hinton, WV | $11.89 | $0.00 – $18.00 | 3,407 | 5 |
| Connellsville, PA | $20.64 | $5.08 – $30.02 | 3,405 | 4 |
| Wauseon, OH | $11.91 | $11.49 – $12.12 | 3,402 | 3 |
| Glendale, WI | $27.47 | $27.47 – $27.47 | 3,401 | 1 |
| Lebanon, OR | $11.69 | $0.27 – $35.94 | 3,396 | 7 |
| Dover, DE | $18.75 | $0.00 – $49.69 | 3,394 | 7 |
| Branford, CT | $12.93 | $4.69 – $37.17 | 3,393 | 4 |
| Creedmoor, NC | $4.49 | $4.49 – $4.49 | 3,392 | 1 |
| Pleasanton, CA | $12.53 | $1.08 – $34.18 | 3,390 | 4 |
| Jena, LA | $2.02 | $0.00 – $3.71 | 3,389 | 2 |
| Cheektowaga, NY | $17.74 | $2.09 – $21.76 | 3,388 | 4 |
| Edmore, MI | $46.25 | $45.78 – $47.83 | 3,383 | 2 |
| Los Banos, CA | $5.60 | $0.00 – $42.23 | 3,380 | 4 |
| Remington, VA | $9.97 | $9.97 – $9.97 | 3,370 | 1 |
| Braselton, GA | $13.26 | $13.01 – $53.29 | 3,367 | 2 |
| Parrish, AL | $0.00 | $0.00 – $0.00 | 3,367 | 1 |
| Garden City, KS | $11.75 | $4.85 – $22.14 | 3,361 | 5 |
| Portland, IN | $9.52 | $1.03 – $17.62 | 3,361 | 6 |
| Cottage Grove, OR | $19.48 | $11.14 – $37.61 | 3,358 | 4 |
| Libertyville, IL | $7.49 | $5.00 – $15.43 | 3,353 | 5 |
| Mustang, OK | $14.96 | $5.53 – $15.05 | 3,351 | 2 |
| Brighton, CO | $19.57 | $18.86 – $24.15 | 3,350 | 2 |
| West Hempstead, NY | $9.38 | $0.55 – $27.08 | 3,341 | 4 |
| Lewisburg, WV | $18.01 | $1.19 – $36.96 | 3,339 | 6 |
| Kennett Square, PA | $46.01 | $39.27 – $46.19 | 3,339 | 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.