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 |
|---|---|---|---|---|
| Villas, NJ | $13.36 | $13.36 – $13.36 | 3,086 | 1 |
| Boulder, CO | $14.35 | $3.14 – $39.67 | 3,085 | 6 |
| Delano, CA | $14.01 | $0.00 – $15.85 | 3,081 | 7 |
| Seal Beach, CA | $15.79 | $0.00 – $15.96 | 3,078 | 2 |
| Mount Laurel, NJ | $4.48 | $0.00 – $24.16 | 3,077 | 11 |
| Manhattan Beach, CA | $10.08 | $0.00 – $18.93 | 3,077 | 4 |
| Clarion, PA | $14.81 | $7.35 – $21.05 | 3,072 | 3 |
| Apple Valley, CA | $17.81 | $0.00 – $20.56 | 3,069 | 7 |
| North Chicago, IL | $23.80 | $8.58 – $59.66 | 3,063 | 6 |
| Wyncote, PA | $13.06 | $0.00 – $20.48 | 3,061 | 6 |
| Fairfield Township, OH | $16.73 | $3.58 – $23.01 | 3,060 | 3 |
| State College, PA | $20.30 | $4.01 – $39.18 | 3,060 | 7 |
| Bluffton, SC | $9.99 | $4.74 – $18.95 | 3,058 | 4 |
| Hillsboro, MO | $18.31 | $16.27 – $31.44 | 3,058 | 2 |
| Fredonia, NY | $14.91 | $14.69 – $17.14 | 3,058 | 3 |
| Warrensburg, MO | $14.40 | $8.11 – $18.65 | 3,057 | 3 |
| Urbana, OH | $10.97 | $7.18 – $41.58 | 3,056 | 3 |
| Schererville, IN | $8.89 | $6.89 – $11.07 | 3,056 | 3 |
| Wintersville, OH | $8.51 | $7.01 – $17.09 | 3,055 | 6 |
| Eastport, ME | $6.26 | $0.46 – $9.18 | 3,050 | 2 |
| Ellwood City, PA | $10.93 | $10.84 – $10.96 | 3,048 | 2 |
| Rome, NY | $10.89 | $6.81 – $13.90 | 3,046 | 2 |
| Havelock, NC | $8.35 | $8.35 – $8.35 | 3,042 | 1 |
| Elmwood Park, IL | $13.04 | $10.07 – $18.29 | 3,041 | 2 |
| Johnson City, TX | $6.25 | $5.77 – $7.36 | 3,038 | 2 |
| Covington, GA | $13.75 | $4.59 – $17.06 | 3,034 | 5 |
| Somers, NY | $4.71 | $4.71 – $4.71 | 3,034 | 1 |
| Mangum, OK | $24.41 | $24.41 – $24.41 | 3,031 | 1 |
| Key Largo, FL | $10.60 | $10.60 – $10.60 | 3,031 | 1 |
| Lewiston, ID | $19.73 | $4.43 – $27.15 | 3,029 | 8 |
| Mount Vernon, WA | $13.55 | $1.09 – $18.35 | 3,027 | 8 |
| Dorchester, MA | $9.39 | $7.84 – $19.82 | 3,026 | 2 |
| Monroe, NJ | $13.21 | $2.54 – $19.28 | 3,024 | 6 |
| Little Elm, TX | $8.60 | $8.60 – $8.60 | 3,021 | 1 |
| Peak, SC | $5.98 | $5.98 – $5.98 | 3,021 | 1 |
| Floresville, TX | $6.87 | $0.44 – $7.20 | 3,018 | 2 |
| Stanford, CA | $15.52 | $0.00 – $34.51 | 3,018 | 7 |
| Barnesville, GA | $24.74 | $22.60 – $27.00 | 2,990 | 3 |
| Cohasset, MA | $5.63 | $5.63 – $5.63 | 2,987 | 1 |
| Foley, AL | $2.57 | $1.03 – $3.38 | 2,979 | 3 |
| Dierks, AR | $13.70 | $13.70 – $13.70 | 2,975 | 1 |
| Batesville, IN | $7.24 | $0.00 – $65.42 | 2,971 | 6 |
| Mount Carmel, PA | $19.14 | $10.61 – $29.43 | 2,965 | 2 |
| Newtown Square, PA | $12.12 | $9.03 – $12.47 | 2,965 | 2 |
| Windsor Mill, MD | $56.08 | $6.29 – $73.11 | 2,965 | 5 |
| Canton, IL | $17.64 | $0.00 – $18.39 | 2,964 | 3 |
| Wrightsville, GA | $47.14 | $0.17 – $49.84 | 2,963 | 2 |
| Carbondale, PA | $7.31 | $1.79 – $14.47 | 2,962 | 5 |
| Hackleburg, AL | $0.05 | $0.05 – $0.05 | 2,962 | 1 |
| Lenoir, NC | $11.45 | $4.96 – $42.69 | 2,961 | 9 |
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.