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 |
|---|---|---|---|---|
| Kirkland, WA | $32.04 | $2.82 – $51.64 | 2,960 | 8 |
| Lorton, VA | $4.54 | $4.31 – $15.69 | 2,956 | 2 |
| Kent, WA | $29.29 | $2.98 – $50.49 | 2,955 | 8 |
| Hermiston, OR | $15.43 | $10.54 – $24.49 | 2,953 | 3 |
| Walsenburg, CO | $14.56 | $12.36 – $113.08 | 2,952 | 4 |
| Richland, MI | $18.31 | $18.31 – $18.31 | 2,952 | 1 |
| Wayne, PA | $24.54 | $1.47 – $32.41 | 2,950 | 7 |
| Robeline, LA | $8.95 | $8.95 – $8.95 | 2,946 | 1 |
| Tomball, TX | $7.85 | $1.69 – $17.48 | 2,945 | 6 |
| Brookland, AR | $10.97 | $8.39 – $15.11 | 2,943 | 2 |
| Pomona, NJ | $5.13 | $4.39 – $16.33 | 2,940 | 5 |
| Shallotte, NC | $11.68 | $0.88 – $17.21 | 2,939 | 4 |
| Cedartown, GA | $3.54 | $3.54 – $3.54 | 2,938 | 1 |
| Batavia, IL | $10.49 | $3.33 – $21.45 | 2,936 | 6 |
| Great Falls, VA | $10.81 | $10.81 – $10.81 | 2,930 | 1 |
| Jay, FL | $6.87 | $4.54 – $10.13 | 2,927 | 3 |
| Berlin, VT | $13.44 | $1.68 – $17.21 | 2,925 | 9 |
| Highland Beach, FL | $6.84 | $6.84 – $6.84 | 2,923 | 1 |
| Tishomingo, OK | $32.58 | $6.08 – $37.26 | 2,923 | 3 |
| Woodward, OK | $25.70 | $6.70 – $29.21 | 2,916 | 3 |
| Oshkosh, WI | $28.97 | $6.26 – $54.65 | 2,915 | 13 |
| Arvada, CO | $13.55 | $4.33 – $28.97 | 2,915 | 12 |
| Fort Madison, IA | $6.54 | $5.48 – $22.43 | 2,915 | 5 |
| Freeport, IL | $10.29 | $0.00 – $29.82 | 2,912 | 7 |
| Barre, MA | $17.30 | $16.40 – $17.31 | 2,910 | 2 |
| Platte City, MO | $20.75 | $8.42 – $26.35 | 2,910 | 5 |
| Broken Bow, OK | $19.42 | $19.42 – $19.42 | 2,908 | 1 |
| Galena, KS | $8.24 | $1.44 – $8.33 | 2,905 | 2 |
| Mc Leansville, NC | $16.10 | $12.26 – $16.70 | 2,897 | 2 |
| Clarksburg, MD | $31.78 | $31.78 – $31.78 | 2,894 | 1 |
| Ft Wright, KY | $42.38 | $9.00 – $53.81 | 2,890 | 2 |
| N Olmstead, OH | $10.48 | $10.48 – $10.48 | 2,886 | 1 |
| Belmont, MA | $11.34 | $9.61 – $15.58 | 2,885 | 3 |
| Prince George, VA | $10.03 | $6.85 – $15.33 | 2,885 | 2 |
| Ashtabula, OH | $11.57 | $4.12 – $20.44 | 2,884 | 6 |
| Woodworth, LA | $0.00 | $0.00 – $0.00 | 2,883 | 1 |
| Healdsburg, CA | $11.80 | $5.82 – $49.85 | 2,883 | 3 |
| Aberdeen, WA | $8.26 | $6.00 – $20.03 | 2,880 | 3 |
| Sharon, MA | $16.97 | $8.59 – $25.19 | 2,878 | 4 |
| Signal Hill, CA | $15.78 | $15.78 – $15.78 | 2,876 | 1 |
| Cassopolis, MI | $0.02 | $0.02 – $0.02 | 2,870 | 1 |
| Drexel Hill, PA | $18.99 | $0.00 – $23.39 | 2,865 | 5 |
| Park City, UT | $18.71 | $18.71 – $18.71 | 2,862 | 1 |
| Memphis, MO | $26.93 | $19.75 – $27.06 | 2,862 | 3 |
| Big Spring, TX | $8.97 | $6.66 – $9.36 | 2,856 | 3 |
| Mayo, FL | $5.18 | $5.18 – $5.18 | 2,850 | 1 |
| Putney, VT | $10.11 | $10.11 – $10.11 | 2,848 | 1 |
| Kentwood, LA | $54.89 | $1.61 – $75.21 | 2,847 | 2 |
| Turners Falls, MA | $11.70 | $7.97 – $11.99 | 2,845 | 3 |
| Paola, KS | $1.24 | $1.24 – $1.24 | 2,843 | 1 |
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.