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 |
|---|---|---|---|---|
| Sweetwater, TN | $9.70 | $6.95 – $11.16 | 2,841 | 4 |
| Ashland, AL | $6.72 | $5.39 – $18.43 | 2,839 | 2 |
| Blue Bell, PA | $11.28 | $6.62 – $18.98 | 2,838 | 5 |
| Candler, NC | $18.26 | $17.39 – $32.36 | 2,838 | 3 |
| Johnson City, NY | $13.46 | $1.67 – $26.39 | 2,834 | 10 |
| Wantagh, NY | $5.72 | $5.66 – $9.04 | 2,834 | 2 |
| Livingston, TX | $3.27 | $0.00 – $3.39 | 2,830 | 2 |
| Medway, MA | $16.92 | $12.44 – $19.44 | 2,830 | 3 |
| Rome, GA | $12.89 | $12.37 – $17.74 | 2,827 | 2 |
| Waxahachie, TX | $4.34 | $0.00 – $7.26 | 2,827 | 8 |
| Scott, AR | $9.44 | $9.44 – $9.44 | 2,820 | 1 |
| Wetumpka, AL | $4.08 | $4.08 – $4.08 | 2,819 | 1 |
| Lapeer, MI | $17.88 | $10.74 – $37.93 | 2,816 | 4 |
| Olean, NY | $4.64 | $0.00 – $4.68 | 2,813 | 3 |
| Claremont, NH | $6.39 | $6.39 – $6.39 | 2,813 | 1 |
| Eddyville, KY | $9.20 | $7.16 – $28.91 | 2,810 | 3 |
| Campbell, OH | $9.95 | $9.94 – $11.51 | 2,810 | 2 |
| Woodbury, MN | $38.10 | $9.39 – $68.42 | 2,809 | 6 |
| North Baldwin, NY | $2.50 | $2.50 – $2.50 | 2,800 | 1 |
| Pierre, SD | $25.95 | $25.95 – $25.95 | 2,798 | 1 |
| Valdosta, GA | $7.63 | $3.79 – $16.30 | 2,797 | 3 |
| Mercerville, NJ | $31.97 | $30.39 – $34.80 | 2,794 | 3 |
| Wakefield, MA | $4.75 | $4.75 – $4.75 | 2,788 | 1 |
| Elkhorn, WI | $15.30 | $12.75 – $27.52 | 2,787 | 4 |
| Perry, OH | $5.70 | $5.70 – $5.70 | 2,783 | 1 |
| Seneca Falls, NY | $7.21 | $0.00 – $7.58 | 2,781 | 4 |
| Brockway, PA | $22.09 | $10.53 – $33.82 | 2,781 | 3 |
| New Hope, PA | $14.74 | $14.74 – $14.74 | 2,781 | 1 |
| Mangonia Park, FL | $3.63 | $3.63 – $3.63 | 2,780 | 1 |
| South Gate, CA | $4.89 | $0.00 – $25.55 | 2,779 | 3 |
| Bristol, RI | $16.12 | $5.76 – $19.57 | 2,773 | 4 |
| Ripley, TN | $5.77 | $4.55 – $6.95 | 2,771 | 3 |
| Oceanside, CA | $24.81 | $9.34 – $41.21 | 2,769 | 9 |
| Blacksburg, VA | $7.63 | $7.20 – $34.19 | 2,768 | 3 |
| Indian Land, SC | $19.37 | $13.46 – $20.31 | 2,767 | 5 |
| Cedar City, UT | $15.34 | $6.01 – $34.47 | 2,766 | 5 |
| Brodhead, KY | $6.13 | $6.13 – $6.13 | 2,764 | 1 |
| Greenacres, FL | $14.59 | $1.33 – $51.11 | 2,758 | 6 |
| Ilion, NY | $5.35 | $3.06 – $5.55 | 2,755 | 2 |
| Manahawkin, NJ | $5.12 | $3.81 – $10.27 | 2,752 | 5 |
| Redding, CT | $21.88 | $9.44 – $27.87 | 2,750 | 2 |
| Sparta, TN | $7.75 | $0.98 – $8.27 | 2,746 | 2 |
| Phelps, KY | $26.30 | $4.44 – $29.70 | 2,742 | 2 |
| Robbinsdale, MN | $55.57 | $44.03 – $81.40 | 2,739 | 3 |
| Temple City, CA | $28.70 | $0.00 – $37.05 | 2,737 | 3 |
| Horseheads, NY | $6.38 | $0.00 – $20.91 | 2,736 | 6 |
| Hanson, KY | $3.64 | $3.64 – $3.64 | 2,734 | 1 |
| Mt Juliet, TN | $8.38 | $7.73 – $12.19 | 2,733 | 2 |
| Minerva, OH | $7.78 | $7.78 – $7.78 | 2,733 | 1 |
| Hot Springs, SD | $51.36 | $51.36 – $51.36 | 2,733 | 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.