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 |
|---|---|---|---|---|
| Moira, NY | $7.63 | $7.63 – $7.63 | 2,654 | 1 |
| Seneca, SC | $9.99 | $2.91 – $19.29 | 2,650 | 6 |
| Billerica, MA | $66.80 | $66.80 – $66.80 | 2,648 | 1 |
| Belfast, ME | $9.74 | $8.72 – $43.32 | 2,647 | 2 |
| Heber Springs, AR | $14.28 | $13.82 – $14.75 | 2,647 | 2 |
| Ramsey, NJ | $7.16 | $4.74 – $19.58 | 2,643 | 3 |
| Denville, NJ | $9.31 | $0.39 – $25.89 | 2,640 | 5 |
| Walnut Grove, MS | $13.75 | $11.55 – $13.99 | 2,636 | 2 |
| Scottsville, KY | $32.24 | $18.60 – $32.56 | 2,635 | 3 |
| Windcrest, TX | $6.00 | $6.00 – $6.00 | 2,630 | 1 |
| Burnsville, NC | $10.04 | $10.04 – $10.04 | 2,627 | 1 |
| Dansville, NY | $16.13 | $8.08 – $17.02 | 2,622 | 2 |
| Brunswick, MO | $31.93 | $31.93 – $31.93 | 2,618 | 1 |
| Gallipolis, OH | $6.78 | $0.00 – $10.21 | 2,616 | 7 |
| Norfolk, NE | $16.23 | $0.00 – $34.40 | 2,616 | 7 |
| Cuthbert, GA | $4.68 | $0.00 – $37.13 | 2,615 | 3 |
| Stephens City, VA | $13.32 | $11.34 – $14.58 | 2,610 | 2 |
| Demorest, GA | $19.56 | $19.56 – $19.56 | 2,609 | 1 |
| Barnhart, MO | $17.61 | $17.61 – $17.61 | 2,609 | 1 |
| Malibu, CA | $29.17 | $29.17 – $29.17 | 2,608 | 1 |
| Sheridan, WY | $14.31 | $4.92 – $31.28 | 2,606 | 6 |
| Claremont, CA | $11.30 | $0.00 – $20.08 | 2,605 | 4 |
| Somersworth, NH | $8.80 | $8.80 – $8.80 | 2,602 | 1 |
| Wood Ridge, NJ | $11.34 | $11.34 – $11.34 | 2,602 | 1 |
| Fort Payne, AL | $0.37 | $0.27 – $0.66 | 2,599 | 3 |
| Evans, GA | $25.17 | $9.01 – $35.33 | 2,598 | 5 |
| Hudson, MA | $9.04 | $8.39 – $23.96 | 2,597 | 3 |
| Bethel, CT | $14.91 | $14.91 – $14.91 | 2,595 | 1 |
| White Plains, MD | $50.04 | $45.03 – $64.96 | 2,594 | 3 |
| Harrington Park, NJ | $9.56 | $3.42 – $10.16 | 2,592 | 5 |
| Keokuk, IA | $6.19 | $0.00 – $6.77 | 2,590 | 3 |
| Churchton, MD | $40.64 | $11.97 – $48.22 | 2,587 | 2 |
| Nowata, OK | $28.87 | $28.87 – $28.87 | 2,582 | 1 |
| Gilmer, TX | $4.87 | $3.49 – $10.14 | 2,580 | 3 |
| Lafayette, CO | $7.48 | $0.00 – $42.60 | 2,572 | 6 |
| Cheshire, CT | $9.29 | $0.00 – $18.92 | 2,572 | 7 |
| Susanville, CA | $40.12 | $0.00 – $335.14 | 2,572 | 4 |
| Vacherie, LA | $0.00 | $0.00 – $0.00 | 2,565 | 1 |
| Marengo, IA | $3.23 | $3.23 – $3.23 | 2,563 | 1 |
| Mineral Ridge, OH | $10.41 | $8.14 – $20.09 | 2,562 | 3 |
| Severn, MD | $66.21 | $1.37 – $69.19 | 2,560 | 4 |
| Kernersville, NC | $7.95 | $6.02 – $47.15 | 2,556 | 2 |
| Millstone Township, NJ | $2.28 | $2.28 – $2.28 | 2,556 | 1 |
| Antlers, OK | $52.87 | $49.71 – $53.95 | 2,552 | 2 |
| Sullivan, IL | $9.13 | $0.20 – $11.63 | 2,550 | 2 |
| Jay, OK | $23.24 | $12.19 – $28.36 | 2,550 | 2 |
| Beulah, ND | $13.58 | $4.84 – $15.80 | 2,549 | 2 |
| Glenwood, IL | $10.26 | $10.26 – $10.26 | 2,549 | 1 |
| Henderson, TN | $9.80 | $2.37 – $15.44 | 2,548 | 4 |
| Paris, KY | $4.18 | $4.18 – $4.18 | 2,546 | 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.