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 |
|---|---|---|---|---|
| Windber, PA | $9.15 | $5.68 – $10.67 | 2,545 | 2 |
| Lighthouse Point, FL | $4.68 | $2.96 – $31.56 | 2,544 | 4 |
| Hamilton, AL | $0.03 | $0.00 – $0.86 | 2,544 | 2 |
| Burlington, WI | $12.04 | $6.22 – $20.93 | 2,542 | 3 |
| Bells, TX | $5.91 | $5.91 – $5.91 | 2,537 | 1 |
| Snohomish, WA | $13.42 | $7.65 – $19.24 | 2,536 | 3 |
| Estes Park, CO | $23.32 | $8.91 – $23.85 | 2,534 | 2 |
| Taylors, SC | $7.55 | $7.46 – $25.43 | 2,532 | 2 |
| Bozeman, MT | $10.66 | $1.69 – $38.37 | 2,531 | 5 |
| Shamokin, PA | $1.80 | $0.00 – $5.86 | 2,530 | 5 |
| Herkimer, NY | $11.24 | $5.83 – $36.69 | 2,527 | 4 |
| Davison, MI | $30.45 | $10.88 – $36.23 | 2,526 | 3 |
| Londonderry, NH | $7.89 | $4.49 – $22.96 | 2,526 | 4 |
| Maquoketa, IA | $10.15 | $4.74 – $16.05 | 2,526 | 3 |
| Kinder, LA | $1.25 | $0.00 – $1.61 | 2,519 | 4 |
| Mc Murray, PA | $19.26 | $3.11 – $27.84 | 2,518 | 6 |
| Greencastle, IN | $18.09 | $17.92 – $22.03 | 2,516 | 2 |
| Mesquite, NV | $18.84 | $0.68 – $36.03 | 2,512 | 4 |
| Galveston, TX | $4.13 | $0.00 – $18.10 | 2,512 | 9 |
| Va Beach, VA | $21.76 | $21.76 – $21.76 | 2,512 | 1 |
| Ethel, LA | $2.73 | $2.73 – $2.73 | 2,512 | 1 |
| Buckeye, WV | $0.81 | $0.08 – $7.06 | 2,505 | 2 |
| Ashton, MD | $9.11 | $8.77 – $20.03 | 2,505 | 2 |
| Hampton, NH | $5.10 | $2.93 – $5.54 | 2,504 | 2 |
| Cerritos, CA | $24.80 | $0.97 – $30.33 | 2,503 | 4 |
| Ebensburg, PA | $25.68 | $10.18 – $35.62 | 2,503 | 5 |
| San Deigo, CA | $4.05 | $4.05 – $4.05 | 2,503 | 1 |
| Monroe, NY | $11.96 | $1.64 – $31.12 | 2,501 | 6 |
| Stony Point, NY | $3.42 | $3.42 – $3.42 | 2,500 | 1 |
| Nipomo, CA | $24.70 | $2.07 – $29.00 | 2,498 | 3 |
| Marietta, OK | $31.31 | $31.31 – $31.31 | 2,498 | 1 |
| Centre, AL | $2.26 | $0.44 – $9.45 | 2,496 | 4 |
| Hopewell Junction, NY | $8.21 | $6.44 – $11.22 | 2,495 | 3 |
| Hillsboro, OH | $7.54 | $0.00 – $13.83 | 2,494 | 3 |
| Chatham, VA | $6.89 | $6.89 – $6.89 | 2,490 | 1 |
| West Union, OH | $11.88 | $1.87 – $12.00 | 2,487 | 2 |
| Evening Shade, AR | $13.55 | $13.55 – $13.55 | 2,487 | 1 |
| Manteca, CA | $23.22 | $3.83 – $51.38 | 2,483 | 3 |
| Neptune Beach, FL | $24.87 | $0.00 – $26.74 | 2,481 | 4 |
| West Pittston, PA | $11.52 | $6.36 – $20.59 | 2,480 | 6 |
| Racine, WI | $17.77 | $7.10 – $22.04 | 2,479 | 6 |
| Elkhorn City, KY | $0.59 | $0.59 – $0.59 | 2,479 | 1 |
| Williston, VT | $13.11 | $8.29 – $19.65 | 2,478 | 9 |
| Hampstead, NC | $30.83 | $25.22 – $56.14 | 2,477 | 4 |
| Wailuku, HI | $24.18 | $14.27 – $31.42 | 2,475 | 3 |
| Gulf Breeze, FL | $2.84 | $0.00 – $5.41 | 2,474 | 6 |
| Nanticoke, PA | $9.57 | $7.75 – $9.96 | 2,469 | 3 |
| Mount Airy, MD | $46.92 | $46.92 – $46.92 | 2,468 | 1 |
| Newtown, PA | $12.28 | $4.38 – $17.51 | 2,468 | 10 |
| Itasca, IL | $11.77 | $11.77 – $11.77 | 2,468 | 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.