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 |
|---|---|---|---|---|
| Linton, IN | $8.11 | $5.20 – $14.52 | 2,467 | 3 |
| Bonney Lake, WA | $16.92 | $14.80 – $47.19 | 2,466 | 3 |
| West Reading, PA | $27.13 | $14.40 – $44.71 | 2,461 | 4 |
| Perry, IA | $14.44 | $0.00 – $20.37 | 2,461 | 5 |
| Wood River, IL | $1.81 | $1.81 – $1.81 | 2,457 | 1 |
| Belton, TX | $6.10 | $6.10 – $6.10 | 2,456 | 1 |
| Pennsauken, NJ | $11.33 | $2.13 – $15.16 | 2,456 | 3 |
| Stigler, OK | $12.11 | $6.12 – $20.18 | 2,453 | 3 |
| Bethany, CT | $13.38 | $13.38 – $13.38 | 2,452 | 1 |
| Ithaca, NY | $7.73 | $0.00 – $9.64 | 2,450 | 6 |
| Barlow, KY | $4.70 | $2.32 – $68.52 | 2,448 | 2 |
| Humboldt, TN | $6.69 | $4.98 – $9.08 | 2,446 | 3 |
| Andrews, TX | $22.74 | $22.74 – $22.74 | 2,443 | 1 |
| North East, MD | $50.81 | $50.81 – $50.81 | 2,443 | 1 |
| District Heights, MD | $30.53 | $30.53 – $30.53 | 2,435 | 1 |
| Lawrence, KS | $5.31 | $0.00 – $8.34 | 2,422 | 10 |
| Othello, WA | $8.65 | $0.00 – $8.80 | 2,419 | 2 |
| Concord, AR | $17.72 | $17.72 – $17.72 | 2,414 | 1 |
| Mangilao, GU | $3.35 | $3.35 – $3.35 | 2,412 | 1 |
| Fulshear, TX | $8.40 | $0.94 – $8.55 | 2,410 | 2 |
| Duncansville, PA | $2.68 | $2.68 – $2.68 | 2,410 | 1 |
| Weiser, ID | $15.83 | $15.83 – $15.83 | 2,408 | 1 |
| Kannapolis, NC | $19.29 | $16.66 – $22.75 | 2,406 | 2 |
| Monahans, TX | $16.25 | $12.08 – $20.45 | 2,406 | 2 |
| Butler, PA | $16.34 | $10.99 – $18.79 | 2,405 | 4 |
| Princeton, MA | $9.37 | $9.37 – $9.37 | 2,404 | 1 |
| Springfield, KY | $22.15 | $5.64 – $35.92 | 2,401 | 3 |
| Abington, PA | $9.69 | $0.00 – $54.77 | 2,399 | 7 |
| Spearfish, SD | $23.18 | $23.18 – $23.18 | 2,397 | 1 |
| Valdese, NC | $6.09 | $6.09 – $6.09 | 2,396 | 1 |
| Yorkville, IL | $7.31 | $5.32 – $9.46 | 2,394 | 2 |
| Saint Michael, MN | $16.23 | $16.23 – $16.23 | 2,390 | 1 |
| Broadview Heights, OH | $15.66 | $5.13 – $16.06 | 2,389 | 2 |
| Hancock, NY | $6.66 | $6.66 – $6.66 | 2,389 | 1 |
| North Venice, FL | $5.49 | $5.49 – $5.49 | 2,388 | 1 |
| Poland, OH | $8.99 | $8.22 – $22.24 | 2,385 | 5 |
| Steele, MO | $33.79 | $33.79 – $33.79 | 2,377 | 1 |
| Leander, TX | $5.24 | $0.91 – $5.44 | 2,375 | 2 |
| Brooklyn, IA | $8.17 | $8.17 – $8.17 | 2,374 | 1 |
| Crossville, AL | $1.98 | $1.43 – $2.24 | 2,374 | 2 |
| Park Hills, MO | $42.13 | $42.13 – $42.13 | 2,371 | 1 |
| Sumiton, AL | $6.19 | $6.19 – $6.19 | 2,371 | 1 |
| Riverdale, GA | $12.75 | $6.63 – $20.63 | 2,370 | 2 |
| Norwalk, IA | $3.96 | $3.72 – $3.96 | 2,368 | 2 |
| Briarcliff Manor, NY | $16.71 | $16.71 – $16.71 | 2,368 | 1 |
| Berkeley Springs, WV | $24.11 | $4.14 – $46.94 | 2,367 | 4 |
| Lacrosse, WI | $11.60 | $11.60 – $11.60 | 2,366 | 1 |
| Marion, KY | $22.76 | $20.64 – $36.69 | 2,363 | 4 |
| Egg Harbor Township, NJ | $12.43 | $0.00 – $19.79 | 2,362 | 5 |
| Belle Chasse, LA | $9.21 | $7.66 – $11.16 | 2,362 | 2 |
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.