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 |
|---|---|---|---|---|
| Sheffield, AL | $2.55 | $2.55 – $2.55 | 2,305 | 1 |
| Moncks Corner, SC | $12.63 | $9.87 – $12.66 | 2,305 | 2 |
| Piggott, AR | $20.84 | $11.72 – $21.19 | 2,305 | 2 |
| New Windsor, NY | $4.78 | $2.03 – $29.06 | 2,304 | 3 |
| Pekin, IL | $23.29 | $6.95 – $34.62 | 2,299 | 3 |
| North Stonington, CT | $6.17 | $6.17 – $6.17 | 2,299 | 1 |
| Covington, VA | $18.16 | $10.38 – $20.87 | 2,298 | 2 |
| Fort Morgan, CO | $9.92 | $4.87 – $14.98 | 2,297 | 2 |
| Bertram, TX | $5.90 | $4.92 – $8.27 | 2,296 | 2 |
| Prospect Park, PA | $20.30 | $20.30 – $20.30 | 2,296 | 1 |
| Bennington, VT | $13.62 | $11.27 – $26.03 | 2,294 | 6 |
| Seaford, NY | $5.50 | $5.50 – $5.50 | 2,291 | 1 |
| Pico Rivera, CA | $23.73 | $18.98 – $29.32 | 2,290 | 2 |
| Middleburg, FL | $18.93 | $0.23 – $36.43 | 2,282 | 6 |
| Richmond, MO | $15.20 | $15.20 – $15.20 | 2,282 | 1 |
| Winfield, WV | $13.50 | $13.50 – $13.50 | 2,281 | 1 |
| Cedar Falls, IA | $12.29 | $1.86 – $13.47 | 2,280 | 5 |
| East Berlin, CT | $13.67 | $0.00 – $14.54 | 2,277 | 2 |
| Petersburg, WV | $7.29 | $5.45 – $10.92 | 2,276 | 3 |
| Hamtramck, MI | $55.27 | $51.11 – $55.35 | 2,276 | 2 |
| Kirkville, NY | $12.66 | $12.66 – $12.66 | 2,276 | 1 |
| Snellville, GA | $3.81 | $0.00 – $48.55 | 2,275 | 4 |
| Petersburg, IN | $24.42 | $0.37 – $38.91 | 2,270 | 4 |
| Brewster, NY | $12.15 | $1.50 – $15.16 | 2,268 | 3 |
| Vestavia, AL | $4.89 | $0.00 – $14.43 | 2,266 | 4 |
| Mendham, NJ | $7.30 | $0.00 – $8.58 | 2,266 | 3 |
| Zapata, TX | $1.20 | $1.20 – $1.20 | 2,265 | 1 |
| Clio, MI | $20.28 | $20.28 – $20.28 | 2,263 | 1 |
| Lakemoor, IL | $15.15 | $15.15 – $15.15 | 2,263 | 1 |
| Salem, NH | $5.06 | $3.46 – $21.09 | 2,262 | 5 |
| Coalgate, OK | $12.13 | $7.63 – $29.71 | 2,260 | 2 |
| Cushing, OK | $15.86 | $9.12 – $16.67 | 2,260 | 4 |
| Haines City, FL | $9.04 | $0.64 – $15.35 | 2,257 | 3 |
| Hanover, NH | $11.40 | $9.44 – $14.79 | 2,256 | 2 |
| Newton, KS | $7.50 | $5.89 – $7.52 | 2,254 | 2 |
| Needham, MA | $16.86 | $0.06 – $25.46 | 2,253 | 5 |
| Carmi, IL | $1.79 | $0.00 – $11.10 | 2,250 | 3 |
| Manila, AR | $18.62 | $18.62 – $18.62 | 2,249 | 1 |
| Arleta, CA | $6.56 | $6.02 – $7.25 | 2,246 | 2 |
| Dubuque, IA | $7.13 | $0.00 – $26.14 | 2,245 | 14 |
| Franklin, PA | $2.63 | $1.04 – $21.82 | 2,245 | 4 |
| Sandy Hook, KY | $3.23 | $3.23 – $3.23 | 2,245 | 1 |
| Lima, PA | $13.86 | $13.86 – $13.86 | 2,245 | 1 |
| Berlin, NH | $0.23 | $0.00 – $0.25 | 2,244 | 3 |
| Dickinson, ND | $20.24 | $13.60 – $27.37 | 2,243 | 5 |
| Grapeland, TX | $11.57 | $11.57 – $11.57 | 2,243 | 1 |
| Concord, CA | $52.40 | $0.00 – $76.32 | 2,241 | 7 |
| Scotch Plains, NJ | $10.11 | $10.11 – $10.11 | 2,238 | 1 |
| Silverton, OR | $15.69 | $13.96 – $23.12 | 2,236 | 2 |
| Washington, PA | $15.30 | $6.69 – $48.66 | 2,235 | 5 |
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.