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 |
|---|---|---|---|---|
| Red Springs, NC | $17.74 | $17.74 – $17.74 | 2,231 | 1 |
| Hannibal, MO | $29.56 | $0.00 – $37.56 | 2,230 | 8 |
| Warren, PA | $11.17 | $11.17 – $11.17 | 2,227 | 1 |
| Sonora, TX | $31.79 | $31.79 – $31.79 | 2,226 | 1 |
| Greenville, AL | $51.82 | $0.00 – $73.54 | 2,218 | 3 |
| East Prairie, MO | $26.61 | $12.07 – $38.13 | 2,217 | 3 |
| Forest Hill, MD | $48.83 | $41.28 – $51.01 | 2,214 | 2 |
| Jackson Hts, NY | $10.70 | $10.70 – $10.70 | 2,203 | 1 |
| Jarvisburg, NC | $17.91 | $17.91 – $17.91 | 2,202 | 1 |
| Quitman, MS | $34.90 | $33.22 – $95.71 | 2,199 | 4 |
| Duryea, PA | $22.45 | $7.76 – $43.00 | 2,198 | 2 |
| St Matthews, SC | $19.93 | $19.93 – $19.93 | 2,198 | 1 |
| Raritan, NJ | $17.93 | $2.26 – $29.28 | 2,196 | 3 |
| Townshend, VT | $16.08 | $15.21 – $18.47 | 2,195 | 2 |
| Heflin, AL | $3.93 | $1.47 – $3.98 | 2,195 | 2 |
| Hawthorne, NJ | $8.00 | $7.06 – $12.97 | 2,193 | 3 |
| Rawlins, WY | $18.17 | $13.60 – $27.50 | 2,193 | 3 |
| Bastrop, TX | $6.74 | $0.00 – $14.46 | 2,191 | 8 |
| Rhinelander, WI | $22.40 | $7.56 – $53.54 | 2,191 | 4 |
| Wauchula, FL | $4.99 | $0.00 – $5.04 | 2,191 | 2 |
| Union Grove, WI | $15.20 | $4.32 – $20.54 | 2,191 | 4 |
| Broolkyn, NY | $4.41 | $4.41 – $4.41 | 2,190 | 1 |
| Corapeake, NC | $11.03 | $11.03 – $11.03 | 2,190 | 1 |
| Aldie, VA | $8.17 | $0.64 – $9.00 | 2,189 | 4 |
| Pleasant Hill, IA | $13.81 | $8.73 – $17.12 | 2,188 | 3 |
| Stratford, OK | $19.77 | $5.36 – $21.49 | 2,187 | 2 |
| Gulf Shores, AL | $3.86 | $3.86 – $3.86 | 2,186 | 1 |
| Somerville, MA | $15.88 | $3.72 – $26.06 | 2,182 | 4 |
| Zirconia, NC | $4.40 | $4.40 – $4.40 | 2,175 | 1 |
| Richlands, NC | $10.41 | $10.41 – $10.41 | 2,171 | 1 |
| Independence, VA | $16.17 | $14.01 – $17.31 | 2,167 | 2 |
| Lake Arrowhead, CA | $17.32 | $0.00 – $17.43 | 2,166 | 2 |
| Mashpee, MA | $10.58 | $10.58 – $10.58 | 2,164 | 1 |
| St Louisville, OH | $12.70 | $12.70 – $12.70 | 2,162 | 1 |
| Syracuse, UT | $24.42 | $24.42 – $24.42 | 2,160 | 1 |
| Thorndale, PA | $8.60 | $2.79 – $17.46 | 2,160 | 4 |
| Flower Mound, TX | $4.85 | $1.80 – $8.63 | 2,159 | 4 |
| Hominy, OK | $20.16 | $20.16 – $20.16 | 2,159 | 1 |
| Holt, MI | $24.92 | $24.92 – $24.92 | 2,158 | 1 |
| Kalispell, MT | $16.81 | $0.00 – $28.97 | 2,154 | 10 |
| Albany, GA | $19.68 | $18.64 – $34.05 | 2,154 | 2 |
| Brownsville, PA | $5.75 | $4.30 – $21.69 | 2,154 | 3 |
| La Mirada, CA | $9.01 | $6.24 – $10.12 | 2,150 | 2 |
| Wilkinsburg, PA | $2.63 | $2.63 – $2.63 | 2,149 | 1 |
| El Dorado Springs, MO | $39.58 | $39.58 – $39.58 | 2,149 | 1 |
| Mohawk, NY | $6.50 | $6.50 – $6.50 | 2,147 | 1 |
| Fife, WA | $3.12 | $0.00 – $16.42 | 2,145 | 2 |
| Aberdeen, NC | $17.06 | $17.06 – $17.06 | 2,143 | 1 |
| Crestview Hills, KY | $5.01 | $4.99 – $5.89 | 2,141 | 2 |
| Mountlake Terrace, WA | $8.54 | $2.67 – $64.40 | 2,141 | 3 |
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.