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 |
|---|---|---|---|---|
| Camden, AL | $4.72 | $0.00 – $4.78 | 2,057 | 2 |
| Rayland, OH | $6.78 | $6.77 – $7.46 | 2,054 | 2 |
| Clio, SC | $21.19 | $21.19 – $21.19 | 2,052 | 1 |
| Montrose, CO | $19.76 | $6.07 – $37.99 | 2,047 | 5 |
| Kaufman, TX | $4.15 | $4.15 – $4.15 | 2,047 | 1 |
| Jeannette, PA | $12.61 | $8.36 – $14.09 | 2,046 | 2 |
| Cuero, TX | $9.20 | $0.00 – $12.82 | 2,042 | 3 |
| Bartow, FL | $1.76 | $1.76 – $1.76 | 2,040 | 1 |
| Springfield, MN | $35.36 | $32.94 – $36.74 | 2,040 | 2 |
| Fairview Heights, IL | $27.19 | $2.01 – $28.79 | 2,038 | 3 |
| Greensburg, IN | $20.61 | $1.15 – $23.17 | 2,036 | 5 |
| Coos Bay, OR | $17.07 | $0.15 – $25.75 | 2,033 | 4 |
| Charleston, MO | $33.01 | $32.99 – $35.15 | 2,032 | 3 |
| Grayling, MI | $0.23 | $0.23 – $0.23 | 2,029 | 1 |
| Yardley, PA | $11.36 | $2.84 – $16.11 | 2,028 | 4 |
| Duncanville, TX | $18.51 | $5.77 – $35.42 | 2,027 | 2 |
| Ballinger, TX | $3.29 | $3.29 – $3.29 | 2,026 | 1 |
| Ashland, NE | $20.98 | $20.98 – $20.98 | 2,024 | 1 |
| Long Branch, NJ | $11.54 | $3.14 – $17.15 | 2,023 | 6 |
| Livermore, CA | $24.65 | $2.75 – $40.60 | 2,017 | 5 |
| Monroe Township, NJ | $0.69 | $0.69 – $0.69 | 2,015 | 1 |
| Angleton, TX | $7.03 | $0.01 – $16.87 | 2,013 | 4 |
| Southlake, TX | $16.24 | $15.77 – $25.61 | 2,012 | 2 |
| Hartsdale, NY | $13.79 | $0.00 – $14.00 | 2,010 | 3 |
| Sugarloaf, PA | $15.86 | $8.40 – $19.01 | 2,009 | 3 |
| Glendale Heights, IL | $12.20 | $1.00 – $30.31 | 2,009 | 3 |
| Feasterville Trevose, PA | $17.15 | $17.15 – $17.15 | 2,007 | 1 |
| Easton, MD | $24.97 | $9.78 – $78.30 | 2,005 | 5 |
| Hutchinson, KS | $17.25 | $2.11 – $25.26 | 2,001 | 5 |
| Bucyrus, OH | $12.35 | $6.36 – $25.23 | 2,001 | 6 |
| Santa Rosa Beach, FL | $6.89 | $6.89 – $6.89 | 1,999 | 1 |
| Tappahannock, VA | $10.27 | $10.10 – $13.53 | 1,998 | 2 |
| Elizabeth, WV | $5.47 | $5.47 – $5.47 | 1,994 | 1 |
| Youngsville, LA | $5.24 | $5.24 – $5.24 | 1,993 | 1 |
| La Plata, MD | $52.11 | $52.11 – $52.11 | 1,992 | 1 |
| Hebron, OH | $10.77 | $10.77 – $10.77 | 1,990 | 1 |
| Mount Vernon, OH | $19.81 | $8.37 – $21.91 | 1,989 | 4 |
| Hallettsville, TX | $27.02 | $0.00 – $27.57 | 1,988 | 3 |
| Tipton, IN | $7.14 | $4.47 – $9.06 | 1,987 | 2 |
| Cloquet, MN | $73.96 | $49.06 – $84.38 | 1,987 | 5 |
| Shrewsbury, NJ | $12.11 | $0.00 – $15.03 | 1,986 | 4 |
| Navasota, TX | $9.34 | $2.81 – $14.16 | 1,983 | 5 |
| Kahului, HI | $15.68 | $12.66 – $18.51 | 1,982 | 3 |
| Jesup, GA | $13.97 | $13.97 – $13.97 | 1,981 | 1 |
| Brown Deer, WI | $29.28 | $1.83 – $29.86 | 1,981 | 3 |
| Glen Rock, NJ | $10.09 | $2.83 – $10.19 | 1,979 | 2 |
| Tukwila, WA | $27.22 | $0.00 – $34.11 | 1,978 | 4 |
| Elizabethtown, PA | $7.98 | $7.79 – $9.63 | 1,978 | 2 |
| Watertown, NY | $6.02 | $2.73 – $23.59 | 1,975 | 4 |
| Rushville, IN | $12.63 | $0.77 – $15.04 | 1,975 | 4 |
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.