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 |
|---|---|---|---|---|
| Lenox, MA | $16.74 | $16.74 – $16.74 | 1,974 | 1 |
| Godwin, NC | $8.72 | $8.72 – $8.72 | 1,972 | 1 |
| Kentfield, CA | $46.21 | $15.43 – $138.51 | 1,971 | 3 |
| Fellsmere, FL | $10.56 | $2.91 – $15.40 | 1,971 | 2 |
| Little Rock Air Force Base, AR | $16.00 | $16.00 – $16.00 | 1,969 | 1 |
| Spencer, WV | $0.01 | $0.01 – $0.01 | 1,962 | 1 |
| Mount Olivet, KY | $2.86 | $2.86 – $2.86 | 1,962 | 1 |
| Chatsworth, CA | $20.92 | $1.41 – $21.28 | 1,960 | 2 |
| Maple Heights, OH | $8.25 | $6.37 – $8.27 | 1,957 | 2 |
| Autaugaville, AL | $30.81 | $30.81 – $30.81 | 1,954 | 1 |
| West Milford, NJ | $9.82 | $3.66 – $29.88 | 1,945 | 3 |
| Minot Afb, ND | $0.00 | $0.00 – $0.00 | 1,944 | 1 |
| Cascade, ID | $17.29 | $16.57 – $24.79 | 1,944 | 3 |
| South Hampton, PA | $0.42 | $0.42 – $0.42 | 1,937 | 1 |
| Dale, IN | $8.99 | $8.99 – $8.99 | 1,937 | 1 |
| Bellevue, NE | $17.22 | $14.10 – $20.81 | 1,936 | 4 |
| Wrentham, MA | $15.50 | $4.02 – $32.99 | 1,934 | 4 |
| Albany, KY | $8.28 | $3.40 – $9.00 | 1,932 | 3 |
| Tewksbury, MA | $8.37 | $5.07 – $13.20 | 1,928 | 3 |
| Colts Neck, NJ | $4.13 | $4.02 – $10.46 | 1,920 | 2 |
| Ukiah, CA | $89.02 | $0.69 – $246.88 | 1,917 | 3 |
| Okatie, SC | $29.90 | $6.73 – $30.42 | 1,917 | 3 |
| Elizabeth, PA | $8.09 | $8.09 – $8.09 | 1,916 | 1 |
| Crofton, MD | $11.70 | $5.58 – $15.24 | 1,916 | 3 |
| Kinnelon, NJ | $11.14 | $11.14 – $11.14 | 1,916 | 1 |
| North Attleboro, MA | $22.81 | $4.97 – $35.04 | 1,915 | 4 |
| Holly Springs, NC | $11.11 | $10.27 – $11.66 | 1,914 | 2 |
| Staples, MN | $184.49 | $66.42 – $241.43 | 1,912 | 8 |
| Clearlake, CA | $134.96 | $1.35 – $415.69 | 1,910 | 3 |
| Montgomery, IN | $16.94 | $14.69 – $23.65 | 1,910 | 2 |
| Englewood, OH | $24.36 | $7.27 – $38.67 | 1,906 | 5 |
| Somerset, OH | $6.72 | $2.97 – $8.27 | 1,905 | 2 |
| Hemphill, TX | $24.52 | $24.52 – $24.52 | 1,903 | 1 |
| Lone Tree, CO | $24.17 | $14.36 – $37.43 | 1,898 | 6 |
| Tazewell, VA | $16.07 | $16.07 – $16.07 | 1,897 | 1 |
| Loretto, TN | $8.81 | $8.02 – $14.78 | 1,897 | 2 |
| Dillsboro, IN | $5.53 | $5.53 – $5.53 | 1,897 | 1 |
| Baldwin, WI | $49.05 | $49.05 – $49.05 | 1,896 | 1 |
| Forney, TX | $7.13 | $7.13 – $7.13 | 1,895 | 1 |
| Fenwick Island, DE | $10.64 | $10.64 – $10.64 | 1,894 | 1 |
| Pulaski, TN | $13.21 | $0.00 – $39.49 | 1,892 | 5 |
| West Melbourne, FL | $7.77 | $7.77 – $7.77 | 1,892 | 1 |
| Dadeville, AL | $1.47 | $0.00 – $5.70 | 1,891 | 7 |
| Sweet Water, AL | $0.00 | $0.00 – $0.00 | 1,891 | 1 |
| Gainesville, MO | $26.21 | $25.75 – $27.14 | 1,890 | 2 |
| New Lexington, OH | $5.05 | $2.11 – $5.19 | 1,890 | 2 |
| Salem, KY | $25.25 | $1.45 – $26.65 | 1,889 | 4 |
| Campbell, CA | $16.40 | $5.36 – $33.73 | 1,888 | 3 |
| Wylie, TX | $4.14 | $0.32 – $11.44 | 1,885 | 2 |
| Anna, IL | $7.98 | $0.00 – $15.19 | 1,884 | 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.