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 |
|---|---|---|---|---|
| Phil Campbell, AL | $0.00 | $0.00 – $0.00 | 1,825 | 1 |
| Blufield, VA | $0.15 | $0.15 – $0.15 | 1,824 | 1 |
| Cashmere, WA | $34.47 | $33.33 – $35.13 | 1,823 | 2 |
| Warren, AR | $15.90 | $7.65 – $22.40 | 1,822 | 7 |
| Clovis, NM | $17.39 | $4.25 – $39.00 | 1,821 | 5 |
| Croton On Hudson, NY | $0.83 | $0.24 – $86.68 | 1,820 | 3 |
| Gun Barrel City, TX | $5.65 | $0.00 – $5.85 | 1,819 | 2 |
| Seaford, DE | $2.27 | $0.36 – $30.59 | 1,818 | 3 |
| Margate, NJ | $19.47 | $19.47 – $19.47 | 1,818 | 1 |
| Oak Forest, IL | $45.99 | $45.99 – $45.99 | 1,816 | 1 |
| Rock Hill, NY | $12.46 | $11.46 – $13.03 | 1,815 | 3 |
| Rochelle, IL | $16.48 | $3.94 – $23.99 | 1,815 | 3 |
| Jacksonville, IL | $20.54 | $0.09 – $24.95 | 1,813 | 4 |
| St Clair Shores, MI | $57.32 | $57.32 – $57.32 | 1,812 | 1 |
| Englewood Cliffs, NJ | $5.93 | $0.00 – $6.63 | 1,811 | 2 |
| Carrollton, GA | $4.55 | $4.03 – $5.27 | 1,810 | 2 |
| Moorhead, MN | $43.46 | $23.73 – $65.64 | 1,809 | 3 |
| Syracuse, NE | $16.54 | $16.54 – $16.54 | 1,809 | 1 |
| Ozark, MO | $25.55 | $25.55 – $25.55 | 1,808 | 1 |
| Pleasant Hill, MO | $12.47 | $12.47 – $12.47 | 1,805 | 1 |
| Geneva, AL | $22.96 | $0.07 – $32.56 | 1,801 | 3 |
| Fitchburg, WI | $10.40 | $6.98 – $27.87 | 1,800 | 2 |
| Geneva, IL | $23.32 | $4.05 – $35.63 | 1,798 | 2 |
| Rhinebeck, NY | $9.70 | $6.93 – $24.31 | 1,798 | 3 |
| Union, MS | $32.63 | $32.40 – $42.68 | 1,796 | 2 |
| Eastchester, NY | $2.29 | $0.09 – $9.97 | 1,794 | 3 |
| Cliffwood, NJ | $27.95 | $27.95 – $27.95 | 1,794 | 1 |
| Olive Hill, KY | $3.58 | $3.58 – $3.58 | 1,792 | 1 |
| Eldorado, IL | $1.80 | $0.00 – $3.08 | 1,791 | 4 |
| Beacon, NY | $6.81 | $0.00 – $44.81 | 1,790 | 3 |
| Rosenberg, TX | $5.35 | $0.67 – $6.56 | 1,790 | 2 |
| Kennesaw, GA | $8.46 | $8.46 – $8.46 | 1,789 | 1 |
| Holly Springs, MS | $2.76 | $0.00 – $12.58 | 1,789 | 3 |
| Norwell, MA | $9.69 | $5.05 – $22.03 | 1,789 | 3 |
| Bedford, MA | $7.30 | $0.50 – $15.12 | 1,785 | 3 |
| Maple Grove, MN | $16.24 | $8.94 – $70.28 | 1,780 | 4 |
| Odenton, MD | $54.38 | $18.87 – $56.65 | 1,780 | 2 |
| Franconia, NH | $11.71 | $11.71 – $11.71 | 1,779 | 1 |
| Caraway, AR | $16.77 | $16.77 – $16.77 | 1,779 | 1 |
| North Jackson, OH | $11.18 | $11.18 – $11.18 | 1,778 | 1 |
| Spring Hill, TN | $9.73 | $8.16 – $14.60 | 1,777 | 3 |
| Mansfield Center, CT | $17.57 | $5.09 – $29.81 | 1,776 | 4 |
| Elma, WA | $1.92 | $1.92 – $1.92 | 1,776 | 1 |
| Ponce, PR | $3.12 | $3.07 – $3.91 | 1,773 | 2 |
| Mount Juliet, TN | $13.47 | $2.21 – $14.18 | 1,773 | 2 |
| Olney, MD | $30.35 | $0.00 – $91.95 | 1,772 | 7 |
| Arlington, MA | $8.05 | $7.59 – $9.19 | 1,769 | 2 |
| Avon, CO | $6.41 | $6.41 – $6.41 | 1,767 | 1 |
| Carmel, CA | $7.00 | $7.00 – $7.00 | 1,765 | 1 |
| Paincourtville, LA | $5.30 | $2.96 – $6.05 | 1,765 | 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.