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 |
|---|---|---|---|---|
| Riverview, FL | $5.56 | $0.45 – $43.80 | 53,933 | 12 |
| Alexandria, LA | $7.88 | $0.00 – $35.79 | 53,776 | 16 |
| West Monroe, LA | $6.27 | $1.31 – $62.12 | 53,750 | 14 |
| Saint Cloud, FL | $5.72 | $1.73 – $16.55 | 53,554 | 13 |
| Jonesboro, AR | $16.27 | $2.56 – $30.02 | 53,463 | 38 |
| Cherry Hill, NJ | $15.43 | $0.65 – $40.64 | 53,306 | 24 |
| Wichita Falls, TX | $5.71 | $1.39 – $39.28 | 53,219 | 14 |
| Pasadena, CA | $19.90 | $0.00 – $1,257 | 53,126 | 19 |
| Carmichael, CA | $26.96 | $0.00 – $33.21 | 53,110 | 12 |
| High Point, NC | $31.80 | $0.00 – $43.64 | 53,049 | 11 |
| Oxford, CT | $26.40 | $14.73 – $30.15 | 52,986 | 6 |
| Longwood, FL | $4.48 | $0.91 – $17.64 | 52,946 | 11 |
| Stockton, CA | $24.85 | $0.00 – $38.59 | 52,942 | 24 |
| Owensboro, KY | $7.18 | $0.42 – $14.80 | 52,718 | 28 |
| Midlothian, VA | $15.29 | $0.00 – $94.83 | 52,715 | 19 |
| Kettering, OH | $15.74 | $4.22 – $35.23 | 52,572 | 17 |
| Garden Grove, CA | $13.13 | $0.00 – $53.51 | 52,476 | 25 |
| Puyallup, WA | $16.33 | $5.15 – $30.66 | 52,232 | 24 |
| Toms River, NJ | $10.28 | $0.00 – $31.87 | 52,128 | 46 |
| Mansura, LA | $2.55 | $0.00 – $4.85 | 52,099 | 5 |
| Clarksville, IN | $9.66 | $0.00 – $14.88 | 52,050 | 14 |
| Port St Lucie, FL | $5.16 | $0.17 – $14.18 | 51,891 | 24 |
| Rye, NY | $10.07 | $0.00 – $10.19 | 51,829 | 3 |
| Pensacola Beach, FL | $5.62 | $5.62 – $5.62 | 51,811 | 1 |
| Russellville, AL | $0.15 | $0.00 – $3.36 | 51,682 | 7 |
| Easley, SC | $15.37 | $0.00 – $38.55 | 51,491 | 28 |
| Metairie, LA | $8.33 | $0.00 – $23.54 | 51,426 | 32 |
| Loveland, OH | $11.81 | $0.00 – $24.34 | 51,371 | 13 |
| Palm Beach Gardens, FL | $5.35 | $0.00 – $23.21 | 51,359 | 16 |
| Ashland, KY | $6.76 | $0.50 – $19.06 | 51,112 | 19 |
| Shelbyville, TN | $9.68 | $8.42 – $16.10 | 51,095 | 4 |
| Leeds, MA | $14.80 | $3.79 – $27.96 | 50,927 | 17 |
| Covington, LA | $7.61 | $2.48 – $22.85 | 50,862 | 21 |
| Aurora, IL | $14.54 | $0.00 – $34.24 | 50,851 | 27 |
| Bushnell, FL | $8.49 | $2.75 – $32.03 | 50,595 | 13 |
| Sparks Glencoe, MD | $20.38 | $20.38 – $20.38 | 50,529 | 1 |
| Dyersburg, TN | $8.25 | $0.00 – $21.47 | 49,667 | 17 |
| Beaverton, OR | $24.29 | $2.65 – $64.85 | 49,493 | 23 |
| Bloomington, IN | $9.79 | $0.00 – $17.25 | 49,490 | 16 |
| Hackensack, NJ | $8.85 | $1.12 – $19.61 | 49,297 | 33 |
| Edison, NJ | $14.42 | $0.00 – $51.92 | 49,227 | 53 |
| Abilene, TX | $9.24 | $1.76 – $23.11 | 49,202 | 20 |
| Waukegan, IL | $26.50 | $4.49 – $40.22 | 49,146 | 10 |
| Lancaster, OH | $7.79 | $0.83 – $10.90 | 49,081 | 14 |
| Alice, TX | $5.12 | $2.49 – $5.35 | 48,876 | 4 |
| Levittown, PA | $17.89 | $2.24 – $35.53 | 48,681 | 18 |
| Goodyear, AZ | $41.02 | $5.47 – $61.39 | 48,510 | 21 |
| Ellicott City, MD | $36.74 | $15.56 – $69.33 | 47,959 | 11 |
| Jackson Heights, NY | $8.34 | $0.00 – $28.93 | 47,894 | 13 |
| Sikeston, MO | $30.66 | $7.51 – $83.41 | 47,883 | 21 |
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.