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 |
|---|---|---|---|---|
| N Charleston, SC | $31.26 | $12.57 – $47.55 | 1,759 | 2 |
| Grant, MI | $0.03 | $0.00 – $0.06 | 1,755 | 2 |
| Moundsville, WV | $15.02 | $12.11 – $19.55 | 1,754 | 2 |
| Mapleton, IL | $23.61 | $23.61 – $23.61 | 1,754 | 1 |
| Northville, MI | $32.90 | $32.90 – $32.90 | 1,754 | 1 |
| Centennial, CO | $22.84 | $22.00 – $23.78 | 1,753 | 3 |
| Belleville, KS | $3.98 | $1.32 – $6.00 | 1,752 | 4 |
| Key West, FL | $8.02 | $3.71 – $10.91 | 1,751 | 3 |
| Ponte Vedra, FL | $5.59 | $3.59 – $6.77 | 1,751 | 2 |
| Clifton Forge, VA | $8.61 | $8.61 – $8.61 | 1,742 | 1 |
| Forest Grove, OR | $17.47 | $16.77 – $18.64 | 1,741 | 2 |
| Isle Of Palms, SC | $13.41 | $13.41 – $13.41 | 1,741 | 1 |
| Abingdon, MD | $30.12 | $30.12 – $30.12 | 1,741 | 1 |
| Uvalde, TX | $9.81 | $9.81 – $9.81 | 1,736 | 1 |
| Clifton, IL | $11.01 | $11.01 – $11.01 | 1,736 | 1 |
| Bristol, IN | $8.12 | $8.12 – $8.12 | 1,731 | 1 |
| Etna, OH | $16.72 | $16.72 – $16.72 | 1,730 | 1 |
| Bound Brook, NJ | $4.89 | $4.57 – $22.75 | 1,730 | 2 |
| Linden, AL | $3.29 | $0.00 – $3.95 | 1,729 | 2 |
| South Lyon, MI | $14.37 | $14.37 – $14.37 | 1,728 | 1 |
| Marvell, AR | $17.36 | $17.36 – $17.36 | 1,727 | 1 |
| Lake City, SC | $7.27 | $5.06 – $7.55 | 1,720 | 2 |
| Pikeville, TN | $6.81 | $6.81 – $6.81 | 1,720 | 1 |
| Gorham, NH | $8.52 | $8.52 – $8.52 | 1,719 | 1 |
| Groveton, TX | $11.18 | $9.18 – $15.98 | 1,719 | 2 |
| St George, UT | $14.12 | $6.51 – $40.22 | 1,717 | 11 |
| Soquel, CA | $28.94 | $28.94 – $28.94 | 1,717 | 1 |
| West Burlington, IA | $10.61 | $5.72 – $12.82 | 1,716 | 5 |
| Littleton, NH | $6.85 | $0.00 – $39.49 | 1,713 | 4 |
| Emden, MO | $23.10 | $23.10 – $23.10 | 1,713 | 1 |
| Clinton, MA | $12.09 | $11.75 – $20.58 | 1,712 | 2 |
| Deckerville, MI | $0.00 | $0.00 – $0.00 | 1,710 | 1 |
| Taos, NM | $18.33 | $18.30 – $21.29 | 1,709 | 2 |
| Maywood, NJ | $3.64 | $0.00 – $4.20 | 1,709 | 3 |
| Lake Park, FL | $9.13 | $7.77 – $10.18 | 1,706 | 2 |
| Burke, VA | $5.36 | $4.90 – $7.88 | 1,706 | 4 |
| Valley View, PA | $9.87 | $9.87 – $9.87 | 1,704 | 1 |
| Scituate, MA | $11.02 | $11.02 – $11.02 | 1,702 | 1 |
| Greenfield, MO | $44.73 | $44.73 – $44.73 | 1,702 | 1 |
| Groton, CT | $10.57 | $3.05 – $17.65 | 1,701 | 4 |
| Anacortes, WA | $29.10 | $29.10 – $29.10 | 1,700 | 1 |
| Dunkirk, NY | $36.89 | $0.00 – $43.98 | 1,700 | 3 |
| Belzoni, MS | $15.90 | $14.66 – $34.63 | 1,700 | 4 |
| Port Orchard, WA | $13.98 | $8.38 – $14.28 | 1,697 | 3 |
| Houston, MO | $17.99 | $7.58 – $20.84 | 1,696 | 2 |
| Woodmere, OH | $25.27 | $9.52 – $25.51 | 1,695 | 2 |
| St Johnsbury, VT | $15.63 | $14.23 – $18.76 | 1,691 | 3 |
| Colebrook, NH | $12.05 | $5.40 – $24.57 | 1,691 | 3 |
| Woodstock, NY | $6.75 | $6.75 – $6.75 | 1,689 | 1 |
| Mequon, WI | $16.80 | $0.00 – $29.23 | 1,686 | 6 |
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.