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 |
|---|---|---|---|---|
| Woodland, AL | $2.52 | $2.52 – $2.52 | 1,603 | 1 |
| Conrad, IA | $21.65 | $0.00 – $29.82 | 1,602 | 3 |
| Jolie, IL | $25.83 | $25.83 – $25.83 | 1,602 | 1 |
| Plno, TX | $4.63 | $4.63 – $4.63 | 1,602 | 1 |
| Westwood, NJ | $11.34 | $0.00 – $11.77 | 1,601 | 3 |
| Diamondhead, MS | $10.95 | $0.00 – $16.72 | 1,601 | 4 |
| Myton, UT | $37.00 | $37.00 – $37.00 | 1,600 | 1 |
| Lewistown, PA | $17.19 | $15.18 – $48.46 | 1,595 | 3 |
| Dushore, PA | $15.95 | $15.95 – $15.95 | 1,595 | 1 |
| Stockbridge, GA | $12.59 | $12.59 – $12.59 | 1,591 | 1 |
| Brush Prairie, WA | $14.09 | $14.09 – $14.09 | 1,588 | 1 |
| Altamont, IL | $10.30 | $10.30 – $10.30 | 1,587 | 1 |
| Evansdale, IA | $13.56 | $13.56 – $13.56 | 1,585 | 1 |
| Winthrop, MA | $6.70 | $6.70 – $6.70 | 1,584 | 1 |
| Monticello, NY | $2.48 | $2.23 – $5.44 | 1,582 | 2 |
| Onawa, IA | $3.79 | $0.20 – $39.50 | 1,581 | 4 |
| Marysville, CA | $7.43 | $0.00 – $37.42 | 1,579 | 5 |
| Willits, CA | $130.41 | $0.00 – $318.11 | 1,579 | 3 |
| Marshfield, MO | $19.55 | $19.27 – $22.17 | 1,574 | 2 |
| Glen Gardner, NJ | $11.15 | $11.15 – $11.15 | 1,573 | 1 |
| Conyers, GA | $12.52 | $9.77 – $14.29 | 1,572 | 4 |
| Avilla, IN | $5.33 | $4.99 – $8.24 | 1,572 | 2 |
| Truth Or Consequences, NM | $33.66 | $11.44 – $50.32 | 1,571 | 4 |
| Gloucester, VA | $9.51 | $9.43 – $9.62 | 1,570 | 2 |
| Newmarket, NH | $2.75 | $0.00 – $2.91 | 1,570 | 3 |
| Black Jack, MO | $15.01 | $15.01 – $15.01 | 1,570 | 1 |
| Hiawatha, IA | $0.21 | $0.21 – $0.21 | 1,568 | 1 |
| North Easton, MA | $14.36 | $11.12 – $18.23 | 1,567 | 2 |
| Wawarsing, NY | $1.92 | $1.92 – $1.92 | 1,567 | 1 |
| South Burlington, VT | $0.74 | $0.00 – $19.07 | 1,565 | 5 |
| Port Chester, NY | $8.55 | $0.80 – $9.33 | 1,565 | 2 |
| Camden, OH | $9.43 | $9.36 – $14.61 | 1,565 | 2 |
| Savanna, IL | $10.82 | $10.82 – $10.82 | 1,561 | 1 |
| Bude, MS | $15.12 | $15.12 – $15.12 | 1,560 | 1 |
| Bassfield, MS | $0.00 | $0.00 – $0.00 | 1,560 | 1 |
| Neenah, WI | $6.45 | $6.17 – $9.87 | 1,559 | 2 |
| Oneonta, NY | $4.89 | $0.00 – $12.61 | 1,556 | 6 |
| Norwalk, OH | $9.66 | $1.63 – $18.73 | 1,551 | 6 |
| Ephrata, PA | $25.17 | $3.21 – $39.46 | 1,550 | 7 |
| North Dartmouth, MA | $23.41 | $10.78 – $38.69 | 1,550 | 4 |
| Saint Albans, NY | $10.95 | $4.38 – $29.02 | 1,548 | 3 |
| Burlington, IA | $7.46 | $7.46 – $7.46 | 1,547 | 1 |
| Helotes, TX | $4.80 | $4.80 – $4.80 | 1,547 | 1 |
| Sterlington, LA | $0.00 | $0.00 – $0.00 | 1,546 | 3 |
| West Linn, OR | $13.23 | $13.23 – $13.23 | 1,544 | 1 |
| Graham, NC | $14.81 | $12.67 – $15.29 | 1,543 | 2 |
| Shoreview, MN | $8.32 | $8.32 – $8.32 | 1,541 | 1 |
| Raymond, NH | $0.16 | $0.00 – $10.46 | 1,540 | 3 |
| Lyndhurst, OH | $10.72 | $10.61 – $20.47 | 1,539 | 2 |
| Lecompte, LA | $0.00 | $0.00 – $0.00 | 1,536 | 1 |
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.