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 |
|---|---|---|---|---|
| Nashville, NC | $19.95 | $9.51 – $29.37 | 1,536 | 3 |
| Haworth, NJ | $4.57 | $4.57 – $4.57 | 1,535 | 1 |
| Waterford, OH | $5.97 | $2.87 – $17.31 | 1,534 | 4 |
| Newton Lower Falls, MA | $0.37 | $0.37 – $0.37 | 1,534 | 1 |
| Temple Hills, MD | $25.71 | $25.71 – $25.71 | 1,532 | 1 |
| Johnstown, CO | $20.76 | $20.41 – $21.01 | 1,531 | 2 |
| Stayton, OR | $26.19 | $26.19 – $26.19 | 1,529 | 1 |
| Wynne, AR | $11.21 | $9.03 – $38.44 | 1,529 | 3 |
| Park Forest, IL | $8.05 | $2.26 – $12.00 | 1,529 | 2 |
| Elkton, MD | $31.57 | $2.10 – $58.55 | 1,528 | 7 |
| Clinton Twp, MI | $28.83 | $8.72 – $44.36 | 1,528 | 4 |
| Gates, NC | $18.94 | $18.94 – $18.94 | 1,527 | 1 |
| Shoreline, WA | $31.20 | $28.02 – $36.93 | 1,525 | 3 |
| Bells, TN | $0.93 | $0.93 – $0.93 | 1,524 | 1 |
| Canton, NY | $3.86 | $3.72 – $5.14 | 1,523 | 2 |
| Edgewood, NM | $51.74 | $51.74 – $51.74 | 1,523 | 1 |
| Pierre Part, LA | $6.15 | $6.15 – $6.15 | 1,523 | 1 |
| Malden, MA | $11.26 | $5.04 – $32.93 | 1,521 | 4 |
| Chisago City, MN | $57.21 | $57.21 – $57.21 | 1,521 | 1 |
| Watertown, WI | $8.59 | $0.00 – $18.09 | 1,519 | 3 |
| Rienzi, MS | $5.66 | $5.66 – $5.66 | 1,519 | 1 |
| Denton, MD | $7.32 | $0.00 – $8.70 | 1,518 | 2 |
| Centreville, MI | $1.57 | $1.57 – $1.57 | 1,516 | 1 |
| Westfield, NJ | $12.35 | $4.04 – $15.13 | 1,515 | 3 |
| Crownsville, MD | $35.82 | $7.87 – $65.02 | 1,515 | 2 |
| Bradley, AR | $5.16 | $5.16 – $5.16 | 1,514 | 1 |
| Washinton, DC | $54.18 | $54.18 – $54.18 | 1,514 | 1 |
| Citrus Hills, FL | $1.01 | $1.01 – $1.01 | 1,514 | 1 |
| Hermitage, MO | $59.10 | $59.10 – $59.10 | 1,511 | 1 |
| Apex, NC | $7.20 | $0.00 – $24.02 | 1,509 | 4 |
| Amherst, MA | $12.01 | $10.53 – $16.08 | 1,507 | 2 |
| Lamar, CO | $12.07 | $10.42 – $65.77 | 1,506 | 2 |
| Oyster Bay, NY | $14.89 | $0.00 – $19.05 | 1,506 | 2 |
| Newtown, CT | $17.54 | $17.44 – $20.10 | 1,506 | 2 |
| Peridot, AZ | $19.12 | $19.12 – $19.12 | 1,506 | 1 |
| Purcellville, VA | $14.47 | $11.88 – $44.23 | 1,503 | 2 |
| El Dorado, KS | $4.28 | $0.00 – $20.60 | 1,502 | 4 |
| Culver, IN | $6.23 | $5.73 – $6.42 | 1,502 | 2 |
| Creestwood, KY | $2.33 | $2.33 – $2.33 | 1,502 | 1 |
| Lexington Pk, MD | $15.18 | $15.18 – $15.18 | 1,502 | 1 |
| Jamestown, KY | $14.52 | $14.52 – $14.52 | 1,498 | 1 |
| Troy, PA | $15.76 | $8.43 – $18.05 | 1,498 | 3 |
| Neoga, IL | $6.18 | $6.18 – $6.18 | 1,498 | 1 |
| Fitchburg, MA | $8.84 | $5.57 – $47.85 | 1,496 | 5 |
| Clifton Springs, NY | $14.54 | $4.99 – $17.40 | 1,496 | 3 |
| Andrews, NC | $11.39 | $11.39 – $11.39 | 1,496 | 1 |
| Emporia, KS | $28.82 | $10.56 – $36.86 | 1,495 | 2 |
| Riverdale, NY | $8.89 | $7.79 – $11.17 | 1,495 | 2 |
| Ruckersville, VA | $10.85 | $10.85 – $10.85 | 1,491 | 1 |
| Gainesboro, TN | $4.94 | $4.14 – $4.96 | 1,490 | 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.