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 |
|---|---|---|---|---|
| Oakland, FL | $2.86 | $2.86 – $2.86 | 1,489 | 1 |
| Schulenburg, TX | $10.61 | $10.61 – $10.61 | 1,489 | 1 |
| Waddell, AZ | $45.14 | $45.14 – $45.14 | 1,488 | 1 |
| Genoa, IL | $4.25 | $4.25 – $4.25 | 1,488 | 1 |
| Cartersville, GA | $11.66 | $8.97 – $12.60 | 1,487 | 2 |
| Blairsville, PA | $12.38 | $9.71 – $13.88 | 1,486 | 3 |
| Florham Park, NJ | $9.60 | $2.10 – $17.76 | 1,482 | 4 |
| Leesport, PA | $9.48 | $7.52 – $18.61 | 1,482 | 2 |
| Holland, OH | $16.19 | $13.41 – $18.25 | 1,481 | 3 |
| Channelview, TX | $23.89 | $23.89 – $23.89 | 1,481 | 1 |
| Lewiston, NY | $14.25 | $7.14 – $18.23 | 1,480 | 3 |
| Atchison, KS | $15.92 | $0.00 – $58.01 | 1,479 | 4 |
| Lawrenceville, IL | $12.39 | $0.00 – $13.60 | 1,479 | 3 |
| Brentwood, NH | $0.00 | $0.00 – $0.00 | 1,479 | 1 |
| Taylorsville, UT | $47.04 | $47.04 – $47.04 | 1,478 | 1 |
| Havre, MT | $0.00 | $0.00 – $0.00 | 1,477 | 1 |
| Logan Twp, NJ | $15.89 | $15.89 – $15.89 | 1,476 | 1 |
| Merkel, TX | $9.36 | $9.36 – $9.36 | 1,475 | 1 |
| Shelbyville, KY | $2.50 | $2.50 – $2.50 | 1,471 | 1 |
| Pewaukee, WI | $3.92 | $3.92 – $3.92 | 1,471 | 1 |
| Ladson, SC | $6.65 | $6.65 – $6.65 | 1,470 | 1 |
| Rosemont, IL | $13.93 | $13.93 – $13.93 | 1,470 | 1 |
| Bountiful, UT | $15.66 | $4.31 – $22.69 | 1,468 | 5 |
| Rugby, ND | $38.99 | $38.99 – $38.99 | 1,468 | 1 |
| Tujunga, CA | $15.30 | $9.98 – $530.12 | 1,467 | 2 |
| Mc Minnville, TN | $5.08 | $4.29 – $9.11 | 1,466 | 2 |
| Stockdale, TX | $15.49 | $15.49 – $15.49 | 1,464 | 1 |
| Bethel, NC | $24.85 | $24.85 – $24.85 | 1,463 | 1 |
| Pikeville, NC | $23.33 | $23.33 – $23.33 | 1,461 | 1 |
| Kearney, NJ | $12.36 | $12.36 – $12.36 | 1,453 | 1 |
| E Liverpool, OH | $9.43 | $8.45 – $11.00 | 1,452 | 2 |
| Ashdown, AR | $11.79 | $2.57 – $21.64 | 1,451 | 4 |
| Cave City, KY | $23.06 | $23.06 – $23.06 | 1,450 | 1 |
| Wellesley Hills, MA | $8.73 | $8.60 – $9.46 | 1,446 | 2 |
| Ottawa, OH | $8.90 | $8.90 – $8.90 | 1,446 | 1 |
| Plattsburg, MO | $28.63 | $13.00 – $35.40 | 1,446 | 2 |
| West View, PA | $12.63 | $10.50 – $14.32 | 1,445 | 2 |
| Jackson, AL | $2.67 | $2.67 – $2.67 | 1,444 | 1 |
| Liberty, MS | $21.19 | $21.19 – $21.19 | 1,443 | 1 |
| Berkeley Heights, NJ | $6.72 | $0.96 – $16.82 | 1,440 | 6 |
| Hillsdale, MI | $21.11 | $21.11 – $21.11 | 1,439 | 1 |
| Hollsopple, PA | $14.41 | $14.41 – $14.41 | 1,438 | 1 |
| Frankton, IN | $6.41 | $6.41 – $6.41 | 1,438 | 1 |
| Ponca City, OK | $16.28 | $15.37 – $22.59 | 1,437 | 3 |
| Roosevelt, UT | $11.27 | $10.02 – $19.11 | 1,437 | 2 |
| Hillsborough, NC | $18.39 | $18.39 – $18.39 | 1,437 | 1 |
| Goodfellow Afb, TX | $13.68 | $13.68 – $13.68 | 1,437 | 1 |
| Hayesville, NC | $7.84 | $7.84 – $7.84 | 1,432 | 1 |
| Stanton, TX | $5.17 | $5.17 – $5.17 | 1,432 | 1 |
| Wallingford, KY | $9.26 | $9.26 – $9.26 | 1,432 | 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.