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 |
|---|---|---|---|---|
| Fayette, MS | $12.15 | $12.15 – $12.15 | 1,361 | 1 |
| Warsaw, KY | $20.84 | $20.84 – $20.84 | 1,357 | 1 |
| Calhoun City, MS | $9.66 | $9.66 – $9.66 | 1,354 | 1 |
| Larned, KS | $4.59 | $0.00 – $4.89 | 1,353 | 3 |
| Davis, OK | $16.42 | $16.33 – $23.25 | 1,351 | 2 |
| Millersburg, PA | $20.71 | $20.20 – $20.78 | 1,350 | 2 |
| La Verne, CA | $17.39 | $0.00 – $24.18 | 1,349 | 4 |
| Rice Lake, WI | $48.67 | $13.48 – $75.20 | 1,347 | 2 |
| Peshtigo, WI | $42.80 | $14.09 – $66.14 | 1,347 | 2 |
| Bay Pines, FL | $28.99 | $28.99 – $28.99 | 1,346 | 1 |
| Salina, KS | $5.20 | $0.00 – $78.79 | 1,343 | 7 |
| Hornell, NY | $0.70 | $0.41 – $6.77 | 1,342 | 2 |
| Thorndale, TX | $4.66 | $4.66 – $4.66 | 1,341 | 1 |
| Salem, IL | $23.04 | $0.00 – $23.75 | 1,340 | 2 |
| Westmoreland, TN | $6.43 | $6.43 – $6.43 | 1,340 | 1 |
| Beatrice, NE | $61.61 | $45.23 – $90.41 | 1,338 | 2 |
| Ny, NY | $6.14 | $5.90 – $6.18 | 1,337 | 2 |
| Childress, TX | $2.52 | $2.52 – $2.52 | 1,336 | 1 |
| East Lyme, CT | $7.63 | $7.63 – $7.63 | 1,335 | 1 |
| Bellevue, KY | $15.30 | $0.00 – $16.75 | 1,333 | 2 |
| Shelbyville, IL | $14.46 | $0.00 – $20.46 | 1,333 | 4 |
| Davidson, NC | $8.84 | $0.00 – $18.54 | 1,333 | 4 |
| Sacramento, KY | $7.59 | $7.59 – $7.59 | 1,333 | 1 |
| Lansing, KS | $5.21 | $0.32 – $10.36 | 1,332 | 3 |
| Bristol, NH | $22.77 | $2.74 – $24.02 | 1,328 | 2 |
| Lancaster, NY | $11.76 | $11.76 – $11.76 | 1,327 | 1 |
| Clermont, IA | $16.34 | $16.34 – $16.34 | 1,327 | 1 |
| El Campo, TX | $4.68 | $0.27 – $5.74 | 1,326 | 2 |
| Fort Valley, VA | $5.69 | $5.69 – $5.69 | 1,326 | 1 |
| Brookhaven, NY | $0.75 | $0.75 – $0.75 | 1,325 | 1 |
| Kitty Hawk, NC | $28.93 | $28.93 – $28.93 | 1,324 | 1 |
| Marion, AR | $2.71 | $2.71 – $2.71 | 1,324 | 1 |
| Johnston, IA | $4.14 | $3.83 – $18.51 | 1,322 | 4 |
| Alexander, AR | $21.40 | $20.45 – $26.08 | 1,320 | 2 |
| Mount Pleasant, IA | $10.84 | $10.84 – $10.84 | 1,318 | 1 |
| Springvale, ME | $9.01 | $9.01 – $9.01 | 1,318 | 1 |
| Huntingtown, MD | $20.00 | $19.46 – $21.49 | 1,317 | 2 |
| Atlanta, TX | $0.86 | $0.00 – $8.52 | 1,315 | 2 |
| Mountain Grove, MO | $20.10 | $17.44 – $88.54 | 1,314 | 2 |
| Kennebunk, ME | $20.34 | $2.94 – $23.87 | 1,313 | 2 |
| Sayre, OK | $14.09 | $10.42 – $14.65 | 1,312 | 2 |
| Brookline, MA | $11.31 | $0.00 – $21.24 | 1,311 | 6 |
| Seneca, PA | $10.94 | $7.41 – $17.41 | 1,311 | 3 |
| Patterson, NY | $8.58 | $8.58 – $8.58 | 1,311 | 1 |
| North Kansas City, MO | $18.83 | $6.21 – $49.82 | 1,309 | 10 |
| Hampton Bays, NY | $9.85 | $7.30 – $33.05 | 1,308 | 3 |
| Sea Girt, NJ | $12.22 | $1.06 – $13.45 | 1,308 | 4 |
| Oskaloosa, KS | $10.27 | $9.72 – $11.34 | 1,306 | 2 |
| Beaver Dam, WI | $16.07 | $7.19 – $30.35 | 1,306 | 4 |
| Sarepta, LA | $0.74 | $0.74 – $0.74 | 1,304 | 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.