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 |
|---|---|---|---|---|
| Saint George, SC | $19.14 | $16.65 – $27.81 | 1,304 | 2 |
| Middleton, WI | $6.97 | $4.61 – $21.59 | 1,302 | 3 |
| Elba, AL | $4.89 | $4.89 – $4.89 | 1,301 | 1 |
| Superior, WI | $30.74 | $0.00 – $72.12 | 1,300 | 6 |
| Effingham, SC | $8.12 | $4.91 – $10.55 | 1,300 | 2 |
| Mc Lean, VA | $20.57 | $0.00 – $26.30 | 1,299 | 4 |
| Aberdeen, MD | $45.23 | $44.92 – $60.96 | 1,298 | 2 |
| West Boylston, MA | $4.80 | $4.80 – $4.80 | 1,298 | 1 |
| Mars Hill, ME | $11.72 | $11.72 – $11.72 | 1,298 | 1 |
| Fairfax, VT | $3.84 | $3.84 – $3.84 | 1,297 | 1 |
| Kalida, OH | $3.73 | $0.00 – $5.16 | 1,296 | 4 |
| Chico, CA | $52.96 | $0.00 – $257.25 | 1,295 | 13 |
| West Point, MS | $17.22 | $16.88 – $21.41 | 1,295 | 2 |
| Midlothian, IL | $17.36 | $17.36 – $17.36 | 1,295 | 1 |
| Mather, CA | $6.19 | $6.06 – $8.27 | 1,293 | 2 |
| Brenham, TX | $14.27 | $1.01 – $21.67 | 1,292 | 4 |
| Sioux City, IA | $12.52 | $2.00 – $21.99 | 1,292 | 10 |
| Prosper, TX | $4.35 | $0.57 – $7.95 | 1,291 | 3 |
| Oakland, MS | $18.79 | $18.79 – $18.79 | 1,291 | 1 |
| Dalton, OH | $19.93 | $18.46 – $19.99 | 1,290 | 2 |
| Cambridge, OH | $10.77 | $0.00 – $11.87 | 1,286 | 3 |
| Bellmore, NY | $24.39 | $24.39 – $24.39 | 1,285 | 1 |
| La Junta, CO | $25.40 | $25.40 – $25.40 | 1,283 | 1 |
| Courtland, VA | $9.32 | $9.05 – $10.61 | 1,282 | 2 |
| Lantana, TX | $28.65 | $28.65 – $28.65 | 1,282 | 1 |
| Smithville, TX | $8.90 | $8.90 – $8.90 | 1,281 | 1 |
| Mount Clemens, MI | $8.51 | $7.61 – $47.25 | 1,280 | 2 |
| Florence, CO | $30.31 | $28.13 – $31.71 | 1,279 | 2 |
| Hartford, KY | $5.92 | $4.35 – $7.24 | 1,278 | 3 |
| Weatherford, OK | $26.54 | $9.52 – $32.23 | 1,277 | 3 |
| Newington, NH | $4.55 | $4.55 – $4.55 | 1,277 | 1 |
| Gilman, CT | $12.56 | $12.56 – $12.56 | 1,277 | 1 |
| Hickory, MS | $11.42 | $11.42 – $11.42 | 1,276 | 1 |
| Hardwick, VT | $14.01 | $14.01 – $14.01 | 1,275 | 1 |
| Mc Kees Rocks, PA | $13.25 | $4.22 – $56.89 | 1,273 | 3 |
| Bristow, OK | $17.06 | $17.06 – $17.06 | 1,273 | 1 |
| Potosi, MO | $32.36 | $10.24 – $54.98 | 1,272 | 5 |
| London, OH | $12.30 | $12.30 – $12.30 | 1,271 | 1 |
| Anderson, CA | $30.01 | $1.87 – $140.09 | 1,270 | 4 |
| Sandpoint, ID | $16.91 | $16.91 – $16.91 | 1,269 | 1 |
| Grove, OK | $25.16 | $1.71 – $55.63 | 1,269 | 5 |
| Pequannock, NJ | $5.22 | $5.22 – $5.22 | 1,269 | 1 |
| Alpine, NJ | $10.58 | $10.58 – $10.58 | 1,269 | 1 |
| Warsaw, VA | $10.80 | $10.80 – $10.80 | 1,268 | 1 |
| Roseville, GA | $11.84 | $11.84 – $11.84 | 1,266 | 1 |
| Keizer, OR | $4.89 | $0.00 – $4.99 | 1,265 | 2 |
| Clifton, TX | $20.06 | $1.94 – $23.09 | 1,265 | 2 |
| Westfield, NY | $22.04 | $7.62 – $23.06 | 1,265 | 3 |
| West Deptford, NJ | $12.48 | $0.00 – $23.05 | 1,264 | 6 |
| Eastman, GA | $11.91 | $11.91 – $11.91 | 1,263 | 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.