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 |
|---|---|---|---|---|
| Indialantic, FL | $5.14 | $4.92 – $5.14 | 1,263 | 2 |
| Wyomissing, PA | $38.62 | $0.00 – $86.23 | 1,261 | 3 |
| Kenton, OH | $3.94 | $3.58 – $13.66 | 1,261 | 2 |
| Stevens Point, WI | $14.70 | $11.39 – $30.92 | 1,260 | 3 |
| Doylestown, OH | $7.99 | $7.99 – $7.99 | 1,259 | 1 |
| Williston, FL | $9.58 | $0.00 – $35.18 | 1,259 | 2 |
| Webster Springs, WV | $0.13 | $0.00 – $0.17 | 1,258 | 2 |
| Leonardtown, MD | $24.44 | $24.14 – $42.85 | 1,258 | 2 |
| Beattyville, KY | $29.76 | $0.38 – $32.75 | 1,258 | 2 |
| Milwaukie, OR | $9.51 | $3.69 – $46.10 | 1,255 | 7 |
| Watseka, IL | $44.97 | $44.97 – $44.97 | 1,255 | 1 |
| Sturgis, MI | $4.41 | $3.30 – $23.17 | 1,252 | 2 |
| New Wilmington, PA | $13.62 | $13.07 – $25.10 | 1,252 | 2 |
| Montrose, PA | $9.86 | $4.98 – $12.78 | 1,246 | 2 |
| Windsor, CO | $18.79 | $15.06 – $19.33 | 1,245 | 3 |
| Clay Center, KS | $0.18 | $0.00 – $0.19 | 1,243 | 2 |
| Cambridge, MN | $57.45 | $57.45 – $57.45 | 1,243 | 1 |
| Shell Rock, IA | $8.42 | $8.42 – $8.42 | 1,243 | 1 |
| Corrales, NM | $44.05 | $44.05 – $44.05 | 1,242 | 1 |
| Belford, NJ | $6.78 | $4.15 – $7.15 | 1,242 | 2 |
| Ridge Spring, SC | $16.44 | $16.44 – $16.44 | 1,241 | 1 |
| Newport, VT | $16.35 | $8.49 – $21.61 | 1,237 | 4 |
| Milbank, SD | $22.54 | $22.54 – $22.54 | 1,236 | 1 |
| Cazenovia, NY | $7.81 | $7.81 – $7.81 | 1,235 | 1 |
| Glen Head, NY | $8.12 | $3.85 – $8.84 | 1,234 | 2 |
| Frenchburg, KY | $18.16 | $18.16 – $18.16 | 1,233 | 1 |
| Clearfield, PA | $11.85 | $0.00 – $51.21 | 1,232 | 9 |
| Danville, AR | $18.13 | $18.13 – $18.13 | 1,232 | 1 |
| Centerville, UT | $15.66 | $5.46 – $79.51 | 1,231 | 3 |
| Glen Carbon, IL | $20.53 | $20.50 – $20.69 | 1,230 | 2 |
| Winnsboro, TX | $7.26 | $0.00 – $8.30 | 1,230 | 3 |
| Newton, MS | $26.29 | $5.60 – $45.80 | 1,229 | 3 |
| Chino Valley, AZ | $29.56 | $29.56 – $29.56 | 1,228 | 1 |
| Cadiz, OH | $13.27 | $13.27 – $13.27 | 1,228 | 1 |
| Lamar, AR | $8.68 | $8.68 – $8.68 | 1,228 | 1 |
| Dacula, GA | $17.80 | $5.71 – $57.45 | 1,227 | 3 |
| W Melbourne, FL | $4.16 | $4.16 – $4.16 | 1,227 | 1 |
| Chubbuck, ID | $18.69 | $17.84 – $18.70 | 1,226 | 2 |
| New Stanton, PA | $24.50 | $24.03 – $30.64 | 1,226 | 2 |
| Lake St Louis, MO | $22.47 | $0.17 – $30.81 | 1,223 | 2 |
| Rockwood, MI | $39.54 | $39.54 – $39.54 | 1,222 | 1 |
| Pearsall, TX | $7.30 | $7.30 – $7.30 | 1,216 | 1 |
| Winamac, IN | $12.47 | $0.00 – $18.36 | 1,215 | 5 |
| Detroit Lakes, MN | $82.27 | $34.86 – $380.00 | 1,213 | 6 |
| Brewer, ME | $22.42 | $14.20 – $23.27 | 1,211 | 2 |
| Willows, CA | $11.95 | $0.20 – $353.58 | 1,210 | 4 |
| Collingswood, NJ | $1.56 | $1.56 – $1.56 | 1,208 | 1 |
| White Settlement, TX | $21.15 | $17.02 – $21.43 | 1,208 | 2 |
| Castroville, TX | $9.63 | $0.00 – $32.81 | 1,206 | 6 |
| Eastland, TX | $9.56 | $2.58 – $10.50 | 1,206 | 3 |
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.