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 |
|---|---|---|---|---|
| Murrysville, PA | $9.96 | $9.96 – $9.96 | 1,157 | 1 |
| Hartsville, TN | $9.49 | $4.07 – $9.89 | 1,157 | 3 |
| Weston, WI | $13.81 | $9.44 – $15.90 | 1,153 | 4 |
| Alturas, CA | $6.01 | $2.93 – $76.87 | 1,153 | 2 |
| Iron Mountain, MI | $7.79 | $0.00 – $9.03 | 1,152 | 2 |
| Howell, MI | $20.85 | $20.85 – $20.85 | 1,151 | 1 |
| Astoria, OR | $29.60 | $29.60 – $29.60 | 1,151 | 1 |
| Sinking Spring, PA | $6.84 | $5.96 – $37.69 | 1,150 | 2 |
| Eminence, KY | $7.75 | $7.75 – $7.75 | 1,149 | 1 |
| Bowie, TX | $25.35 | $25.35 – $25.35 | 1,146 | 1 |
| Kingston, MA | $10.24 | $10.24 – $10.24 | 1,145 | 1 |
| Idabel, OK | $15.79 | $11.59 – $26.51 | 1,145 | 2 |
| Boswell, OK | $36.24 | $36.24 – $36.24 | 1,145 | 1 |
| Foxboro, MA | $10.57 | $4.40 – $22.48 | 1,142 | 4 |
| Rock Port, MO | $15.65 | $15.65 – $15.65 | 1,140 | 1 |
| Slater, IA | $11.34 | $11.34 – $11.34 | 1,139 | 1 |
| Brevard, NC | $6.92 | $0.00 – $13.59 | 1,138 | 2 |
| Ramey, PA | $16.04 | $16.04 – $16.04 | 1,138 | 1 |
| Shady Grove, PA | $1.40 | $1.40 – $1.40 | 1,136 | 1 |
| Northglenn, CO | $24.41 | $22.28 – $24.78 | 1,134 | 2 |
| Adamsville, AL | $10.53 | $9.95 – $11.04 | 1,134 | 2 |
| Manhattan, KS | $5.87 | $1.45 – $12.79 | 1,133 | 9 |
| Keller, TX | $4.51 | $4.25 – $6.86 | 1,133 | 2 |
| Hopkinton, MA | $9.93 | $9.93 – $9.93 | 1,129 | 1 |
| Winterhaven, CA | $15.70 | $15.70 – $15.70 | 1,129 | 1 |
| Avalon, PA | $15.77 | $15.77 – $15.77 | 1,126 | 1 |
| Richford, VT | $2.45 | $0.00 – $2.58 | 1,125 | 2 |
| Lock Haven, PA | $12.63 | $2.84 – $46.26 | 1,123 | 4 |
| Camden, ME | $16.23 | $14.55 – $20.59 | 1,123 | 4 |
| Perham, MN | $59.54 | $34.15 – $67.63 | 1,122 | 2 |
| Verona, PA | $32.82 | $16.58 – $34.07 | 1,121 | 3 |
| Tar Heel, NC | $28.26 | $28.26 – $28.26 | 1,121 | 1 |
| Mount Jewett, PA | $6.03 | $6.03 – $6.03 | 1,121 | 1 |
| Pace, FL | $16.26 | $0.00 – $21.39 | 1,120 | 3 |
| Huntingburg, IN | $7.84 | $7.84 – $7.84 | 1,117 | 1 |
| Morrisville, VT | $14.44 | $2.50 – $14.64 | 1,116 | 2 |
| Copperhill, TN | $6.22 | $6.22 – $6.22 | 1,115 | 1 |
| Ithaca, MI | $0.16 | $0.16 – $0.16 | 1,115 | 1 |
| Ronan, MT | $8.25 | $0.00 – $16.37 | 1,115 | 2 |
| North Reading, MA | $8.11 | $6.52 – $15.93 | 1,115 | 2 |
| Huntingdon Valley, PA | $20.77 | $4.53 – $28.92 | 1,113 | 4 |
| Kenedy, TX | $15.72 | $0.00 – $15.96 | 1,113 | 2 |
| Cabo Rojo, PR | $40.96 | $3.13 – $58.92 | 1,112 | 2 |
| Huntingdon, PA | $7.45 | $2.44 – $22.15 | 1,109 | 5 |
| New Castle, PA | $17.63 | $0.00 – $31.66 | 1,106 | 8 |
| Pinckneyville, IL | $5.51 | $5.51 – $5.51 | 1,105 | 1 |
| King, NC | $26.32 | $16.75 – $28.00 | 1,105 | 2 |
| Seffner, FL | $6.68 | $6.68 – $6.68 | 1,105 | 1 |
| Gallup, NM | $38.99 | $9.64 – $40.12 | 1,104 | 3 |
| Anoka, MN | $52.73 | $52.73 – $52.73 | 1,104 | 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.