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 |
|---|---|---|---|---|
| Old Westbury, NY | $14.60 | $14.60 – $14.60 | 1,100 | 1 |
| Somers Point, NJ | $8.64 | $5.51 – $17.19 | 1,099 | 2 |
| Revere, MA | $13.10 | $1.97 – $30.50 | 1,096 | 3 |
| Fort Belvoir, VA | $6.29 | $5.94 – $18.99 | 1,096 | 2 |
| Elkton, VA | $36.73 | $16.68 – $37.03 | 1,094 | 2 |
| Aldan, PA | $23.61 | $6.56 – $61.49 | 1,094 | 4 |
| Lewisville, TX | $6.34 | $0.00 – $22.56 | 1,093 | 7 |
| Lithia, FL | $2.28 | $2.28 – $2.28 | 1,093 | 1 |
| Holtsville, NY | $3.31 | $3.31 – $3.31 | 1,093 | 1 |
| Loudonville, NY | $15.11 | $15.11 – $15.11 | 1,092 | 1 |
| Maben, MS | $15.20 | $11.45 – $18.05 | 1,091 | 2 |
| North Randall, OH | $7.24 | $7.24 – $7.24 | 1,091 | 1 |
| Carlsbad, NM | $25.81 | $3.63 – $31.16 | 1,089 | 3 |
| Alexandria, MN | $68.49 | $50.49 – $83.86 | 1,089 | 9 |
| Troy, MO | $20.83 | $15.02 – $21.03 | 1,089 | 2 |
| Montoursville, PA | $16.47 | $0.00 – $39.45 | 1,087 | 3 |
| Midland, NC | $17.46 | $17.46 – $17.46 | 1,086 | 1 |
| Welsh, LA | $17.63 | $17.63 – $17.63 | 1,084 | 1 |
| Ellisville, IL | $6.55 | $6.55 – $6.55 | 1,082 | 1 |
| Norcross, GA | $16.55 | $15.44 – $26.06 | 1,079 | 3 |
| Jackson, CA | $4.07 | $0.00 – $13.27 | 1,079 | 4 |
| Mandan, ND | $5.09 | $3.86 – $21.85 | 1,078 | 2 |
| El Macero, CA | $17.48 | $17.48 – $17.48 | 1,075 | 1 |
| West Amherst, NY | $6.40 | $4.83 – $11.18 | 1,074 | 3 |
| Fort Liberty, NC | $6.02 | $6.02 – $6.02 | 1,072 | 1 |
| Canyonville, OR | $13.94 | $13.94 – $13.94 | 1,072 | 1 |
| Campbell Hall, NY | $5.34 | $0.17 – $8.17 | 1,072 | 2 |
| Tobyhanna, PA | $20.77 | $20.77 – $20.77 | 1,071 | 1 |
| Daytona Beach Shores, FL | $3.70 | $3.70 – $3.70 | 1,071 | 1 |
| Fort Kent, ME | $6.02 | $6.02 – $6.02 | 1,069 | 1 |
| Evarts, KY | $50.49 | $32.14 – $51.98 | 1,069 | 3 |
| Telford, PA | $16.14 | $5.62 – $36.16 | 1,069 | 3 |
| Compton, CA | $11.23 | $11.23 – $11.23 | 1,068 | 1 |
| Redmond, WA | $12.71 | $5.65 – $27.82 | 1,066 | 3 |
| Scott City, MO | $9.75 | $9.75 – $9.75 | 1,066 | 1 |
| Ponte Vedra Beach, FL | $4.73 | $4.34 – $5.16 | 1,065 | 2 |
| Osterville, MA | $12.15 | $12.15 – $12.15 | 1,065 | 1 |
| Dawes, WV | $28.92 | $28.92 – $28.92 | 1,065 | 1 |
| Lewes, DE | $1.22 | $0.53 – $4.90 | 1,063 | 3 |
| Storrs, CT | $7.28 | $4.73 – $22.35 | 1,063 | 3 |
| Daleville, VA | $13.40 | $13.40 – $13.40 | 1,060 | 1 |
| Gardner, MA | $13.98 | $7.08 – $24.45 | 1,060 | 4 |
| West Liberty, OH | $0.77 | $0.00 – $0.90 | 1,058 | 3 |
| Ripley, WV | $5.13 | $0.00 – $5.49 | 1,058 | 3 |
| Forrest City, AR | $20.24 | $20.24 – $20.24 | 1,057 | 1 |
| Mahwah, NJ | $10.25 | $9.13 – $11.89 | 1,057 | 2 |
| Lafayette Hill, PA | $11.35 | $9.58 – $15.41 | 1,056 | 3 |
| Cabot, AR | $11.48 | $8.28 – $16.54 | 1,056 | 3 |
| Saint Albans, VT | $8.42 | $8.42 – $8.42 | 1,056 | 1 |
| Pandora, OH | $3.13 | $3.13 – $3.13 | 1,056 | 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.