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 |
|---|---|---|---|---|
| San Juan, TX | $4.78 | $3.66 – $15.54 | 1,011 | 2 |
| Hertford, NC | $14.39 | $14.39 – $14.39 | 1,008 | 1 |
| Camillus, NY | $6.06 | $2.76 – $7.00 | 1,006 | 2 |
| Georgetown, OH | $4.44 | $4.44 – $4.44 | 1,006 | 1 |
| Dunmore, PA | $10.69 | $10.69 – $10.69 | 1,006 | 1 |
| Knightdale, NC | $15.38 | $15.38 – $15.38 | 1,003 | 1 |
| Tripler Army Medical Center, HI | $12.16 | $1.95 – $21.65 | 1,002 | 3 |
| White Hall, AR | $12.19 | $4.57 – $15.41 | 1,001 | 4 |
| Essex Junction, VT | $13.05 | $13.05 – $13.05 | 1,000 | 1 |
| Delmar, NY | $1.79 | $0.53 – $6.82 | 999 | 2 |
| Florence, MS | $90.65 | $19.11 – $93.56 | 999 | 2 |
| Otterbein, IN | $8.50 | $8.50 – $8.50 | 999 | 1 |
| Madison, OH | $10.16 | $7.28 – $18.34 | 991 | 3 |
| Wagner, SD | $11.31 | $11.31 – $11.31 | 990 | 1 |
| Mississippi State, MS | $21.46 | $21.46 – $21.46 | 990 | 1 |
| Topsfield, MA | $7.65 | $7.65 – $7.65 | 988 | 1 |
| Auburn, ME | $14.74 | $12.54 – $34.03 | 986 | 3 |
| Stephenville, TX | $11.39 | $0.00 – $12.24 | 986 | 3 |
| Mount Vernon, IN | $7.79 | $3.69 – $13.02 | 986 | 4 |
| Sellersville, PA | $17.59 | $10.44 – $24.23 | 985 | 3 |
| Rochelle Park, NJ | $3.92 | $3.92 – $3.92 | 985 | 1 |
| Roscoe, IL | $8.51 | $0.00 – $8.70 | 984 | 2 |
| Emeryville, CA | $33.51 | $33.51 – $33.51 | 982 | 1 |
| Thomaston, GA | $8.77 | $8.77 – $8.77 | 980 | 1 |
| North Augusta, SC | $15.96 | $7.39 – $23.32 | 980 | 5 |
| Grover, NC | $5.25 | $5.25 – $5.25 | 980 | 1 |
| O Fallon, MO | $15.63 | $6.62 – $34.64 | 979 | 8 |
| Frostburg, MD | $26.83 | $16.48 – $29.63 | 978 | 2 |
| Seward, AK | $54.06 | $54.06 – $54.06 | 978 | 1 |
| Rockport, TX | $61.00 | $61.00 – $61.00 | 976 | 1 |
| Allegan, MI | $0.08 | $0.00 – $0.18 | 975 | 2 |
| East Islip, NY | $7.52 | $6.49 – $7.74 | 974 | 3 |
| Bannockburn, IL | $15.45 | $15.45 – $15.45 | 974 | 1 |
| Elkhorn, NE | $10.70 | $5.61 – $31.32 | 973 | 3 |
| Carrollton, VA | $11.59 | $5.49 – $26.65 | 973 | 3 |
| Cozad, NE | $15.69 | $15.69 – $15.69 | 972 | 1 |
| Trotwood, OH | $21.70 | $20.88 – $31.16 | 968 | 2 |
| Monroe, GA | $3.64 | $0.00 – $21.71 | 967 | 3 |
| Newton Centre, MA | $8.02 | $8.02 – $8.02 | 967 | 1 |
| Redfield, SD | $40.15 | $40.15 – $40.15 | 966 | 1 |
| Minot, ND | $19.84 | $8.79 – $46.23 | 963 | 7 |
| Fredonia, KY | $6.95 | $0.00 – $17.36 | 963 | 4 |
| Norway, ME | $20.61 | $12.45 – $21.25 | 959 | 2 |
| Mullens, WV | $16.44 | $16.44 – $16.44 | 959 | 1 |
| Jerseyville, IL | $29.12 | $9.62 – $45.13 | 958 | 4 |
| Morton, IL | $6.01 | $4.32 – $18.80 | 958 | 3 |
| South Barrington, IL | $15.08 | $15.08 – $15.08 | 955 | 1 |
| Elwood, IN | $18.62 | $4.23 – $19.10 | 954 | 2 |
| Goldthwaite, TX | $8.55 | $6.43 – $19.54 | 953 | 2 |
| Cranberry Township, PA | $7.42 | $5.18 – $23.32 | 952 | 2 |
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.