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 |
|---|---|---|---|---|
| Macon, MO | $36.54 | $35.66 – $92.63 | 915 | 2 |
| Bremen, IN | $4.57 | $4.57 – $4.57 | 915 | 1 |
| Grove City, OH | $9.60 | $9.60 – $9.60 | 913 | 1 |
| Wellsville, NY | $5.57 | $0.00 – $21.06 | 913 | 3 |
| Glasgow, MT | $2.16 | $0.00 – $13.90 | 913 | 2 |
| Sullivan, IN | $8.22 | $0.00 – $31.37 | 912 | 5 |
| East Greenwich, RI | $7.11 | $2.30 – $16.84 | 912 | 2 |
| Kingsburg, CA | $6.65 | $6.65 – $6.65 | 912 | 1 |
| Silver City, NM | $26.88 | $12.20 – $33.04 | 911 | 6 |
| Auburndale, FL | $4.42 | $4.42 – $4.42 | 911 | 1 |
| Downingtown, PA | $11.91 | $3.34 – $18.60 | 909 | 4 |
| Nevada, MO | $15.09 | $2.22 – $66.04 | 907 | 7 |
| Pittston, PA | $23.59 | $7.94 – $46.80 | 907 | 3 |
| Tamuning, GU | $18.59 | $17.01 – $88.77 | 906 | 3 |
| Waianae, HI | $38.98 | $38.98 – $38.98 | 906 | 1 |
| Montezuma, KS | $7.84 | $7.84 – $7.84 | 903 | 1 |
| Blythe, CA | $9.07 | $3.21 – $82.21 | 903 | 2 |
| Oakdale, PA | $51.02 | $51.02 – $51.02 | 902 | 1 |
| Mount Jackson, VA | $21.02 | $3.26 – $22.82 | 902 | 2 |
| Delta, CO | $15.07 | $7.45 – $16.78 | 900 | 2 |
| Ozone Park, NY | $7.47 | $7.47 – $7.47 | 900 | 1 |
| Socorro, NM | $31.51 | $31.51 – $31.51 | 899 | 1 |
| Farmington, UT | $12.37 | $11.79 – $48.94 | 898 | 2 |
| Murchison, TX | $6.36 | $6.36 – $6.36 | 898 | 1 |
| Vian, OK | $20.52 | $20.52 – $20.52 | 898 | 1 |
| Palmerton, PA | $6.27 | $0.80 – $7.87 | 897 | 3 |
| Mannford, OK | $17.32 | $17.32 – $17.32 | 897 | 1 |
| Milton, PA | $16.35 | $0.00 – $57.37 | 892 | 4 |
| Menifee, CA | $5.44 | $4.27 – $19.91 | 890 | 2 |
| South Portland, ME | $19.95 | $14.58 – $24.24 | 888 | 4 |
| Newcastle, OK | $9.19 | $9.19 – $9.19 | 887 | 1 |
| Holden, MA | $15.62 | $6.62 – $25.49 | 887 | 3 |
| Winooski, VT | $16.87 | $16.87 – $16.87 | 886 | 1 |
| Dresden, TN | $7.96 | $4.72 – $25.58 | 885 | 4 |
| Bridgewater, VA | $9.72 | $5.62 – $15.10 | 885 | 3 |
| Fowler, OH | $19.87 | $15.56 – $26.35 | 885 | 2 |
| Laurinburg, NC | $10.65 | $1.32 – $14.56 | 884 | 8 |
| Napoleon, OH | $6.69 | $4.96 – $6.71 | 884 | 2 |
| Kings Park, NY | $28.38 | $26.15 – $28.47 | 884 | 2 |
| Hunter, NY | $5.13 | $5.13 – $5.13 | 884 | 1 |
| Brigham City, UT | $12.22 | $11.96 – $14.92 | 882 | 2 |
| Fridley, MN | $56.97 | $16.01 – $380.00 | 882 | 4 |
| Coal Township, PA | $5.51 | $5.51 – $5.51 | 882 | 1 |
| Bryant, AR | $15.78 | $5.68 – $22.86 | 881 | 3 |
| Benton, MO | $25.00 | $25.00 – $25.00 | 880 | 1 |
| Tahoka, TX | $6.31 | $6.31 – $6.31 | 874 | 1 |
| Gladstone, MO | $2.16 | $0.82 – $10.52 | 873 | 4 |
| Barron, WI | $11.67 | $2.36 – $20.25 | 872 | 6 |
| Poway, CA | $12.69 | $0.00 – $48.25 | 870 | 6 |
| Holly Hill, SC | $14.37 | $14.37 – $14.37 | 869 | 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.