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 |
|---|---|---|---|---|
| Oakdale, CA | $9.00 | $8.95 – $9.86 | 867 | 2 |
| Kingstree, SC | $21.20 | $21.16 – $23.32 | 867 | 2 |
| Bloomfield Hills, MI | $25.75 | $21.53 – $42.64 | 866 | 4 |
| Lake In The Hills, IL | $20.02 | $20.02 – $20.02 | 865 | 1 |
| Newport, WA | $10.34 | $8.05 – $51.93 | 864 | 2 |
| Cameron, NC | $0.09 | $0.09 – $0.09 | 864 | 1 |
| Clinton, PA | $21.84 | $21.84 – $21.84 | 863 | 1 |
| Spanish Fork, UT | $28.67 | $12.81 – $68.88 | 862 | 3 |
| Newhall, CA | $11.62 | $0.95 – $14.35 | 862 | 2 |
| Holdenville, OK | $30.64 | $5.78 – $31.20 | 860 | 2 |
| Rio Grande, NJ | $2.27 | $2.27 – $2.27 | 860 | 1 |
| Ft. Campbell, KY | $2.53 | $2.53 – $2.53 | 860 | 1 |
| Wolfforth, TX | $9.29 | $9.29 – $9.29 | 859 | 1 |
| Granite Falls, WA | $1.26 | $1.26 – $1.26 | 859 | 1 |
| Rising Sun, IN | $14.24 | $12.61 – $17.28 | 859 | 2 |
| Pemberton, NJ | $10.71 | $9.71 – $13.27 | 859 | 2 |
| Macedon, NY | $7.28 | $7.28 – $7.28 | 858 | 1 |
| Menasha, WI | $18.58 | $12.40 – $65.66 | 857 | 3 |
| Spencer, IA | $0.30 | $0.00 – $0.86 | 855 | 2 |
| Whitefield, NH | $20.66 | $0.94 – $24.92 | 855 | 3 |
| Moses Lake, WA | $16.73 | $2.80 – $33.87 | 852 | 5 |
| Haddon Heights, NJ | $8.53 | $4.56 – $12.66 | 852 | 3 |
| Paris, IL | $10.33 | $10.33 – $10.33 | 851 | 1 |
| Ocean Shores, WA | $2.84 | $2.84 – $2.84 | 851 | 1 |
| Deerfield, NH | $10.73 | $10.73 – $10.73 | 850 | 1 |
| Millburn, NJ | $7.14 | $6.76 – $8.92 | 847 | 2 |
| Taylor, TX | $8.35 | $8.35 – $8.35 | 847 | 1 |
| Manchester, MO | $6.34 | $5.34 – $8.48 | 847 | 2 |
| Hamburg, AR | $23.67 | $23.67 – $23.67 | 845 | 1 |
| Cullowhee, NC | $6.64 | $6.64 – $6.64 | 844 | 1 |
| Excelsior Springs, MO | $14.72 | $14.44 – $19.12 | 841 | 2 |
| South Hadley, MA | $8.80 | $1.03 – $10.38 | 841 | 2 |
| Basalt, CO | $16.75 | $16.75 – $16.75 | 840 | 1 |
| Hinsdale, NH | $7.87 | $0.00 – $9.50 | 838 | 2 |
| Elon, NC | $10.76 | $10.76 – $10.76 | 837 | 1 |
| Dillsburg, PA | $32.86 | $32.86 – $32.86 | 837 | 1 |
| Elm Grove, WI | $11.41 | $11.41 – $11.41 | 837 | 1 |
| Montezuma Creek, UT | $19.30 | $13.34 – $26.14 | 836 | 2 |
| Saint Jo, TX | $17.29 | $17.29 – $17.29 | 836 | 1 |
| Prairie Grove, AR | $21.01 | $17.14 – $21.51 | 835 | 2 |
| Johnston City, IL | $0.00 | $0.00 – $0.00 | 831 | 1 |
| Hyde Park, NY | $6.48 | $4.54 – $6.54 | 830 | 2 |
| Uxbridge, MA | $19.09 | $19.09 – $19.09 | 830 | 1 |
| Hot Springs, MT | $0.00 | $0.00 – $0.00 | 829 | 1 |
| Oxford, NY | $10.15 | $10.15 – $10.15 | 829 | 1 |
| Saint James, MN | $75.21 | $75.21 – $75.21 | 828 | 1 |
| Concord Township, OH | $12.80 | $12.73 – $14.51 | 828 | 2 |
| Fergus Falls, MN | $71.64 | $28.78 – $103.75 | 827 | 7 |
| Tipp City, OH | $5.53 | $5.53 – $5.53 | 827 | 1 |
| Bedford, KY | $4.52 | $4.52 – $4.52 | 826 | 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.