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 |
|---|---|---|---|---|
| Salamanca, NY | $17.17 | $17.17 – $17.17 | 792 | 1 |
| Hardy, VA | $14.03 | $14.03 – $14.03 | 792 | 1 |
| Kronenwetter, WI | $17.12 | $17.12 – $17.12 | 792 | 1 |
| League City, TX | $10.35 | $1.25 – $14.31 | 791 | 2 |
| Philippi, WV | $12.49 | $0.00 – $16.21 | 791 | 3 |
| Lafayette, NJ | $5.03 | $5.03 – $5.03 | 791 | 1 |
| Bellefonte, PA | $7.79 | $0.00 – $8.62 | 789 | 4 |
| Perrysville, OH | $6.77 | $6.77 – $6.77 | 789 | 1 |
| Kittanning, PA | $15.36 | $4.56 – $27.02 | 788 | 3 |
| Irvine, KY | $20.93 | $20.39 – $23.14 | 788 | 2 |
| Irmo, SC | $24.83 | $10.93 – $32.96 | 788 | 2 |
| Columbus, KS | $1.17 | $1.17 – $1.17 | 787 | 1 |
| Windsor Locks, CT | $5.22 | $5.22 – $5.22 | 787 | 1 |
| Darlington, SC | $16.55 | $5.83 – $63.32 | 787 | 4 |
| Cabool, MO | $31.18 | $29.80 – $39.78 | 786 | 2 |
| Bemidji, MN | $33.13 | $22.97 – $40.95 | 785 | 4 |
| Round Lake Beach, IL | $13.90 | $13.90 – $13.90 | 785 | 1 |
| East Syracuse, NY | $10.72 | $10.72 – $10.72 | 784 | 1 |
| Clark, NJ | $7.36 | $3.47 – $10.54 | 783 | 2 |
| Fayetteville, GA | $2.28 | $2.13 – $2.48 | 783 | 2 |
| Aspen Hill, MD | $30.09 | $30.09 – $30.09 | 783 | 1 |
| Millbrook, AL | $0.00 | $0.00 – $0.00 | 783 | 1 |
| Deer Lodge, MT | $25.78 | $25.78 – $25.78 | 780 | 1 |
| Watertown, SD | $25.49 | $25.49 – $25.49 | 779 | 1 |
| Richmond Hills, NY | $18.91 | $18.91 – $18.91 | 778 | 1 |
| Killen, AL | $3.70 | $3.70 – $3.70 | 778 | 1 |
| Kentland, IN | $9.63 | $0.00 – $16.05 | 778 | 2 |
| Middletown, RI | $21.01 | $5.47 – $35.76 | 777 | 4 |
| Marble Falls, TX | $7.91 | $6.42 – $24.50 | 776 | 3 |
| Lihue, HI | $20.42 | $18.66 – $31.25 | 775 | 3 |
| Huntsville, TX | $4.49 | $3.96 – $33.34 | 775 | 2 |
| Litchfield, IL | $0.02 | $0.02 – $0.02 | 775 | 1 |
| Adelanto, CA | $9.18 | $8.83 – $31.18 | 774 | 2 |
| Salem, IN | $3.40 | $0.00 – $7.48 | 773 | 2 |
| Edmonton, KY | $23.14 | $5.56 – $39.13 | 772 | 3 |
| Ellensburg, WA | $5.13 | $2.97 – $11.69 | 772 | 2 |
| West Point, NE | $15.01 | $7.45 – $16.01 | 772 | 2 |
| Woodbury, TN | $7.26 | $3.17 – $19.59 | 771 | 4 |
| Audobon, PA | $18.59 | $18.59 – $18.59 | 770 | 1 |
| Oakdale, MN | $7.19 | $7.19 – $7.19 | 769 | 1 |
| Waterloo, NY | $2.90 | $2.90 – $2.90 | 768 | 1 |
| Bartlett, IL | $6.08 | $3.09 – $8.56 | 768 | 2 |
| Monteagle, TN | $5.78 | $5.78 – $5.78 | 768 | 1 |
| Roswell, GA | $10.32 | $7.91 – $10.52 | 767 | 2 |
| Concord, MA | $8.38 | $0.00 – $20.04 | 766 | 6 |
| South Elgin, IL | $22.08 | $0.00 – $36.53 | 766 | 3 |
| Lower Gwynedd, PA | $9.22 | $5.68 – $11.03 | 764 | 2 |
| Plymouth, WI | $17.02 | $16.66 – $18.31 | 763 | 2 |
| Double Springs, AL | $22.36 | $22.36 – $22.36 | 762 | 1 |
| Turtle Creek, PA | $24.94 | $24.94 – $24.94 | 762 | 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.