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Skilled nursing facilities Medicaid rates by state

Medicaid nursing facility per diem rates by state and facility, with the nursing wages that drive most of the cost of a resident day. For nursing home stay (daily rate), the median across 9 states is $301.36 per day. New Jersey pays the most.

States with rates
20
Median · Nursing home stay (daily rate)
$301.36per day
Highest
$853.50New Jersey
Lowest
$225.64Texas

Key skilled nursing rates across states

Fee-for-service rates, compared like-for-like by provider level. Per-hour figures convert time-based units only.

ServiceProvider levelMedian across statesLowestHighestStates
Nursing home stay (daily rate)All levels$301.36/day$225.64$853.509
Hospice room and board in a nursing homeAll levels$290.11/day$196.85$298.914

Nursing home stay (daily rate): state ranking

Each rate links to the state's official fee schedule.

#StateRateUnitPer hourEffective
1New Jersey$853.50day—2026-07-01
2New York$610.37day—2026-01-01
3Massachusetts$332.60day—2026-10-01
4Indiana$309.47day—2026-07-01
5Florida$301.36day—2026-10-01
6Ohio$278.44day—2026-07-01
7Georgia$277.64day—2026-07-01
8Arizona$232.06day—2026-01-01
9Texas$225.64day—2025-09-01

Skilled nursing rates by state

State pages cover every key rate, the wages of the roles that deliver the service, the minimum wage, and recent rate changes.

AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming
Every variant, every version, every state

The workspace adds every modifier, region and provider variant, full rate history, proposed changes, coverage and prior-authorization rules, managed-care plans and a unit-economics calculator. All of it is available through the API.

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Medicaid rates by state