Iowa Medicaid skilled nursing rates
Iowa Medicaid pays $278.25 per day for nursing home stay (daily rate) delivered by a physician or licensed psychologist, effective July 1, 2026.
- Nursing home stay (daily rate)
- $278.25per day
- Rank among states
- —
- Registered nurse median wage
- $37.80BLS May 2025
- Iowa minimum wage
- $7.25
Iowa skilled nursing rates vs other states
Fee-for-service, like-for-like by provider level. Click a rate to open Iowa's official fee schedule.
| Service | Provider level | Code | IA rate | Unit | Per hour | Rank | Median across states | Lowest | Highest | States |
|---|---|---|---|---|---|---|---|---|---|---|
| Nursing home stay (daily rate) | Physician or licensed psychologist | $278.25 | day | — | — | $282.59 | $70.00 | $826.00 | 19 | |
| Hospice room and board in a nursing home | All levels | Not published | $294.00/day | $196.85 | $1,051.23 | 5 | ||||
Nursing home stay (daily rate): where Iowa ranks
States whose published unit can't be converted are left out of the ranking.
| # | State | Rate | Unit | Per hour | Effective |
|---|---|---|---|---|---|
| 1 | New Mexico | $826.00 | — | — | 2026-07-01 |
| 2 | Colorado | $419.22 | — | — | 2025-10-01 |
| 3 | Washington | $373.84 | — | — | 2026-07-01 |
| 4 | Kentucky | $365.78 | — | — | 2025-10-01 |
| 5 | Maryland | $351.63 | — | — | 2026-07-01 |
| 6 | North Carolina | $326.33 | — | — | 2022-11-01 |
| 7 | California | $324.03 | — | — | 2026-01-01 |
| 8 | Nebraska | $321.16 | — | — | 2026-07-01 |
| 9 | Mississippi | $285.90 | — | — | 2026-04-01 |
| 10 | New Jersey | $282.59 | — | — | 2026-07-01 |
| 11 | Pennsylvania | $255.27 | — | — | 2025-04-01 |
| 12 | Illinois | $248.95 | — | — | 2026-10-01 |
| 13 | Oklahoma | $246.26 | — | — | 2026-07-01 |
| 14 | Wisconsin | $226.35 | — | — | 2016-01-01 |
| 15 | Montana | $220.15 | — | — | 2026-07-01 |
| 16 | Missouri | $210.39 | — | — | 2024-01-01 |
| 17 | Connecticut | $107.21 | — | — | 2021-07-01 |
| 18 | Michigan | $99.90 | — | — | 2026-01-01 |
| 19 | Arkansas | $70.00 | — | — | 2025-07-01 |
What it costs to deliver in Iowa
Median hourly wages from the BLS Occupational Employment and Wage Statistics survey (May 2025).
| Role | IA median | US median | vs US |
|---|---|---|---|
| Registered nurse | $37.80 | $46.90 | -19.4% |
| Licensed practical nurse | $30.11 | $30.96 | -2.7% |
| Nursing assistant (CNA) | $18.92 | $20.32 | -6.9% |
Recent Iowa skilled nursing rate changes
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.
Rates are taken from Iowa's official Medicaid publications, and each one links to its source. Confirm with the payer before billing. Managed-care plans may pay differently from fee-for-service.