North Carolina Medicaid skilled nursing rates
North Carolina Medicaid pays $327.09 for nursing home stay (daily rate) delivered by a agency provider, effective July 1, 2026, the 4th highest of 12 states with comparable rates.
- Nursing home stay (daily rate)
- $327.09
- Rank among states
- 4 of 12+13.5% vs median
- Registered nurse median wage
- $40.56BLS May 2025
- North Carolina minimum wage
- $7.25
North Carolina skilled nursing rates vs other states
Fee-for-service, like-for-like by provider level. Click a rate to open North Carolina's official fee schedule.
| Service | Provider level | Code | NC rate | Unit | Per hour | Rank | Median across states | Lowest | Highest | States |
|---|---|---|---|---|---|---|---|---|---|---|
| Nursing home stay (daily rate) | Agency provider | $327.09 | — | — | 4 of 12 | $288.22 | $11.34 | $419.22 | 12 | |
| Hospice room and board in a nursing home | All levels | Not published | $290.11/day | $196.85 | $298.91 | 4 | ||||
Nursing home stay (daily rate): where North Carolina ranks
States whose published unit can't be converted are left out of the ranking.
| # | State | Rate | Unit | Per hour | Effective |
|---|---|---|---|---|---|
| 1 | Colorado | $419.22 | — | — | 2025-10-01 |
| 2 | Washington | $373.84 | — | — | 2026-07-01 |
| 3 | Maryland | $351.63 | — | — | 2026-07-01 |
| 4 | North Carolina | $327.09 | — | — | 2026-07-01 |
| 5 | California | $324.03 | — | — | 2026-01-01 |
| 6 | Nebraska | $321.17 | — | — | 2026-07-01 |
| 7 | Pennsylvania | $255.27 | — | — | 2025-04-01 |
| 8 | Illinois | $248.95 | — | — | 2026-10-01 |
| 9 | Missouri | $244.47 | — | — | 2026-07-01 |
| 10 | Wisconsin | $226.35 | — | — | 2016-01-01 |
| 11 | Michigan | $99.90 | — | — | 2026-01-01 |
| 12 | Kentucky | $11.34 | — | — | 2026-01-01 |
What it costs to deliver in North Carolina
Median hourly wages from the BLS Occupational Employment and Wage Statistics survey (May 2025).
| Role | NC median | US median | vs US |
|---|---|---|---|
| Registered nurse | $40.56 | $46.90 | -13.5% |
| Licensed practical nurse | $30.42 | $30.96 | -1.7% |
| Nursing assistant (CNA) | $18.49 | $20.32 | -9.0% |
Recent North Carolina 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 North Carolina'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.