Missouri Medicaid skilled nursing rates
Missouri Medicaid pays $210.39 for nursing home stay (daily rate) delivered by a agency provider, effective January 1, 2024, the 14th highest of 18 states with comparable rates.
- Nursing home stay (daily rate)
- $210.39
- Rank among states
- 14 of 18-21.8% vs median
- Registered nurse median wage
- $39.32BLS May 2025
- Missouri minimum wage
- $15.00
Missouri skilled nursing rates vs other states
Fee-for-service, like-for-like by provider level. Click a rate to open Missouri's official fee schedule.
| Service | Provider level | Code | MO rate | Unit | Per hour | Rank | Median across states | Lowest | Highest | States |
|---|---|---|---|---|---|---|---|---|---|---|
| Nursing home stay (daily rate) | Agency provider | $210.39 | — | — | 14 of 18 | $268.93 | $11.34 | $826.00 | 18 | |
| 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 Missouri 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 | Maryland | $351.63 | — | — | 2026-07-01 |
| 5 | North Carolina | $326.33 | — | — | 2022-11-01 |
| 6 | California | $324.03 | — | — | 2026-01-01 |
| 7 | Nebraska | $321.16 | — | — | 2026-07-01 |
| 8 | Mississippi | $285.90 | — | — | 2026-04-01 |
| 9 | New Jersey | $282.59 | — | — | 2026-07-01 |
| 10 | Pennsylvania | $255.27 | — | — | 2025-04-01 |
| 11 | Illinois | $248.95 | — | — | 2026-10-01 |
| 12 | Oklahoma | $246.26 | — | — | 2026-07-01 |
| 13 | Wisconsin | $226.35 | — | — | 2016-01-01 |
| 14 | Missouri | $210.39 | — | — | 2024-01-01 |
| 15 | Connecticut | $107.21 | — | — | 2021-07-01 |
| 16 | Michigan | $99.90 | — | — | 2026-01-01 |
| 17 | Arkansas | $70.00 | — | — | 2025-07-01 |
| 18 | Kentucky | $11.34 | — | — | 2026-01-01 |
What it costs to deliver in Missouri
Median hourly wages from the BLS Occupational Employment and Wage Statistics survey (May 2025).
| Role | MO median | US median | vs US |
|---|---|---|---|
| Registered nurse | $39.32 | $46.90 | -16.2% |
| Licensed practical nurse | $29.58 | $30.96 | -4.5% |
| Nursing assistant (CNA) | $18.11 | $20.32 | -10.9% |
Recent Missouri 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 Missouri'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.