Pennsylvania Medicaid skilled nursing rates
Pennsylvania Medicaid pays $255.27 for nursing home stay (daily rate), effective April 1, 2025, the 7th highest of 11 states with comparable rates.
- Nursing home stay (daily rate)
- $255.27
- Rank among states
- 7 of 11-20.5% vs median
- Registered nurse median wage
- $46.36BLS May 2025
- Pennsylvania minimum wage
- $7.25
Pennsylvania skilled nursing rates vs other states
Fee-for-service, like-for-like by provider level. Click a rate to open Pennsylvania's official fee schedule.
| Service | Provider level | Code | PA rate | Unit | Per hour | Rank | Median across states | Lowest | Highest | States |
|---|---|---|---|---|---|---|---|---|---|---|
| Nursing home stay (daily rate) | All levels | $255.27 | — | — | 7 of 11 | $321.17 | $99.90 | $419.22 | 11 | |
| 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 Pennsylvania 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 |
What it costs to deliver in Pennsylvania
Median hourly wages from the BLS Occupational Employment and Wage Statistics survey (May 2025).
| Role | PA median | US median | vs US |
|---|---|---|---|
| Registered nurse | $46.36 | $46.90 | -1.2% |
| Licensed practical nurse | $30.74 | $30.96 | -0.7% |
| Nursing assistant (CNA) | $21.44 | $20.32 | +5.5% |
Recent Pennsylvania 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 Pennsylvania'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.