Texas Medicaid skilled nursing rates
Texas Medicaid pays $225.64 per day for nursing home stay (daily rate) delivered by a agency provider, effective September 1, 2025. Below: 1 more skilled nursing rate compared with every state we track, the wages of the staff who deliver them, and recent rate changes.
- Nursing home stay (daily rate)
- $225.64per day
- Rank among states
- —
- Registered nurse median wage
- $46.14BLS May 2025
- Texas minimum wage
- $7.25
Texas skilled nursing rates vs other states
Fee-for-service, like-for-like by provider level. Click a rate to open Texas's official fee schedule.
Nursing home stay (daily rate): where Texas 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 Texas
Median hourly wages from the BLS Occupational Employment and Wage Statistics survey (May 2025).
| Role | TX median | US median | vs US |
|---|---|---|---|
| Registered nurse | $46.14 | $46.90 | -1.6% |
| Licensed practical nurse | $29.92 | $30.96 | -3.4% |
| Nursing assistant (CNA) | $18.03 | $20.32 | -11.3% |
Recent Texas 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 Texas'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.