Texas cost of care
Average nursing home and senior care costs in Texas
Nursing home, memory care, and assisted living cost different amounts in different parts of the state. These pages pair an honest cost estimate for each metro with the one thing cost sites never show: whether the homes there are any good, and how families actually pay.
A semi-private nursing home room in Texas runs roughly $8,750 a month in a mid-cost metro, ranging from about $8,050 in Texarkana to $9,880 in Dallas-Fort Worth. These are transparent estimates to plan around, not quotes from any specific home.
Basis: CareScout 2025 Cost of Care Survey national medians adjusted by local BEA Regional Price Parities. Memory care, assisted living, and the full metro breakdown are below.
| Metro | Rated homes | Avg rating | Est. nursing home / mo |
|---|---|---|---|
| Dallas-Fort Worth | 248 | 2.62 of 5 | $9,880 |
| Houston | 156 | 2.65 of 5 | $9,450 |
| San Antonio | 93 | 2.34 of 5 | $9,070 |
| Austin | 58 | 2.6 of 5 | $9,400 |
| Killeen-Temple | 22 | 2.55 of 5 | $8,730 |
| El Paso | 22 | 1.73 of 5 | $8,610 |
| McAllen | 22 | 3 of 5 | $8,230 |
| Beaumont-Port Arthur | 20 | 2.3 of 5 | $8,630 |
| Corpus Christi | 18 | 2.83 of 5 | $8,880 |
| Longview | 18 | 1.94 of 5 | $8,570 |
| Waco | 17 | 2.65 of 5 | $8,870 |
| Tyler | 17 | 2.53 of 5 | $8,830 |
| Lubbock | 16 | 2.31 of 5 | $8,750 |
| Abilene | 16 | 2.69 of 5 | $8,660 |
| Brownsville-Harlingen | 14 | 3.14 of 5 | $8,240 |
| Amarillo | 13 | 2.92 of 5 | $8,800 |
| College Station-Bryan | 12 | 2.08 of 5 | $8,710 |
| Sherman-Denison | 11 | 2.27 of 5 | $8,980 |
| Wichita Falls | 9 | 3.67 of 5 | $8,580 |
| Texarkana | 7 | 1.86 of 5 | $8,050 |
| Odessa | 6 | 2.5 of 5 | $9,000 |
| San Angelo | 6 | 2.33 of 5 | $8,860 |
| Laredo | 6 | 2.83 of 5 | $8,330 |
| Midland | 5 | 2.4 of 5 | $9,180 |
| Victoria | 5 | 3.2 of 5 | $8,610 |
Estimated cost of a semi-private nursing home room. Basis: CareScout 2025 Cost of Care Survey national medians adjusted by BEA Regional Price Parities (All items, 2024, U.S. = 100). Estimates to plan around, not quotes. Quality data: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05.
What each level of care costs
Not sure which level fits? Here is what each type of senior care typically costs and what it covers. These are national medians to plan around, not quotes; the local price shifts by metro, as the table above shows.
| Level of care | What it covers | Est. median / mo |
|---|---|---|
| Nursing home (semi-private room) | 24-hour skilled nursing care, shared room. | $9,581 |
| Nursing home (private room) | 24-hour skilled nursing care, private room. | $10,798 |
| Memory care | Assisted living in a secured unit for dementia/Alzheimer's. | $6,160 |
| Assisted living | Housing plus help with daily activities; not skilled nursing. | $5,900 |
Paying for it looks different at each level. See how families pay for assisted living in Texas and paying for memory care; nursing-home funding is covered in how to pay for a nursing home in Texas.
Source: CareScout 2025 Cost of Care Survey. Estimates to plan around, not quotes. In-home care is usually billed by the hour and varies too much to median cleanly. Ellery Care rates nursing homes today; the other levels are cost-only for now.
Will the money last?
Whatever the number in your metro, the real question is how long savings would cover it before Medicaid steps in. Our free calculator does that math in about a minute.
Open the cost calculatorHow we estimate these costs
We do not sell care and we do not take listings money, so we have no reason to inflate or lowball a number. We also do not own proprietary metro cost tables. Instead we start from the CareScout 2025 Cost of Care Survey national median for each type of care and adjust it by the local price level from the BEA Regional Price Parities, the federal government's measure of how far a dollar goes in each metro. The result is a transparent estimate to plan around, not a quote from any specific home. For an exact price, call the homes you are considering. Full details on our methodology page.