In-home care in Texas costs $30 an hour
$5,720 a month and $68,640 a year at 44 hours of care a week, the basis the survey uses for its annual figure. That is below the national median of $35 an hour — Texas is the 6th cheapest of the 50 states the survey reports.
Data: CareScout Cost of Care Survey — 2025 national medians
Data: CareScout Cost of Care Survey 2025 — ranked medians by state · Texas
The five care options in Texas, side by side
Every figure below is Texas's own median from the same survey — not a national number applied to a state. Where the survey reports no usable sample, the cell says so.
| Care type | Median cost | Basis |
|---|---|---|
| In-home care | $5,720/month | annual figure assumes 44 hours of care a week |
| Assisted living | $5,666/month | as reported, private, one bedroom |
| Nursing home, semi-private | $5,627/month | as reported, semi-private room |
| Nursing home, private room | $7,604/month | as reported, private room |
| Adult day health care | $90/day | as reported, per day of attendance |
Where Texas sits against the rest of the country
Cheapest in-home care in the survey
- Texas$30/hr
- California$40/hr
Most expensive
- California$40/hr
- Texas$30/hr
The gap between the cheapest and the most expensive state is wide enough that the same number of hours can mean a difference of thousands of dollars a year. It is worth pricing your own hours rather than reasoning from an average — the cost calculator does that for any state on this site.
How families pay for in-home care in Texas
- Privately. Most non-medical caregiver hours are paid directly by the family. The hourly rate above is what agencies charge; the caregiver's own take-home pay is lower than that rate.
- Long-term care insurance. Policies generally reimburse in-home care once the policy's own trigger is met — usually two of six activities of daily living. Read the trigger, not the marketing summary.
- Medicaid in Texas. State Medicaid programs can cover personal care at home for people who qualify, often through a home- and community-based services waiver, but eligibility, waitlists and covered hours are set by the state. The state Medicaid agency is the only authoritative source; this page does not estimate eligibility.
- Veterans' benefits. The VA's Aid and Attendance benefit can help pay for in-home care for eligible veterans and surviving spouses; the VA decides eligibility.
Frequently asked questions
How much does in-home care cost in Texas?
$30 an hour at the 2025 median, which works out to $5,720 a month and $68,640 a year on the survey's own assumption of 44 hours of care a week. Fewer hours cost proportionally less: at 20 hours a week the monthly figure is roughly half.
Is in-home care in Texas cheaper than a care community?
Below roughly 40 hours of care a week, buying hours individually is cheaper than the median assisted living rate in most states — including Texas, where assisted living runs about $5,666 a month. Above that, the hours you are buying cost more than the community. The crossover is arithmetic, not an opinion: put your own hours into the calculator and it will show where the two lines cross for Texas.
Does Medicare pay for in-home care in Texas?
Texas does not change the federal rule. Medicare covers home health care that is skilled and intermittent — nursing or therapy ordered by a doctor — and does not cover the non-medical caregiver hours priced on this page: help with bathing, dressing, meals and supervision. Those hours are normally paid privately, through long-term care insurance, or through a state Medicaid program if the person qualifies. Eligibility rules are set by the state, so the authoritative answer for Texas comes from the state Medicaid agency, not from this page.
Related
Data: CareScout Cost of Care Survey — 2025 national medians
All Texas figures: Data: CareScout Cost of Care Survey 2025 — ranked medians by state. National figures: CareScout 2025 national medians. Neither is a quote from a provider — local rates vary within a state.
Next, price out the other options
- How much care costs rose this year
Four of the five care types went up between the last two surveys and one went down. Here is the change for each, in dollars rather than in adjectives — including the one that fell.
- In-home caregiver cost
Every care type here is priced per month except this one, which is billed by the hour. That one difference is what makes in-home care cheap at 15 hours a week and the most expensive option at 50.
- Adult day health care cost
The cheapest care type in the survey, and the one families most often skip past without pricing. Here is what a day of attendance buys compared with the same hours of in-home care.
- Assisted living cost
The most common step up from care at home. What the monthly fee covers, what gets billed on top of it, and the two line items to ask for in writing before signing.
- Nursing home costs
Two published rates, and a $14,600-a-year gap between them. Room type and billing period (31-day months cost more than 28-day months) are the two things that move this number.