Nursing home costs in the US 2026 average $9,581 per month for a semi-private room and $10,798 per month for a private room, based on national medians from the latest CareScout Cost of Care Survey. Monthly fees range from $5,627 for a semi-private room in Texas to $27,831 in Alaska, and Medicare charges $217 per day from day 21 of skilled nursing care.
Nursing Home Costs in America 2026 – Introduction
Nursing home costs now run past $114,000 a year for a shared room and past $129,000 a year for a private one. Families rarely plan for that bill. Most learn the numbers during a hospital discharge, when a decision has to happen in days. The price also depends heavily on where the facility sits. A private room costs more than twice as much in Oregon as it does in Missouri or Texas.
This report lays out the nursing home costs for 2026 by care type and by state. The figures come from the CareScout Cost of Care Survey, run from July through November 2025, and from CMS Medicare rates for 2026. CareScout contacted 211,985 providers and completed about 16,000 surveys. The state tables cover all 50 states. Every table shows median prices. Half of facilities charge less and half charge more.
Interesting Facts About Nursing Home Costs in the US 2026
Semi-Private Nursing Home Cost per Month, 2026 ($)
Alaska (highest) | ████████████████████████████ $27,831
US national median | ██████████ $9,581
Texas (lowest) | ██████ $5,627| Fact | 2026 Data |
|---|---|
| National median, semi-private room | $9,581 per month |
| National median, private room | $10,798 per month |
| Annual cost, private room | $129,575 |
| Annual cost, semi-private room | $114,975 |
| Highest semi-private cost (Alaska) | $27,831 per month |
| Lowest semi-private cost (Texas) | $5,627 per month |
| Highest private room cost (Oregon) | $18,448 per month |
| Medicare coinsurance, days 21 to 100 | $217 per day |
Source: CareScout and Genworth Cost of Care Survey, July through November 2025; Centers for Medicare & Medicaid Services, 2026 rates.
The national medians show how large the bill is. A private room costs $10,798 per month, and a semi-private room costs $9,581. The gap between the two is $1,217 per month. Over a year, a private room adds up to $129,575 and a shared room to $114,975. These nursing home costs apply to room, meals, nursing care and daily help.
State differences dominate the rest of the table. Alaska’s semi-private median of $27,831 is almost five times the Texas median of $5,627. Oregon has the highest private room median at $18,448. Medicare helps only with short stays. After day 20, it charges $217 per day in coinsurance.
Nursing Home Costs by Care Type in the US 2026
Monthly Median Cost by Care Type, US 2026 ($)
Nursing home, private room | ██████████████████████ $10,798
Nursing home, semi-private | ███████████████████ $9,581
Non-medical caregiver | █████████████ $6,673
Assisted living | ████████████ $6,200
Adult day health care | ████ $2,058| Care Type | Monthly | Annual | Daily |
|---|---|---|---|
| Nursing home, private room | $10,798 | $129,575 | $355 |
| Nursing home, semi-private room | $9,581 | $114,975 | $315 |
| Non-medical caregiver (44 hours per week) | $6,673 | $80,080 | $220 |
| Assisted living community | $6,200 | $74,400 | $204 |
| Adult day health care | $2,058 | $24,700 | $95 |
Source: CareScout and Genworth Cost of Care Survey, July through November 2025.
A private nursing home room is the most expensive option in the table. It costs $10,798 a month, $129,575 a year and $355 a day. A semi-private room saves about $1,217 a month at $9,581, or $315 a day. Both rates cover round-the-clock nursing supervision, which the other settings do not include. These are the core nursing home costs families should budget for.
The alternatives cost less but give less care. Assisted living runs $6,200 a month, or $74,400 a year. A non-medical caregiver for 44 hours a week costs $6,673 a month and $80,080 a year, about $220 a day. Adult day health care is the cheapest at $2,058 a month, or $95 a day. Home care costs rise quickly when a person needs more hours. Call local facilities for current rates in your area.
Most Expensive States for Nursing Home Costs in 2026
Highest Private Room Cost per Month, 2026 ($)
Oregon | ██████████████████ $18,448
Connecticut | █████████████████ $16,729
New York | █████████████████ $16,729
Hawaii | ████████████████ $16,395
Washington | ████████████████ $15,969
Massachusetts | ████████████████ $15,817
Vermont | ████████████████ $15,528
California | ███████████████ $15,178
Delaware | ███████████████ $15,132
Maine | ███████████████ $14,904| State | Private Room Monthly | Private Room Annual | Daily |
|---|---|---|---|
| Oregon | $18,448 | $221,373 | $607 |
| Connecticut | $16,729 | $200,750 | $550 |
| New York | $16,729 | $200,750 | $550 |
| Hawaii | $16,395 | $196,735 | $539 |
| Washington | $15,969 | $191,625 | $525 |
| Massachusetts | $15,817 | $189,800 | $520 |
| Vermont | $15,528 | $186,333 | $511 |
| California | $15,178 | $182,135 | $499 |
| Delaware | $15,132 | $181,588 | $498 |
| Maine | $14,904 | $178,850 | $490 |
Source: CareScout and Genworth Cost of Care Survey, median data tables, July through November 2025.
Oregon tops the private room list at $18,448 a month, or $221,373 a year. That is $607 a day and about 71% above the national median of $10,798. Connecticut and New York tie at $16,729 a month and $200,750 a year. Hawaii follows at $16,395. Washington, Massachusetts and Vermont each charge between $15,528 and $15,969 a month.
California, Delaware and Maine complete the top ten at $15,178, $15,132 and $14,904 a month. Every state in the table charges at least $178,850 a year for a private room. Daily rates run from $490 in Maine to $607 in Oregon. Alaska reports no private room median in this survey, so it does not appear here.
Cheapest States for Nursing Home Costs in 2026
Lowest Private Room Cost per Month, 2026 ($)
Missouri | ████████ $7,604
Texas | ████████ $7,604
Oklahoma | ████████ $7,756
Arkansas | ████████ $8,060
Louisiana | ████████ $8,076
Alabama | █████████ $8,787
Kansas | █████████ $9,064
Illinois | █████████ $9,216
Nebraska | █████████ $9,216
Georgia | █████████ $9,429| State | Private Room Monthly | Private Room Annual | Daily |
|---|---|---|---|
| Missouri | $7,604 | $91,250 | $250 |
| Texas | $7,604 | $91,250 | $250 |
| Oklahoma | $7,756 | $93,075 | $255 |
| Arkansas | $8,060 | $96,725 | $265 |
| Louisiana | $8,076 | $96,908 | $266 |
| Alabama | $8,787 | $105,441 | $289 |
| Kansas | $9,064 | $108,770 | $298 |
| Illinois | $9,216 | $110,595 | $303 |
| Nebraska | $9,216 | $110,595 | $303 |
| Georgia | $9,429 | $113,150 | $310 |
Source: CareScout and Genworth Cost of Care Survey, median data tables, July through November 2025.
Missouri and Texas share the lowest private room median at $7,604 a month, or $91,250 a year. That equals $250 a day. Oklahoma follows at $7,756, then Arkansas at $8,060 and Louisiana at $8,076. Each of these five states charges between 25% and 30% less than the national median of $10,798. Texas also has the lowest semi-private median in the country at $5,627.
The rest of the list sits between $8,787 and $9,429 a month. Alabama charges $105,441 a year. Kansas charges $108,770. Illinois and Nebraska tie at $110,595, and Georgia charges $113,150. Even the cheapest state costs more than $91,000 a year, so low prices still strain most household budgets.
Nursing Home Semi-Private Room Costs by State 2026
Highest Semi-Private Room Cost per Month, 2026 ($)
Alaska | ████████████████████████████ $27,831
Oregon | █████████████████ $16,760
New York | ████████████████ $15,528
Hawaii | ███████████████ $15,473
Connecticut | ███████████████ $15,208
Delaware | ██████████████ $14,494
Massachusetts | ██████████████ $14,448
Vermont | ██████████████ $14,113
Maine | ██████████████ $13,976
Washington | █████████████ $13,155| State | Semi-Private Monthly | Semi-Private Annual | Daily |
|---|---|---|---|
| Alaska | $27,831 | $333,975 | $915 |
| Oregon | $16,760 | $201,115 | $551 |
| New York | $15,528 | $186,333 | $511 |
| Hawaii | $15,473 | $185,679 | $509 |
| Connecticut | $15,208 | $182,500 | $500 |
| Delaware | $14,494 | $173,923 | $477 |
| Massachusetts | $14,448 | $173,375 | $475 |
| Vermont | $14,113 | $169,360 | $464 |
| Maine | $13,976 | $167,718 | $460 |
| Washington | $13,155 | $157,859 | $432 |
Source: CareScout and Genworth Cost of Care Survey, median data tables, July through November 2025.
Alaska is the clear outlier. Its semi-private median is $27,831 a month, $333,975 a year and $915 a day. That is about 190% above the national median of $9,581. Oregon is second at $16,760 a month, and New York and Hawaii follow at $15,528 and $15,473. Connecticut reaches $15,208.
Delaware, Massachusetts, Vermont, Maine and Washington fill out the list. Their monthly medians run from $13,155 to $14,494. Annual costs range from $157,859 to $173,923. Each of these states charges at least $432 a day. A shared room in all ten states costs more than the national private room median of $129,575 a year.
Nursing Home Costs by State 2026 | Full 50-State Monthly List
Number of States by Private Room Monthly Cost, 2026
Under $9,000 | ██████ 6 states
$9,000 to $10,999 | ████████████████ 16 states
$11,000 to $12,999 | █████████ 9 states
$13,000 to $14,999 | █████████ 9 states
$15,000 or more | █████████ 9 states| State | Semi-Private Monthly | Private Monthly |
|---|---|---|
| Alabama | $8,334 | $8,787 |
| Alaska | $27,831 | N/A |
| Arizona | $8,365 | $11,437 |
| Arkansas | $7,452 | $8,060 |
| California | $12,167 | $15,178 |
| Colorado | $10,159 | $12,182 |
| Connecticut | $15,208 | $16,729 |
| Delaware | $14,494 | $15,132 |
| Florida | $10,342 | $12,167 |
| Georgia | $8,821 | $9,429 |
| Hawaii | $15,473 | $16,395 |
| Idaho | $10,494 | $12,167 |
| Illinois | $8,304 | $9,216 |
| Indiana | $8,943 | $10,326 |
| Iowa | $9,277 | $10,038 |
| Kansas | $8,669 | $9,064 |
| Kentucky | $9,718 | $11,254 |
| Louisiana | $7,604 | $8,076 |
| Maine | $13,976 | $14,904 |
| Maryland | $12,927 | $14,448 |
| Massachusetts | $14,448 | $15,817 |
| Michigan | $11,254 | $11,969 |
| Minnesota | $10,646 | $13,870 |
| Mississippi | $9,581 | $9,885 |
| Missouri | $6,741 | $7,604 |
| Montana | $8,973 | $9,581 |
| Nebraska | $8,377 | $9,216 |
| Nevada | $11,786 | $14,463 |
| New Hampshire | $12,243 | $13,444 |
| New Jersey | $12,775 | $14,448 |
| New Mexico | $9,125 | $10,633 |
| New York | $15,528 | $16,729 |
| North Carolina | $9,733 | $10,798 |
| North Dakota | $11,528 | $12,304 |
| Ohio | $9,186 | $10,389 |
| Oklahoma | $7,026 | $7,756 |
| Oregon | $16,760 | $18,448 |
| Pennsylvania | $11,954 | $13,688 |
| Rhode Island | $12,106 | $13,383 |
| South Carolina | $9,034 | $9,612 |
| South Dakota | $9,444 | $10,190 |
| Tennessee | $9,429 | $10,038 |
| Texas | $5,627 | $7,604 |
| Utah | $8,669 | $10,646 |
| Vermont | $14,113 | $15,528 |
| Virginia | $10,250 | $11,680 |
| Washington | $13,155 | $15,969 |
| West Virginia | $12,836 | $13,262 |
| Wisconsin | $10,646 | $12,319 |
| Wyoming | $9,916 | $10,923 |
Source: CareScout and Genworth Cost of Care Survey, monthly median data tables, July through November 2025.
The full list shows how widely nursing home costs spread across the country. Of the 49 states with a private room median, 6 charge under $9,000 a month and 16 charge between $9,000 and $10,999. Another 9 states fall between $11,000 and $12,999. Nine more sit between $13,000 and $14,999, and 9 charge $15,000 or more. Alaska has no private room median, so it sits outside those counts.
Compared with the national private room median of $10,798, 28 states charge more and 21 charge the same or less. North Carolina matches the national private figure exactly, and Mississippi’s semi-private median of $9,581 matches the national semi-private figure. Check the row for your state before you compare facilities, because a local median can hide wide differences between counties.
Nursing Home Cost Increases and Medicare Rates in 2026
Monthly Cost Increase, 2024 to 2025 Survey ($)
Semi-private nursing home | ███████████████ +$304
Assisted living | ███████████████ +$300
Private nursing home | ████████ +$152| Care Type | 2024 Monthly | 2025 Monthly | Change |
|---|---|---|---|
| Nursing home, semi-private room | $9,277 | $9,581 | +3% |
| Nursing home, private room | $10,646 | $10,798 | +1% |
| Assisted living community | $5,900 | $6,200 | +5% |
| Medicare coinsurance, days 21 to 100 (daily) | $209.50 | $217 | +3.6% |
Source: CareScout and Genworth Cost of Care Survey, 2024 and 2025 editions; Centers for Medicare & Medicaid Services, 2026 coinsurance update.
Semi-private nursing home costs rose $304 a month, or 3%, from $9,277 to $9,581. That adds $3,650 a year. Private rooms rose $152 a month, or 1%, from $10,646 to $10,798, which adds $1,825 a year. Assisted living rose 5%, from $5,900 to $6,200. No setting fell in price.
Medicare covers skilled nursing care only for a limited time. It pays $0 for days 1 to 20. For days 21 to 100, a patient pays $217 a day in 2026, up from $209.50 in 2025. The full 80 days of coinsurance would total $17,360. After day 100, Medicare pays nothing toward the stay.
Nursing Home Costs in the US 2026 – Frequently Asked Questions
How Much Do Nursing Home Costs Average in the US in 2026?
The national median is $9,581 a month for a semi-private room and $10,798 for a private room. That equals $114,975 and $129,575 a year. These figures come from the CareScout survey of providers run from July through November 2025. Prices vary by facility, so treat medians as starting points.
What Is the Average Monthly Cost of a Nursing Home by State in 2026?
Private room medians range from $7,604 in Missouri and Texas to $18,448 in Oregon. Semi-private medians range from $5,627 in Texas to $27,831 in Alaska. Use the state tables above to find your own state.
Which State Has the Most Expensive Nursing Homes in 2026?
Alaska has the highest semi-private median at $27,831 a month. Oregon has the highest private room median at $18,448 a month. Alaska has no private room median in this survey.
Which State Has the Cheapest Nursing Homes in 2026?
Texas has the lowest semi-private median at $5,627 a month. Missouri and Texas tie for the lowest private room median at $7,604 a month.
How Much Does a Nursing Home Cost per Day in 2026?
The national median is $315 a day for a semi-private room and $355 a day for a private room. State daily rates run from $185 in Texas to $915 in Alaska for a semi-private room.
How Much Does Assisted Living Cost Compared With a Nursing Home in 2026?
Assisted living costs $6,200 a month, or $74,400 a year. A semi-private nursing home room costs $9,581 a month. The difference is $3,381 a month, or about $40,575 a year.
Does Medicare Pay for Nursing Home Care in 2026?
Medicare covers skilled nursing care for a limited time after a qualifying hospital stay of at least 3 days. It pays all costs for days 1 to 20. From day 21 to day 100, you pay $217 a day in 2026. It does not cover long-term custodial stays.
How Much Have Nursing Home Costs Risen in 2026?
Semi-private rooms rose 3% to $9,581 a month in the latest survey. Private rooms rose 1% to $10,798. Assisted living rose 5% to $6,200.
Does Medicaid Pay for Nursing Homes in 2026?
Medicaid pays for nursing home care for people who meet income and asset rules. Rules and covered services differ by state. Contact your state Medicaid office to check eligibility before you choose a facility.
How Much Does a Nursing Home Cost per Year in 2026?
A semi-private room costs $114,975 a year at the national median. A private room costs $129,575. In Oregon, a private room reaches $221,373 a year.
Are Nursing Home Costs Cheaper at Home in 2026?
Not always. A non-medical caregiver for 44 hours a week costs $80,080 a year, or $6,673 a month. That is below a nursing home room, but it does not include nursing supervision around the clock. Adult day health care costs $24,700 a year.
How Many Providers Did the 2026 Nursing Home Cost Survey Contact?
CareScout contacted 211,985 long-term care providers from July through November 2025. It completed about 16,000 surveys, including 6,014 from home health providers.
Disclaimer: The data research report we present here is based on information found from various sources. We are not liable for any financial loss, errors, or damages of any kind that may result from the use of the information herein. We acknowledge that though we try to report accurately, we cannot verify the absolute facts of everything that has been represented.
