2026 Cost Guide · 21 States
Nursing Home Cost by State
Nursing home costs average $8,000/month for semi-private rooms and $9,500/month for private rooms nationally in 2026. Costs range from under $5,500/month in rural Arkansas and Texas to over $20,000/month in New York City. Select a state for Medicaid coverage details, cost breakdowns, and how to find a quality nursing home near you.
| Care Type | National Avg / Month | What It Covers |
|---|---|---|
| Assisted Living | $4,500 | Personal care, meals, housing, activities — no skilled nursing |
| Memory Care | $6,200 | Secured dementia unit, specialized programming, higher staffing |
| Nursing Home (semi-private) | $8,000 | 24/7 licensed nursing, skilled therapies, wound care, IV therapy |
| Nursing Home (private) | $9,500 | Same as semi-private with private room for more privacy |
All 21 states below have Medicaid nursing home coverage. Unlike assisted living (where Medicaid coverage varies widely), all states must cover skilled nursing home care under federal Medicaid law. Income and asset limits apply — see each state page for details.
Nursing Home Costs by State
Sorted alphabetically. Click any state for Medicaid details, regional cost breakdowns, and FAQs.
Arizona
~145 nursing homes
$7,200/mo
semi-private avg · 2026
Arkansas
~235 nursing homes
$5,400/mo
semi-private avg · 2026
California
~1,200 nursing homes
$9,500/mo
semi-private avg · 2026
Colorado
~230 nursing homes
$8,200/mo
semi-private avg · 2026
Florida
~700 nursing homes
$8,500/mo
semi-private avg · 2026
Georgia
~350 nursing homes
$6,800/mo
semi-private avg · 2026
Illinois
~700 nursing homes
$6,800/mo
semi-private avg · 2026
Indiana
~505 nursing homes
$6,700/mo
semi-private avg · 2026
Kentucky
~290 nursing homes
$7,000/mo
semi-private avg · 2026
Michigan
~430 nursing homes
$8,000/mo
semi-private avg · 2026
Minnesota
~380 nursing homes
$9,500/mo
semi-private avg · 2026
Missouri
~490 nursing homes
$6,500/mo
semi-private avg · 2026
Nevada
~62 nursing homes
$7,800/mo
semi-private avg · 2026
New York
~620 nursing homes
$13,000/mo
semi-private avg · 2026
North Carolina
~430 nursing homes
$8,200/mo
semi-private avg · 2026
Ohio
~960 nursing homes
$7,200/mo
semi-private avg · 2026
Oregon
~140 nursing homes
$9,200/mo
semi-private avg · 2026
Pennsylvania
~700 nursing homes
$10,500/mo
semi-private avg · 2026
Tennessee
~325 nursing homes
$6,900/mo
semi-private avg · 2026
Texas
~1,200 nursing homes
$5,900/mo
semi-private avg · 2026
Washington
~230 nursing homes
$10,500/mo
semi-private avg · 2026
2026 Nursing Home Cost Comparison by State
| State | Semi-Private | Private Room | vs National |
|---|---|---|---|
| Arkansas | $5,400 | $6,500 | -32% |
| Texas | $5,900 | $7,200 | -26% |
| Missouri | $6,500 | $7,700 | -19% |
| Indiana | $6,700 | $8,200 | -16% |
| Georgia | $6,800 | $7,800 | -15% |
| Illinois | $6,800 | $7,900 | -15% |
| Tennessee | $6,900 | $8,000 | -14% |
| Kentucky | $7,000 | $8,200 | -12% |
| Arizona | $7,200 | $8,100 | -10% |
| Ohio | $7,200 | $8,800 | -10% |
| Nevada | $7,800 | $8,800 | -2% |
| Michigan | $8,000 | $9,500 | 0% |
| Colorado | $8,200 | $9,800 | +3% |
| North Carolina | $8,200 | $9,500 | +3% |
| Florida | $8,500 | $9,800 | +6% |
| Oregon | $9,200 | $11,000 | +15% |
| California | $9,500 | $11,500 | +19% |
| Minnesota | $9,500 | $11,500 | +19% |
| Pennsylvania | $10,500 | $12,000 | +31% |
| Washington | $10,500 | $13,000 | +31% |
| New York | $13,000 | $15,500 | +63% |
Sorted cheapest to most expensive (semi-private). National average:$8,000/month semi-private. Data year: 2026.
Nursing Home vs. Assisted Living: When Is Each Appropriate?
Choose Assisted Living when:
- Needs personal care but not 24/7 medical oversight
- No active wounds, IVs, ventilator, or complex medication regimens
- Can participate in activities and maintain social engagement
- Family wants a more home-like, less clinical environment
- Budget is a significant factor (AL costs 40–50% less)
Choose a Nursing Home when:
- Requires 24/7 licensed nursing care
- Has active wounds, IV therapy, tube feeding, or ventilator
- Short-term rehabilitation after surgery or hospitalization
- Needs intensive physical, occupational, or speech therapy
- Medicaid funding needed (most states fully cover nursing homes)
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