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What care costs
Most people asking this question need one number: roughly what will a year of care cost. This page gives that, built only out of published survey prices, and shows you the arithmetic so you can see exactly what it is and is not.
Read this before the numbers
Every price below is a median from a survey of providers: half charged more, half charged less. It is not a quote, and no one is obliged to charge it. Two homes on the same street can differ by tens of thousands of dollars a year.
What you actually pay also depends on what Medicaid, Medicare, the VA or a long-term care policy covers in your situation — which this page cannot know. Before you make a decision on a figure from here, talk to your state's Medicaid office or a benefits counsellor. The Alzheimer's Association helpline (1-800-272-3900, free, 24 hours) can point you at one.
Estimate a year of care
$67,525 a year
Nursing home, semi-private room in Texas — about $5,627.08 a month. Derived
- Input The published figure this comes from
- $185 USD per day — Median daily rate, nursing home semi-private room
Measured
Source: CareScout Cost of Care Survey 2025, Ranked Median Costs by State Data Tables, 2025. Record idcs-st-cost-nhsemi-TX.
SURVEY (CareScout 2025 state median; annual $67,525). - Derived The arithmetic we did to it
- $185 per day x 365 days = $67,525 a year. A daily rate multiplied by 365 assumes a full year in the home with no hospital stay and no rate rise.
- Where this rate applies
- This is the Texas median. A shared room in a certified nursing home.
This is an estimate from CareScout Cost of Care Survey 2025, Ranked Median Costs by State Data Tables, year 2025. Your situation may differ — from the level of care needed, from where you live within the state, from how much of it a family member provides unpaid, and from what any insurance or benefit covers.
What care is priced at in Texas
| Kind of care | Published rate Input | A year Derived | Year | Basis |
|---|---|---|---|---|
| Nursing home, semi-private room | $185 USD per day |
$67,525 | 2025 | Measured |
| Nursing home, private room | $250 USD per day |
$91,250 | 2025 | Measured |
| Assisted living, private one-bedroom | $5,666 USD per month |
$67,992 | 2025 | Measured |
This table is wider than a phone screen — swipe it sideways to see the rest.
Source for every row above: CareScout Cost of Care Survey 2025, Ranked Median Costs by State Data Tables (assets.carescout.com), 2025, read from care_settings.json.
What dementia costs Texas as a whole
What this number does and doesn't mean
State totals do not sum to US total due to rounding.
What this number does and doesn't mean
Small-area estimate (Lewin Model); do not treat as measured state expenditure.
These are state totals, not anybody's bill. They are model estimates and are labelled as such.
See everything else we hold about Texas →
The published national figures
How to read the labels: Measured counted, surveyed or written in law. Modelled estimate produced by a statistical model — an estimate, not a count. Basis not stated the source did not say which.
These figures are copied from their sources unchanged, with no arithmetic done to any of them. They come from different studies with different definitions of "cost", so they are not interchangeable and should not be added together.
Long term care cost
| What is being measured | Figure | Year | Basis | Source |
|---|---|---|---|---|
| National median annual cost of a private room in a nursing home
$355/day; $10,798/month. Up 1% from 2024. Not dementia-specific. |
129,575 USD per year |
2025 | Measured | carescout.com |
| National median annual cost of a semi-private room in a nursing home
$315/day; $9,581/month; up 2% from 2024 ($9,277/month). |
114,975 USD per year |
2025 | Measured | carescout.com |
| National median annual cost of an assisted living community
$6,200/month, up 5% from $5,900 in 2024. Memory-care premium not broken out on this page. |
74,400 USD per year |
2025 | Measured | carescout.com |
| National median hourly rate for a non-medical in-home caregiver (home health aide / homemaker)
Up 3% year over year. Skilled nursing in the home $90/hour. Facts and Figures 2026 cites the 2024 survey: home health aide $34/hr, $6,483/month; adult day services $100/day. |
35 USD per hour |
2025 | Measured | carescout.com |
| National median daily cost of adult day services
$104 in 2025 dollars; grew 5.6%/yr 2021-2024 before inflation adjustment. |
100 USD per day |
2024 | Measured | alz.org |
| Total Medicaid spending on long-term services and supports
$212.4B in 2025 dollars. Home- and community-based services 65%, institutional 35%. HCBS share ranges 32% (Mississippi) to 84% (Oregon). |
200.4 billion USD (2022 dollars) |
2022 | Measured | alz.org |
| Share of US long-term services and supports costs paid by private insurance
$49.1 billion. Same passage: Medicare covered 8% of LTSS; other private sources 7%. |
9 percent |
2023 | Measured | alz.org |
This table is wider than a phone screen — swipe it sideways to see the rest.
Per person cost
| What is being measured | Figure | Year | Basis | Source |
|---|---|---|---|---|
| Average annual per-person payments from all sources for health care and long-term care, traditional Medicare beneficiaries age 65+ WITH Alzheimer's or other dementias
Inflated to 2025 dollars. Unadjusted for age/sex. Comparison group without dementia: $15,499. Includes community-dwelling and residential-care beneficiaries. |
46,141 USD per person per year (2025 dollars) |
2018 | Measured | alz.org |
| Average annual per-person payments from all sources, traditional Medicare beneficiaries age 65+ WITHOUT Alzheimer's or other dementias
Inflated to 2025 dollars. |
15,499 USD per person per year (2025 dollars) |
2018 | Measured | alz.org |
| Average annual per-person Medicare payments, traditional Medicare beneficiaries age 65+ with Alzheimer's or other dementias
In 2025 dollars. Without dementia: $8,371. |
23,231 USD per person per year (2025 dollars) |
2018 | Measured | alz.org |
| Average annual per-person Medicaid payments, traditional Medicare beneficiaries age 65+ with Alzheimer's or other dementias
In 2025 dollars. Without dementia: $322. |
7,158 USD per person per year (2025 dollars) |
2018 | Measured | alz.org |
| Average annual per-person private insurance payments, traditional Medicare beneficiaries age 65+ with dementia
In 2025 dollars. HMO $2,063; uncompensated $203; other payer $987 for the dementia group. |
1,622 USD per person per year (2025 dollars) |
2018 | Measured | alz.org |
| Discounted lifetime total cost of care per person with dementia from diagnosis (mean age 83) to death, including informal care, out-of-pocket, Medicaid and Medicare
Families incurred 70% ($225,140), Medicaid 14% ($44,090), Medicare 16% ($52,540). Incremental cost vs no dementia $184,500 (86% borne by families). Annual cost peaked at $89,000. Facts and Figures 2026 restates as $417,263 in 2025 dollars. |
321,780 USD (2015 dollars) |
2015 | Modelled estimate | doi.org |
| Peak total annual cost of care per person with dementia (all payers incl. informal care)
Net (incremental) annual cost peaked at $72,400. |
89,000 USD per year (2015 dollars) |
2015 | Modelled estimate | doi.org |
| Yearly monetary cost per person attributable to dementia, informal care valued at cost of equivalent formal care
With dementia status estimated statistically for most of the sample. 95% CI $42,746-$69,834. Alternative valuation (forgone wages): $41,689 (95% CI $31,017-$52,362). Total US cost 2010: $157B-$215B; Medicare paid ~$11B. |
56,290 USD per person per year (2010 dollars) |
2010 | Measured | doi.org |
| Annual incremental health care and nursing home cost per person attributable to dementia (excluding informal care)
$42,509 in 2025 dollars per Facts and Figures. |
28,501 USD per person per year (2010 dollars) |
2010 | Measured | alz.org |
| Five-year incremental cost of dementia to the traditional Medicare program per patient after claims-based diagnosis
Nearly half incurred in first year after diagnosis. Dollar year is 2017 per Facts and Figures 2026 restatement ($19,501 in 2025 dollars); abstract does not state dollar year explicitly. |
15,700 USD per patient over 5 years |
2017 | Measured | doi.org |
| Adjusted quarterly Medicare spending in the quarter including a clinical dementia diagnosis
Up from $5,394 in the prior quarter (+$8,400, +156%). Dollar year not stated in abstract. |
13,794 USD per quarter |
2018 | Measured | doi.org |
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Out of pocket
| What is being measured | Figure | Year | Basis | Source |
|---|---|---|---|---|
| Out-of-pocket payments for people age 65+ with Alzheimer's or other dementias
25% of $409B total. |
103 billion USD (2026 dollars) |
2026 | Modelled estimate | alz.org |
| Out-of-pocket share of total payments for people with Alzheimer's or other dementias | 25 percent |
2026 | Modelled estimate | alz.org |
| Average annual per-person out-of-pocket payments, traditional Medicare beneficiaries age 65+ with Alzheimer's or other dementias
In 2025 dollars. Includes Medicare/other-insurance deductibles, copays, premiums and uncovered services. Without dementia: $2,674. |
10,877 USD per person per year (2025 dollars) |
2018 | Measured | alz.org |
| Average annual per-person out-of-pocket payments, traditional Medicare beneficiaries age 65+ WITHOUT dementia
In 2025 dollars. |
2,674 USD per person per year (2025 dollars) |
2018 | Measured | alz.org |
| Share of annual (individual plus spouse/partner) income spent on out-of-pocket health care by people with Alzheimer's dementia, excluding nursing home and informal care
Comparison: 7% for people without Alzheimer's dementia. |
12 percent of income |
2026 | Measured | alz.org |
| Median annual out-of-pocket health care cost among people with moderate or severe dementia who had any expenditures
$3,010 in 2025 dollars. 71% of moderate and 80% of severe dementia had OOP costs in prior year; 21% of severe dementia had OOP costs >40% of post-subsistence income; 12% fell below federal poverty level after OOP costs. |
2,853 USD (2023 dollars) |
2023 | Measured | alz.org |
| Median annual out-of-pocket nursing home expenditure among the 31% of people with severe dementia who incurred nursing home expenditures
$4,345 in 2025 dollars. Moderate dementia with nursing home expenditures: median $40,165 ($42,378 in 2025 dollars). |
4,118 USD (2023 dollars) |
2023 | Measured | alz.org |
| Annual out-of-pocket costs in the first two years after dementia diagnosis
Rises to $3,730 in years 3-4 and $3,934 in years 7-8 after diagnosis (2017 dollars; $3,783 / $4,546 / $4,795 in 2025 dollars). |
3,104 USD (2017 dollars) |
2017 | Measured | alz.org |
This table is wider than a phone screen — swipe it sideways to see the rest.
Per person cost by stage
| What is being measured | Figure | Year | Basis | Source |
|---|---|---|---|---|
| Annual mean direct medical cost, cognitively normal (excludes long-term care and indirect costs)
Single-county population; dollar year not stated in abstract (publication 2015). |
6,042 USD per person per year |
2015 | Measured | doi.org |
| Annual mean direct medical cost, mild cognitive impairment (excludes long-term care and indirect costs)
Difference from cognitively normal not statistically significant. |
6,784 USD per person per year |
2015 | Measured | doi.org |
| Annual mean direct medical cost, newly discovered dementia (excludes long-term care and indirect costs) | 9,431 USD per person per year |
2015 | Measured | doi.org |
| Annual mean direct medical cost, prevalent (established) dementia (excludes long-term care and indirect costs)
Hospital inpatient costs were 70% of total for prevalent dementia. |
11,678 USD per person per year |
2015 | Measured | doi.org |
| Traditional Medicare inpatient spending in the quarter of dementia diagnosis, persons diagnosed at MILD stage
Rose from $3,192 the quarter before (+166%). Outpatient spending in quarter of diagnosis, mild stage: $4,498. Dollar year and full-year totals not in the source text we have. |
8,491 USD per quarter |
2016 | Modelled estimate | doi.org |
| Traditional Medicare inpatient spending in the quarter of dementia diagnosis, persons diagnosed at MODERATE stage
From $2,534 the quarter before (+248%). Outpatient: $2,028 to $3,979 (+96%). |
8,831 USD per quarter |
2016 | Modelled estimate | doi.org |
| Traditional Medicare inpatient spending in the quarter of dementia diagnosis, persons diagnosed at SEVERE stage
From $2,645 the quarter before (+209%). Outpatient: $1,737 to $3,454 (+99%). Median wealth (2016 dollars) at diagnosis: mild $288,731, moderate $114,410, severe $56,852. |
8,169 USD per quarter |
2016 | Modelled estimate | doi.org |
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Total cost of care
| What is being measured | Figure | Year | Basis | Source |
|---|---|---|---|---|
| Total annual payments for health care, long-term care and hospice for people age 65+ with Alzheimer's or other dementias (all payers, excludes unpaid care)
Does not include value of informal caregiving. Journal citation: Alzheimers Dement 2026;22, doi:10.1002/alz.71345. |
409 billion USD (2026 dollars) |
2026 | Modelled estimate | alz.org |
| Total monetary cost of dementia in the US in 2010 (upper bound, informal care valued at replacement cost)
Lower bound $157B (forgone-wages valuation). Historical comparator for the Facts and Figures $409B (2026) figure; different methods (attributable vs all-cause costs). |
215 billion USD (2010 dollars) |
2010 | Measured | doi.org |
This table is wider than a phone screen — swipe it sideways to see the rest.
Cost projection
| What is being measured | Figure | Year | Basis | Source |
|---|---|---|---|---|
| Projected total annual payments for health care and long-term care for people with Alzheimer's or other dementias in 2050
Source wording: 'just under $1 trillion in 2050 (in 2026 dollars)', from $409B in 2026; value recorded as the stated ceiling. Excludes effect of approved anti-amyloid drugs. Projection includes 2.4-fold increases in Medicare/Medicaid spending and in out-of-pocket expenses. |
1,000 billion USD (2026 dollars) |
2050 | Modelled estimate | alz.org |
| Projected fold-increase in Medicare/Medicaid spending and in out-of-pocket expenses for dementia, 2026 to 2050
2026 dollars. |
2.4 fold |
2050 | Modelled estimate | alz.org |
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Where these costs come from
- Records shown
- 39 of the 211 in the data behind this page
- Distinct sources
- 76
- Years covered
- 2010–2050
- Basis, all 211
- 42 measured · 155 modelled · 14 not stated
- Data collected
- 2026-09-21
- Source files
- economics.json (153 KB, 211 rows)
Most-cited sources on this page
- Alzheimer's Association, 2026 Alzheimer's Disease Facts and Figures, Table 10 (51 records)
- Alzheimer's Association, 2026 Alzheimer's Disease Facts and Figures, Table 22 (Lewin Model) (51 records)
- Alzheimer's Association, 2026 Alzheimer's Disease Facts and Figures (Figure 15) (7 records)
- Alzheimer's Association, 2026 Alzheimer's Disease Facts and Figures (Table 16) (6 records)
- CMS CMCS Informational Bulletin, 27 Apr 2026 (6 records)
- CMS Medicare Physician & Other Practitioners - by Geography and Service, 2024 (5 records)
- Arbanas JC et al. JAMA Intern Med 2023 (PMID 37167598) (4 records)
- CareScout (Genworth) Cost of Care Survey 2025 (4 records)
What could make these numbers misleading
Long-term care prices are survey medians: half of the providers surveyed charged more and half charged less. A median is not a quote. Per-person cost figures come from different studies with different definitions of 'cost' — some include long-term care and unpaid family care, some do not — so they are not interchangeable and should not be added together.
Every figure on this page is read straight out of a file in our data folder; nothing is typed in by hand. You can download the raw data and check any row yourself. This is a summary of published research, not medical advice.