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ElderCareCosts
UPDATED JUL 2026 · DATA AS OF 2025

Home Health Care in San Antonio, Texas

San Antonio, TX has 50 licensed home health care providers listed on ElderCareCosts. The median estimated cost is $5,996/mo. That's above the Texas state median by about 5%. Compare providers below, or request a personalized shortlist to start your search.

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Starting tier, San Antonio

$2,725/mo

About 20 hours a week: a common starting point for a new home-care client

Full-time care (44 hrs/week, survey standard)

$5,996/mo

Typical range $5,292 – $6,393

● San Antonio $5,996 at 44 hrs/wk ○ National median $6,848 at 44 hrs/wk

Modeled estimate · 2025 dataEstimate; not a quoteDownload CSV
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What senior care costs in San Antonio

San Antonio figures as of 2025. Method and sources below.

Modeled median costs for home health care in San Antonio versus Texas and a multi-state national aggregate. Figures are estimates, not quotes.

Home Health Care cost comparison (2025)
Home Health CareSan AntonioTexasNational
25th percentile$5,292/mo$5,460/mo$6,537/mo
Median$5,996/mo$5,720/mo$6,848/mo
75th percentile$6,393/mo$6,217/mo$7,443/mo

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Source: Modeled estimate (opens in a new tab) · Updated 2025
Download CSVMethodology
Why is this number different on other websites? Most sites average "starting at" prices. Base rent, before care fees. We estimate the full monthly cost families actually pay. Budget from the all-in number. Our methodology →

What home care really costs by the hour

The $5,996 monthly figure assumes 44 hours of care a week. The survey standard. At San Antonio's implied rate of about $31 an hour:

Hours of careWhat it looks likeEst. monthly cost
20 hrs/weekMornings or afternoons, weekdays~$2,725
44 hrs/weekMost of every weekday$5,996
24/7 (168 hrs/week)Round-the-clock coverage~$22,894

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Ways families typically pay

  • Private pay (savings, income, home equity)
  • Long-term care insurance
  • VA Aid & Attendance for eligible veterans and surviving spouses
  • Medicaid home- and community-based services (HCBS) waivers, where eligible. Rules vary by state

Medicare generally does not cover long-term custodial care. State-specific Medicaid waiver guides are coming soon.

Nearby: Balcones Heights $6,230 · Olmos Park $6,230 · Alamo Heights $6,230 · Castle Hills $6,230 · Terrell Hills $6,230

What can you afford?

Every family starts with a number. Here's what different monthly budgets realistically cover in San Antonio, grounded in local medians on this page.

Under $2,500/mo

Adult day, family care, or affordable senior housing

Adult day care in San Antonio runs about $2,044/mo at the median. Income-restricted affordable senior housing is often the real under-$2,500 path when eligibility fits. San Antonio lists 117 such properties in our directory. Call the county aging agency at (210) 477-3275 for free navigation help. Medicaid/waiver paths can stretch a tight budget when eligibility fits.
Affordable senior apartments →
$2,500 – $7,000/mo

Part-time home care or entry assisted living

Part-time home care often lands in this band (full survey month for in-home care is $5,996). Local assisted living median is $5,939/mo. Small homes can sit below that midpoint. Ask about waiver programs if Medicaid may apply.
Medicaid & waiver paths →
$7,000 – $11,000/mo

Assisted living with room to spare

Covers the San Antonio assisted living median ($5,939/mo) comfortably. Or near-full-time home care around the $5,996/mo survey month.
How families pay →
Over $11,000/mo

Nursing care or heavy home-care schedules

Nursing homes in San Antonio run about $5,898/mo at the median. Round-the-clock home care usually costs more. Compare before deciding.
How families pay →
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Every licensed home health care provider: 50

A note on counting: we show 50 licensed home health care providers listed for San Antonio proper. Other sites show bigger numbers when they count a wide radius. Nearby options are linked below, labeled by city.

How we rank these: we don't. Sort them yourself.

Providers appear with their government data: CMS star ratings where they exist, license status, capacity, and inspection history. You can sort them yourself. Nobody pays to appear, and nobody pays to move up. If a listing says "Sponsored," a provider paid for that placement and the label says so.

Looking for a transparent sort by CMS stars, inspection records, and staffing? That is a separate data ranking, not an editorial pick.

Sponsored placements, when they appear, are always labeled. How we make money →

Compare agencies you choose
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Free local help worth saving

San Antonio has an estimated population of 1,479,835. About 198,597 residents (13%) are age 65 or older. San Antonio is located in Bexar County, Texas. The median household income is $65,056. Our directory currently lists 50 licensed home health care providers in San Antonio. Estimated median cost in San Antonio is $5,996 per month, compared with $5,720 per month statewide in Texas.

Source: US Census Bureau (ACS) · Updated Jul 2026.GOV

These services are public and free. We list them before anything we could earn from.

  • Bexar County AAA(210) 477-3275aacog.gov

    Area Agency on Aging serving this city.

    State aging agency
  • Texas Long-Term Care Ombudsman Program1-800-252-2412hhs.texas.gov

    State Long-Term Care Ombudsman program.

    State LTC Ombudsman
  • Health Information Counseling and Advocacy Program (HICAP)1-800-252-9240hhs.texas.gov

    State Health Insurance Assistance Program (SHIP).

    Medicare counseling (SHIP)
  • Texas Aging & Disability Resource Centers1-855-937-2372hhs.texas.gov

    Aging & Disability Resource Center hub for this state.

    State aging agency
  • Audie L. Murphy Memorial Veterans' Hospitalva.gov

    VA Medical Center in San Antonio.

    VA open data
  • STAR+PLUSOfficial program page

    Can help pay for care if your parent qualifies. Rules change. Confirm on the official page.

    State Medicaid program
  • Veterans options in San Antonio

    1 licensed VA Community Living Center / State Veterans Home, sourced from VA Access to Care.

    San Antonio TX CLC

    VA Aid & Attendance overview →
    VA open data

Free national starting points. Official sites only; we do not scrape these directories.

Veterans & surviving spouses: VA Aid & Attendance can help wartime veterans who qualify. Official info only. How Aid & Attendance works →

Questions families ask

How many home health care providers are listed in San Antonio, TX?

We currently list 50 licensed home health care providers in San Antonio, TX.

What does home health care cost per hour in San Antonio?

Based on the modeled median, home health care in San Antonio runs about $31 an hour. A 20-hour week runs about $2,725/month.

Is home health care in San Antonio more expensive than the rest of Texas?

San Antonio's median home health care cost is about 5% higher than the Texas state median.

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Reading up first? Home Health Care across Texas → · Home Health Care cost breakdown → · Assisted Living vs Home Health Care →

Assessment scheduled this week? Print our checklist: what to ask during your in-home assessment, what to notice, and the license paperwork to request. Free, no email required. Optional send-to-email when you want it on your phone.

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Trust & methodology

Cite this: According to ElderCareCosts' 2026 index, home health care in San Antonio, TX costs $5,996/month (median), at the 44-hour-a-week survey standard.

Home Health Care in San Antonio: 2026 Costs & Licensed Providers · ElderCareCosts