San Antonio, TX has 237 licensed in-home care agencies 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
Modeled range $5,292 – $6,393
● San Antonio $5,996 at 44 hrs/wk ○ National median $6,769 at 44 hrs/wk
1. Call the county aging agency
Free: (210) 477-3275 (Bexar County AAA)
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San Antonio figures as of 2025. Method and sources below.
Median costs for in-home care in San Antonio versus Texas and the middle state nationally. The 25th and 75th percentile rows are the modeled range explained on the methodology page; in the national column they are percentiles across state medians. Figures are estimates, not quotes.
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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:
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Medicare generally does not cover long-term custodial care. State-specific Medicaid waiver guides are coming soon.
Nearby: Balcones Heights $5,996 · Olmos Park $5,996 · Alamo Heights $5,996 · Castle Hills $5,996 · Terrell Hills $5,996
Every family starts with a number. Here's what different monthly budgets realistically cover in San Antonio, grounded in local medians on this page.
A note on counting: we show 237 licensed in-home care agencies listed for San Antonio proper. Other sites show bigger numbers when they count a wide radius. Nearby options are linked below, labeled by city.
Providers appear with their government data: license status, capacity, inspection history, and a CMS star rating where the service has one. The order is the date we last verified each record, newest first. 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.
Most listings publish no price. The San Antonio in-home care median is $5,996/mo, an estimate; ask each agency for its own number in writing.
Sponsored placements, when they appear, are always labeled. How we make money →
In-home care comes to the home, so agencies based one town over often serve San Antonio; their licensed office is simply in a different city. These 9 are based nearby, listed by office location, nearest first. They are separate from the licensed-in-San Antonio count above. Always confirm they cover your address.
Ordered by distance from San Antonio, never by who pays. Office location is shown on every card. How we make money →
In the last 365 days: 879 newly licensed · 1 closed. Counts come from our ingestion diffs, not a complete state registry dump.
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 237 licensed in-home care agencies 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.GOVThese services are public and free. We list them before anything we could earn from.
Area Agency on Aging serving this city.
State Long-Term Care Ombudsman program.
State Health Insurance Assistance Program (SHIP).
Aging & Disability Resource Center hub for this state.
VA Medical Center in San Antonio.
Can help pay for care if your parent qualifies. Rules change. Confirm on the official page.
1 licensed VA Community Living Center / State Veterans Home, sourced from VA Access to Care.
VA Aid & Attendance overview →Free national starting points. Official sites only; we do not scrape these directories.
Free nationwide connection to local aging services.
Local health and human services referrals.
Screen for benefits you may qualify for.
ACL Disability Information and Access Line.
Veterans health care and long-term care programs.
Veterans & surviving spouses: VA Aid & Attendance can help wartime veterans who qualify. Official info only. How Aid & Attendance works →
We currently list 237 licensed in-home care agencies in San Antonio, TX.
Based on the modeled median, in-home care in San Antonio runs about $31 an hour. A 20-hour week runs about $2,725/month.
San Antonio's median in home care cost is about 5% higher than the Texas state median.
Tell us needs and budget once. We email you licensed options with the cost data we publish, the same day. Data stays free either way.
Reading up first? In-Home Care across Texas → · In-Home Care cost breakdown → · Adult Day Care vs In-Home 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.
How to cite this page
Cite this: According to ElderCareCosts' 2026 index, in-home care in San Antonio, TX costs $5,996/month (median), at the 44-hour-a-week survey standard.
APA: ElderCareCosts Research. (2026). In-Home Care in San Antonio, TX. ElderCareCosts. Retrieved September 18, 2026, from https://www.eldercarecosts.com/in-home-care/texas/san-antonio/
Chicago: ElderCareCosts Research. "In-Home Care in San Antonio, TX." ElderCareCosts. Last modified August 10, 2026. Accessed September 18, 2026. https://www.eldercarecosts.com/in-home-care/texas/san-antonio/.
These figures may be quoted and reproduced with attribution and a link back to this page. No permission needed. Methodology · Data sources · Who produces this · Corrections