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ElderCareCosts
Updated August 2026

Nursing Home in Billings, Montana

Billings, MT has 6 licensed nursing homes listed on ElderCareCosts. The median estimated cost is $8,877/mo. That's roughly in line with the Montana state median. Billings nursing homes runs large: 83% of licensed providers have 100 beds or more, and the typical one has 140.

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Median monthly price, Billings

$8,877/mo

Estimated range $7,591 – $10,260

● Billings $8,877 ○ National median $10,205

Source: CareScout 2025 survey, adjusted for local wages

What senior care costs in Billings

2025 figures

Nursing Homes cost comparison (2025)
Nursing HomesBillingsMontanaNational
25th percentile$7,591/mo$8,566/mo$8,951/mo
Median$8,877/mo$8,973/mo$10,205/mo
75th percentile$10,260/mo$9,753/mo$12,642/mo

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Staying home instead

Home care in Billings runs about $38 an hour. Here is what common schedules cost a month:

Hours of careWhat it looks likeEst. monthly cost
20 hrs/weekMornings or afternoons, weekdays~$3,258
44 hrs/weekMost of every weekday$7,168
24/7 (168 hrs/week)Round-the-clock coverage~$27,369

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Medicare generally does not cover long-term custodial care. Families usually combine private pay, long-term care insurance, VA Aid and Attendance, or a Medicaid waiver where they qualify. See paying for care and the state Medicaid guides.

What can you afford?

Here is what different monthly budgets cover in Billings.

Under $2,500/mo

Adult day, family care, or affordable senior housing

Adult day care in Billings runs about $5,721 a month. Income-restricted affordable senior housing is the other common choice, and Billings has 10 such properties. If money is very tight, ask about Medicaid waivers.
$2,500 – $7,000/mo

Part-time home care or entry assisted living

Part-time home care usually falls here. Full-time care at 44 hours a week runs about $7,168 a month. The local assisted living median is $6,010 a month, and smaller homes often charge less. If Medicaid may apply, ask about waiver programs.
$7,000 – $11,000/mo

Assisted living with room to spare

Covers the Billings assisted living median of $6,010 a month with room to spare. It also covers close to full-time home care, about $7,168 a month.
Over $11,000/mo

Nursing care or heavy home-care schedules

Nursing homes in Billings run about $8,877 a month at the median. Around-the-clock home care usually costs more.
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6 nursing homes in Billings

What nursing homes looks like in Billings

Billings is a market of larger communities. 83% have 100 beds or more, and the typical one has 140 beds, against 74 across Montana.

On the most recent inspection on file, federal inspectors recorded an average of 41 findings per provider here, above the Montana average of 25.3.

1 of the 6 nursing homes here with a current CMS rating hold four or five stars, 17% against 42% across Montana.

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Free local help worth saving

Billings, in Yellowstone County, has about 119,434 residents. About 22,510 of them (19%) are 65 or older. The median household income is $73,712.

Source: US Census Bureau
  • Montana Long-Term Care Ombudsman Programltcombudsman.org

    State Long-Term Care Ombudsman program.

  • Montana State Health Insurance Assistance Program (SHIP)shiphelp.org

    State Health Insurance Assistance Program (SHIP).

  • Montana Aging and Disability Resource Center1-800-551-3191montana-adrc.com

    Statewide help for older adults, people with disabilities and caregivers.

  • Benjamin Charles Steele VA Clinicva.gov

    Health Care Center in Billings.

  • Big Sky WaiverOfficial program page

    Can help pay for care if your parent qualifies.

National helplines, including the Eldercare Locator and 211, are listed on paying for care.

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

Questions families ask

Are nursing homes in Billings more expensive than the rest of Montana?

Billings's median nursing home cost is about 1% lower than the Montana state median.

Find Billings care options

Tell us what you need and your budget, and we will email you licensed options right away.

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Reading up first? Nursing Homes across Montana → · Nursing Homes cost across Montana → · Assisted Living vs Nursing Homes →

Touring this week? Print our checklist: what to ask on a tour, what to notice, and the license paperwork to request. Or email it to yourself to have it on your phone.

Nursing Homes in Billings: 2026 Costs & Licensed Providers