Elder Care Cost: Houston, TX vs Boston, MA (2026)
Houston, TX assisted living runs $4,300/month — $2,000/month less than Boston, MA's $6,300/month. That's $24,000/year.
Houston, TX, TX
$4,300
assisted living/month
-$200 vs national avg
Boston, MA, MA
$6,300
assisted living/month
+$1,800 vs national avg
Houston, TX vs Boston, MA — All Care Types
Monthly costs. Green = lower cost. National average shown for context.
| Care Type | Houston, TX | Boston, MA |
|---|---|---|
| Assisted Living | $4,300/mo ✓ | $6,300/mo |
| Nursing Home (Private) | $7,400/mo ✓ | $14,500/mo |
| In-Home Aide | $4,900/mo ✓ | $6,700/mo |
| Memory Care | $5,800/mo ✓ | $8,700/mo |
| Adult Day Care | $1,350/mo ✓ | $2,200/mo |
Source: Genworth/CareScout Cost of Care Survey. 2026 estimates.
Annual Cost Impact
For assisted living, Houston, TX costs $51,600/year vs Boston, MA's $75,600/year.
Monthly savings
$2,000
Annual savings
$24,000
2-year total savings
$48,000
% difference
47%
Savings = Boston, MA cost minus Houston, TX cost. Assisted living only.
Overall, Houston, TX is more affordable — lower cost on 5 of 5 care types.
Frequently Asked Questions
Is elder care cheaper in Houston, TX or Boston, MA?
Houston, TX has lower assisted living costs at $4,300/month vs. $6,300/month in Boston, MA — a difference of $2,000/month ($24,000/year).
What types of elder care are compared here?
This page compares five common senior care types: assisted living, nursing home (private room), in-home aide (44 hrs/week), memory care, and adult day care. These cover the full range from part-time supervision to full residential skilled nursing care.
How do these cities compare to the national average?
The national average for assisted living is $4,500/month. Houston, TX is $200 below the national average. Boston, MA is $1,800 above the national average.