Elder Care Cost: Houston, TX vs Sacramento, CA (2026)
Houston, TX assisted living runs $4,300/month — $1,200/month less than Sacramento, CA's $5,500/month. That's $14,400/year.
Houston, TX, TX
$4,300
assisted living/month
-$200 vs national avg
Sacramento, CA, CA
$5,500
assisted living/month
+$1,000 vs national avg
Houston, TX vs Sacramento, CA — All Care Types
Monthly costs. Green = lower cost. National average shown for context.
| Care Type | Houston, TX | Sacramento, CA |
|---|---|---|
| Assisted Living | $4,300/mo ✓ | $5,500/mo |
| Nursing Home (Private) | $7,400/mo ✓ | $10,800/mo |
| In-Home Aide | $4,900/mo ✓ | $6,500/mo |
| Memory Care | $5,800/mo ✓ | $7,500/mo |
| Adult Day Care | $1,350/mo ✓ | $1,900/mo |
Source: Genworth/CareScout Cost of Care Survey. 2026 estimates.
Annual Cost Impact
For assisted living, Houston, TX costs $51,600/year vs Sacramento, CA's $66,000/year.
Monthly savings
$1,200
Annual savings
$14,400
2-year total savings
$28,800
% difference
28%
Savings = Sacramento, CA 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 Sacramento, CA?
Houston, TX has lower assisted living costs at $4,300/month vs. $5,500/month in Sacramento, CA — a difference of $1,200/month ($14,400/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. Sacramento, CA is $1,000 above the national average.