Elder Care Cost: Louisville, KY vs San Antonio, TX (2026)
San Antonio, TX assisted living runs $3,900/month — $100/month less than Louisville, KY's $4,000/month. That's $1,200/year.
Louisville, KY, KY
$4,000
assisted living/month
-$500 vs national avg
San Antonio, TX, TX
$3,900
assisted living/month
-$600 vs national avg
Louisville, KY vs San Antonio, TX — All Care Types
Monthly costs. Green = lower cost. National average shown for context.
| Care Type | Louisville, KY | San Antonio, TX |
|---|---|---|
| Assisted Living | $4,000/mo | $3,900/mo ✓ |
| Nursing Home (Private) | $8,700/mo | $7,100/mo ✓ |
| In-Home Aide | $4,600/mo | $4,600/mo |
| Memory Care | $5,600/mo | $5,400/mo ✓ |
| Adult Day Care | $1,350/mo | $1,250/mo ✓ |
Source: Genworth/CareScout Cost of Care Survey. 2026 estimates.
Annual Cost Impact
For assisted living, San Antonio, TX costs $46,800/year vs Louisville, KY's $48,000/year.
Monthly savings
$100
Annual savings
$1,200
2-year total savings
$2,400
% difference
3%
Savings = Louisville, KY cost minus San Antonio, TX cost. Assisted living only.
Overall, San Antonio, TX is more affordable — lower cost on 4 of 5 care types.
Frequently Asked Questions
Is elder care cheaper in Louisville, KY or San Antonio, TX?
San Antonio, TX has lower assisted living costs at $3,900/month vs. $4,000/month in Louisville, KY — a difference of $100/month ($1,200/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. Louisville, KY is $500 below the national average. San Antonio, TX is $600 below the national average.