Elder Care Cost: San Antonio, TX vs Honolulu, HI (2026)
San Antonio, TX assisted living runs $3,900/month — $2,300/month less than Honolulu, HI's $6,200/month. That's $27,600/year.
San Antonio, TX, TX
$3,900
assisted living/month
-$600 vs national avg
Honolulu, HI, HI
$6,200
assisted living/month
+$1,700 vs national avg
San Antonio, TX vs Honolulu, HI — All Care Types
Monthly costs. Green = lower cost. National average shown for context.
| Care Type | San Antonio, TX | Honolulu, HI |
|---|---|---|
| Assisted Living | $3,900/mo ✓ | $6,200/mo |
| Nursing Home (Private) | $7,100/mo ✓ | $14,400/mo |
| In-Home Aide | $4,600/mo ✓ | $7,100/mo |
| Memory Care | $5,400/mo ✓ | $8,600/mo |
| Adult Day Care | $1,250/mo ✓ | $2,200/mo |
Source: Genworth/CareScout Cost of Care Survey. 2026 estimates.
Annual Cost Impact
For assisted living, San Antonio, TX costs $46,800/year vs Honolulu, HI's $74,400/year.
Monthly savings
$2,300
Annual savings
$27,600
2-year total savings
$55,200
% difference
59%
Savings = Honolulu, HI cost minus San Antonio, TX cost. Assisted living only.
Overall, San Antonio, TX is more affordable — lower cost on 5 of 5 care types.
Frequently Asked Questions
Is elder care cheaper in San Antonio, TX or Honolulu, HI?
San Antonio, TX has lower assisted living costs at $3,900/month vs. $6,200/month in Honolulu, HI — a difference of $2,300/month ($27,600/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. San Antonio, TX is $600 below the national average. Honolulu, HI is $1,700 above the national average.