Elder Care Cost: San Antonio, TX vs Sacramento, CA (2026)
San Antonio, TX assisted living runs $3,900/month — $1,600/month less than Sacramento, CA's $5,500/month. That's $19,200/year.
San Antonio, TX, TX
$3,900
assisted living/month
-$600 vs national avg
Sacramento, CA, CA
$5,500
assisted living/month
+$1,000 vs national avg
San Antonio, TX vs Sacramento, CA — All Care Types
Monthly costs. Green = lower cost. National average shown for context.
| Care Type | San Antonio, TX | Sacramento, CA |
|---|---|---|
| Assisted Living | $3,900/mo ✓ | $5,500/mo |
| Nursing Home (Private) | $7,100/mo ✓ | $10,800/mo |
| In-Home Aide | $4,600/mo ✓ | $6,500/mo |
| Memory Care | $5,400/mo ✓ | $7,500/mo |
| Adult Day Care | $1,250/mo ✓ | $1,900/mo |
Source: Genworth/CareScout Cost of Care Survey. 2026 estimates.
Annual Cost Impact
For assisted living, San Antonio, TX costs $46,800/year vs Sacramento, CA's $66,000/year.
Monthly savings
$1,600
Annual savings
$19,200
2-year total savings
$38,400
% difference
41%
Savings = Sacramento, CA 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 Sacramento, CA?
San Antonio, TX has lower assisted living costs at $3,900/month vs. $5,500/month in Sacramento, CA — a difference of $1,600/month ($19,200/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. San Antonio, TX is $600 below the national average. Sacramento, CA is $1,000 above the national average.