The 2025 CareScout survey puts the Texas median for a non-medical caregiver at $30 an hour, roughly $5,720 a month at 44 hours a week. Skilled private duty nursing at home runs about $90 an hour. Austin rates typically run above statewide medians.
The crossover math
At the Texas median of $30 an hour, in-home care costs roughly:
| Hours per week | Approximate monthly cost |
|---|---|
| 10 hours | about $1,300 |
| 20 hours | about $2,600 |
| 40 hours | about $5,200 |
| 60 hours | about $7,800 |
| 168 hours (around the clock) | about $21,800 |
Calculated from the published Texas median hourly rate. Actual Austin rates are typically higher, and most agencies have minimum shift lengths that raise the effective cost of short visits.
The published Texas assisted living median is $5,666 a month. So somewhere between forty and fifty hours a week of in-home care, the arithmetic starts favouring a community — and around-the-clock home care costs roughly four times what assisted living does.
