The 2025 CareScout survey shows a Texas semi-private nursing median of $185 a day, the lowest in the nation and below the state assisted living median. That figure reflects a heavily Medicaid-weighted nursing market rather than private-pay rates. Expect an Austin private-pay quote to run considerably higher.
The detail behind the number
Because the published figure reflects a Medicaid-dominated market rather than what a private-pay family gets quoted. At $185 a day the Texas semi-private median is the lowest in the nation by a wide margin, with the next lowest states more than thirty dollars a day higher.
Texas nursing facilities serve a large Medicaid population at reimbursement rates the state sets. Those rates pull the median down in a way that has little to do with the private-pay rate an Austin family would be offered.
Take the private room figure of $7,604 a month as the more realistic anchor for private pay, and get written quotes regardless. Publishing the semi-private number without this caveat is one of the more misleading things a senior care site can do.
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