Core Insights - The average annual cost of nursing home care in the U.S. is around $10,000 per month in 2024, with significant state-by-state variations [3][4] - Texas is identified as the most affordable state for long-term care, while Alaska is the most expensive [4] Cost Analysis - The average annual cost for a shared room in a nursing home is approximately $111,325 ($9,150 monthly), and for a private room, it is about $127,750 ($10,500 monthly) [4] - In Alaska, the annual cost can reach up to $364,453, translating to $29,955 per month, while in Texas, the average cost for a private room is $85,045 annually ($6,990 monthly) and for a shared room is $65,700 annually ($5,400 monthly) [4][5] Insurance Coverage - Medicare only covers nursing home costs for the first 20 days at 100%, after which families are responsible for the expenses, with a copay of $209.50 per day from day 21 to day 100 [6][8] - Medicare is primarily designed for short-term rehabilitation rather than long-term care, which impacts families' financial planning for elder care [9]