A nursing home carries a national median price of $9,581 per month for a semi-private (shared) room and $10,798 per month for a private room, or about $114,975 and $129,575 per year, based on 2025 reporting. Nursing homes are among the most expensive long-term care settings because they provide a higher level of supervision, on-site nursing care, rehabilitation support and medical oversight than assisted living. Monthly medians for a shared room run from about $5,627 in Texas to $27,831 in Alaska, an extreme outlier, while private-room medians top out near $18,448 in Oregon. Medicare may cover only short, qualifying skilled stays, so long-term care usually falls to private funds, long-term care insurance or Medicaid.