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The Wise Senior

Nursing home, semi-private room costs in Arizona

Here is the middle of the price range in Arizona, and then — because it is the question that actually follows — who pays for it. The short answer on that second one surprises most people: Medicare does not.

The Arizona median

$8,365 a month

Works out to, monthly
$8,365
Works out to, yearly
$100,380

That is about 13% lower than the national median of $9,581 a month. Within Arizona the spread is usually wider still: a city costs more than a rural county, often by a great deal.

A room shared with one other resident in a licensed nursing facility, with round-the-clock nursing supervision, meals, laundry and basic supplies included in the room charge.

What this number is, and what it is not.

It comes from an industry cost-of-care survey — providers reporting their prices — not from a government rate table. There is no federal agency that publishes what assisted living costs, which is why the survey is the source of record here and why we label it plainly rather than dressing it up as official.

A median means half charged more and half charged less. It is not a quote for any particular home, agency or facility, and no provider is bound by it. Prices collected for the 2025 survey.

Where Arizona sits

$8,365 a month ranks Arizona 43rd of the 50 states priced for nursing home, semi-private room: 42 charge more, 7 charge less.

Nebraska is the next state up, at $8,377; Alabama the next down, at $8,334.

The national median is $9,581, so Arizona runs $1,216 below it — 13% less, or $14,592 a year ($1,216 × 12 months).

The column runs $5,627 (Texas) to $27,831 (Alaska). Arizona sits 12% up it, 1.49× the lowest, with 12 other within a tenth of it.

Of the 6 kinds of care Arizona was priced for, this is its 6th dearest standing: at best 4th of 46 for skilled nursing at home (private duty nurse), at worst 43rd of 50 for nursing home, semi-private room.

What $8,365 a month becomes

Our multiplication, holding the Arizona median flat — no real bill does — with the same span of the state's least costly priced care beside it:

  • Six months

    $50,190

    $12,350 of adult day health care

  • One year

    $100,380

    $24,700 of adult day health care

  • Two years

    $200,760

    $49,400 of adult day health care

  • Three years

    $301,140

    $74,100 of adult day health care

  • Five years

    $501,900

    $123,500 of adult day health care

Care is bought in years, not months, and $8,365 a month is $100,380 a year.

Five years at the national median would be $574,860: $72,960 more than five years in Arizona.

Inside Arizona, five years of adult day health care runs $123,500 and five of skilled nursing at home (private duty nurse) $1,853,280; this page's $501,900 sits 22% between them. Most families pay for more than one of these in sequence.

Against other care in Arizona

Converted to a month on our schedule, set beside this page's $8,365:

  • Skilled nursing at home (private duty nurse)

    $30,888 a month

    $22,523 a month more, $270,276 a year, 3.69× this page. Arizona places 4th of 46 for it, 39 above its 43rd here.

  • Nursing home, private room

    $11,437 a month

    $3,072 a month more, $36,864 a year, 1.37× this page. Arizona places 26th of 49 for it, 17 above its 43rd here.

  • In-home care (non-medical caregiver)

    $7,245 a month

    $1,120 a month less, $13,436 a year, 0.87× this page. Arizona places 17th of 50 for it, 26 above its 43rd here.

  • Assisted living community

    $6,250 a month

    $2,115 a month less, $25,380 a year, 0.75× this page. Arizona places 24th of 50 for it, 19 above its 43rd here.

  • Adult day health care

    $2,058 a month

    $6,307 a month less, $75,680 a year, 0.25× this page. Arizona places 23rd of 45 for it, 20 above its 43rd here.

On the same monthly footing, nursing home, semi-private room is the 3rd costliest of the 6 kinds of care priced in Arizona, at $8,365. The conversions are ours; the medians are the survey's.

44 hours a week of in-home care in Arizona is $7,245 a month against $6,250 for assisted living — 14% less. The first buys 44 hours and nothing else; the second includes the room, the meals, and someone awake overnight.

Who actually pays for this

This is the part most cost pages leave out, and it is the part that changes what a family does next.

Medicare does not pay for long-term care

Medicare pays for short stretches of skilled care — a limited stay in a skilled nursing facility after a qualifying hospital admission, or skilled home health under specific conditions. It does not pay for custodial care: help with bathing, dressing, meals, medication reminders and supervision. That is what most people need, and for years at a time.

Medicare's own page on long-term care ↗ says the same thing in its own words. It is worth reading once, because almost everyone assumes the opposite.

Medicaid may pay — after a spend-down

Medicaid is the largest payer of long-term care in the country, but it is needs-based: it begins once income and countable savings are inside the limits Arizona sets. Getting there by spending savings on care is what people mean by a spend-down. There is also a look-back period, so gifts and transfers made in the years beforehand matter.

See the Arizona Medicaid long-term-care limits

Veterans: Aid and Attendance may help

A wartime veteran, or a surviving spouse, who needs help with daily activities may qualify for an addition to the VA pension called Aid and Attendance. It is an income-and-net-worth benefit, it is paid monthly, and a great many families who qualify have never heard of it. Accredited veterans service organizations help with the claim for free.

How Aid and Attendance is worked out

Otherwise: savings, family, and long-term care insurance

Most families pay out of pocket first — from savings, a pension, the sale of a house, or several relatives contributing. A long-term care insurance policy bought years ago pays a daily or monthly amount if the policy's conditions are met; if there is a policy in the family, find it and read what triggers it before you need it.

Working out which of these applies to one particular family is exactly what a free Arizona counselor does all day. They are paid by a federal grant, not by commission, and they have nothing to sell you. The Eldercare Locator (ACL): 1-800-677-1116 will connect you to the area agency on aging for your county.

Who to ask in Arizona

Arizona's free counseling program is Arizona State Health Insurance Assistance Program (SHIP), on 1-800-432-4040. It is grant-funded and sells nothing.

No Arizona Medicaid limits sit beside this $8,365-a-month figure yet: the Arizona pack is pending because this year's limits could not be read in the state's own document, and an unverified limit is worse than none.

Verified 2026-08-02 against CareScout (formerly Genworth) Cost of Care Survey 2025, fielded July-November 2025 (effective 2026-01-01)— an industry survey, not a government figure. Why we use it.

Verified 2026-08-02 against SHIP National Technical Assistance Center (effective 2026-01-01)— an industry survey, not a government figure. Why we use it.

Common questions

Does Medicare pay for nursing home, semi-private room in Arizona?
No. Medicare pays for short stretches of skilled care after a qualifying hospital stay, and for skilled home health in limited circumstances. It does not pay for long-term custodial care — help with bathing, dressing, meals and supervision — which is what most families are actually paying for.
Is nursing home, semi-private room dearer in Arizona than in other states?
$8,365 a month places Arizona 43rd of the 50 states the survey priced for it: 42 charge more and 7 charge less. The national median is $9,581. That ranking is our arithmetic on the survey's published medians, not a ranking the survey itself publishes.
Is this the price I will be quoted in Arizona?
No. It is the middle of a range from an industry cost-of-care survey: half of the providers surveyed charged more, half charged less. Prices vary a great deal between a city and a rural county in the same state, and no facility is bound by this figure.
Who can help me work out how to pay for it?
Arizona runs its free counseling program as Arizona State Health Insurance Assistance Program (SHIP), on 1-800-432-4040. It is paid for by a federal grant, sells nothing, and the Eldercare Locator (1-800-677-1116) will connect you to the area agency on aging that covers your county.

Other kinds of care in Arizona