Current market rates for the Dallas–Fort Worth area, what drives the hourly rate, how to estimate a monthly budget, and how families pay.
Cost is usually the first question families ask, and the honest answer has two parts: what the North Texas market charges in general, and what a specific care plan will cost for your family. This page covers both.
The most widely used benchmark for private-pay care is the Genworth / CareScout Cost of Care Survey. Its most recent data puts the national median for non-medical in-home care at about $35 per hour. Texas medians run a few dollars below the national figure, while the Dallas–Fort Worth suburbs generally sit above the Texas median because of local labor costs and demand.
In practice, most licensed private-pay agencies serving Frisco, Plano, McKinney, and the surrounding cities charge roughly $28 to $38 per hour, with hands-on personal care, specialized dementia support, and overnight or short-notice coverage toward the upper end of that range. Statewide averages quoted online are often lower and do not reflect what families in Collin and Denton counties actually pay.
Domira does not publish a fixed rate table. Our pricing is built around each individual care plan, schedule, and circumstances, and we give you the exact number in writing before care begins. The market range above is there so you can plan realistically.
Home care is billed hourly, and most agencies set a minimum visit length. Care is tailored to the individual, including the level of support, schedule, and overall goals, so pricing is developed based on each specific situation rather than a one-size-fits-all rate.
We begin with a conversation about your family's needs. From there, we build a care plan that reflects the type of support required, how many hours per week, and any specialized skills the caregiver needs to have. Once the plan is in place, we provide clear pricing so there are no surprises.
Level of care: Companion care, which focuses on social engagement and light supervision, generally costs less than personal care, which involves hands-on assistance with bathing, dressing, and mobility. Specialized care such as Alzheimer's and dementia support may also be priced differently based on the training and experience required.
Hours per week: Most families start with a minimum of 4 hours per visit. Some need a few visits per week while others need daily or around-the-clock coverage. The total weekly hours are the single biggest factor in overall cost, and more consistent schedules allow for more efficient care planning.
Schedule and timing: Weekday daytime hours are standard. Evenings, overnights, weekends, and holidays may be priced differently depending on availability and demand.
Specialized needs: Complex mobility needs, cognitive decline, or post-surgical recovery may call for caregivers with specific experience and training, which affects the rate.
Duration of care: Short-term recovery support after a surgery may last a few weeks. Long-term companion or personal care may continue for months or years. We do not require long-term contracts. You can adjust the schedule or discontinue services at any time.
The hourly rate typically covers a combination of personal care (bathing, dressing, hygiene, mobility), companion care and social support, meal preparation, light housekeeping, medication reminders, safety supervision, and transportation and errands. Each care plan is customized to the individual's needs and preferences, so you are paying for the hours you actually use rather than a bundled facility fee.
A simple way to size the commitment is to multiply weekly hours by the market range above. The examples below use the $28 to $38 North Texas market range and an average month of 4.33 weeks. They are market illustrations for planning purposes, not Domira quotes.
| Schedule | Hours per month | Market range per month |
|---|---|---|
| 4 hours a day, 3 days a week | about 52 | $1,450 – $2,000 |
| 4 hours a day, 5 days a week | about 87 | $2,450 – $3,300 |
| 4 hours a day, 7 days a week | about 121 | $3,400 – $4,600 |
| 8 hours a day, 5 days a week | about 173 | $4,850 – $6,600 |
| 8 hours a day, 7 days a week | about 243 | $6,800 – $9,200 |
Overnight, 24-hour, and live-in arrangements are structured differently and are best discussed directly. Your actual cost will depend on the plan we build together.
Private pay: The most common method for non-medical home care in Texas, and the most flexible. No eligibility process, no waiting list, and no restriction on what the caregiver can help with. Domira bills on a regular schedule with clear, itemized invoices. Many families split the cost among siblings or combine savings with other funding sources.
Long-term care insurance: Many long-term care insurance policies cover non-medical home care services. Domira accepts long-term care insurance and provides the assessment and plan-of-care documentation insurers typically ask for. See our guide on long-term care insurance and home care in Texas.
VA Aid and Attendance: This benefit may help eligible veterans or surviving spouses offset qualifying home-care expenses, subject to VA eligibility and documentation requirements. It is paid to the veteran, who can apply it toward private-pay care. Domira does not bill the VA and does not participate in VA Community Care.
Medicare: Medicare generally does not cover ongoing non-medical custodial home care when that is the only care needed. Limited home health aide or personal-care services can sometimes be covered as part of a qualifying skilled home health episode, but not as standalone, open-ended caregiving.
Texas Medicaid (STAR+PLUS): STAR+PLUS is a Texas Medicaid pathway administered by Texas Health and Human Services that can cover attendant services for people who qualify. It is not a program Domira bills or enrolls families in. Families exploring it should contact HHSC directly.
For a full walkthrough of every payment route, see our guide on how to pay for home care in Texas.
Many families assume that moving a loved one to an assisted living facility is more affordable than home care. In reality, the cost depends entirely on the level of care needed.
Assisted living in the Dallas–Fort Worth area commonly runs from roughly $5,000 to $8,000 or more per month depending on the community and level of care, with memory care and nursing facility care higher still. Compare that with the table above: for someone who needs a few hours of support per day, home care is typically far less expensive than a facility, and you only pay for the hours you use.
For individuals who need around-the-clock supervision, the costs become more comparable, but home care still offers one-on-one attention, familiar surroundings, and the ability to maintain independence and routine. The decision between home care and facility care is rarely just about cost. We are happy to help you think through both options, and our home care vs. assisted living comparison goes deeper.
Most private-pay agencies in the North Texas suburbs charge roughly $28 to $38 per hour, with specialized and overnight care toward the top of that range. Domira's pricing is based on your individual care plan and provided in writing before care begins.
Most families start with a minimum of 4 hours per visit. This is standard across the industry and exists because shorter visits do not give a caregiver enough time to do meaningful work or make the trip practical.
Evenings, overnights, weekends, and holidays may be priced differently from standard weekday daytime hours, depending on availability and demand. Awake overnight coverage is generally priced above daytime care because of the sustained alertness it requires.
Generally not for ongoing non-medical custodial care on its own. Medicare covers intermittent skilled home health when a physician certifies it is medically necessary and the person is homebound, and limited aide or personal-care services can sometimes be included within that skilled episode. It does not pay for an open-ended caregiver to help with bathing, dressing, meals, or companionship.
No. There are no long-term contracts. You can adjust the schedule or discontinue services at any time.
The best way to understand cost is to have a conversation about your specific situation. We will walk through the level of care needed, the schedule, and the options available to your family, and give you a transparent breakdown in writing. There is no obligation, no pressure, and no cost for the consultation itself.
Call us at 972-600-2660 or schedule a free consultation.
Still weighing options? Compare home care against assisted living, understand the difference between home care and home health care, or read about how families pay for home care in Texas.
Market figures reference the Genworth / CareScout Cost of Care Survey and are updated periodically. They describe the North Texas market generally and are not Domira rates.
