According to the 2025 CareScout Cost of Care Survey, North Carolina's statewide median nursing home cost is $9,733 per month for a semi-private room and $10,798 per month for a private room. These are statewide medians, not Raleigh-metro-specific figures, so actual costs at individual Wake or Durham County nursing facilities may run higher or lower.
The detail behind the number
The roughly $1,065-per-month gap between semi-private and private nursing home rooms in CareScout's 2025 North Carolina data reflects a national pattern: private rooms typically carry a premium of 10-15% over shared rooms due to space, staffing allocation, and demand. Families comparing nursing facilities in the Triangle should ask each facility whether quoted rates are for semi-private or private accommodations, since marketing materials do not always specify this clearly. It's also worth noting that Medicaid nursing facility coverage in NC generally pays at a semi-private room rate unless a private room is medically necessary, so families relying on long-term-care Medicaid should not assume they can select a private room without an added cost or medical justification. Always request a written, itemized rate sheet from any facility under consideration rather than relying on advertised 'starting at' figures.
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