How to Pay for Nursing Home Care. The cost of nursing home care in the U.S is oftentimes prohibitive and can range widely, from around $5,000 per month up to a whopping $25,000 per month. How much a nursing home charges depends on its geographic location, staffing levels, any specialty care offered and the facility's size and quality. A facility with a special wing for Alzheimer's and dementia residents, for example, may charge more for that special care.