Elder Care Cost Guide

What each type of elder care costs, and which one your budget can actually carry

Four care settings, five published rates, and one thing they all have in common: the price per month is not the price you pay. Hourly care scales with the hours you buy, adult day care charges by the day of attendance, and nursing homes bill 365 days a year. Each page below works that arithmetic out in full.

Data: CareScout Cost of Care Survey — 2025 national medians

Data: CareScout Cost of Care Survey — 2025 national medians — fieldwork July–November 2025. Local prices can differ by up to 40%.

National medians by care type, with in-home care shown at the survey's own default of 44 hours per week.
Care typeMonthlyAnnual
Non-Medical Caregiver (In-Home)$6,673$80,080
Adult Day Health Care$2,058$24,700
Assisted Living Community$6,200$74,400
Nursing Home — Semi-Private Room$9,581$114,975
Nursing Home — Private Room$10,798$129,575

In-home caregiver cost

Every care type here is priced per month except this one, which is billed by the hour. That one difference is what makes in-home care cheap at 15 hours a week and the most expensive option at 50.

Read the breakdown →

Nursing home costs

Two published rates, and a $14,600-a-year gap between them. Room type and billing period (31-day months cost more than 28-day months) are the two things that move this number.

Read the breakdown →

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How to use these pages

  1. Start with the hours, not the setting. Decide how many hours a week your parent actually needs help with, then see which setting covers those hours for the least money. The calculator does this in one screen.
  2. Compare two settings, never five. The realistic choice is almost always between the setting you have now and the next one up. Compare those two honestly before shopping further.
  3. Ask for the full fee schedule. Every page here names the line items that get billed on top of the headline rate. Asking for them in writing before you commit is the highest-value hour you will spend.

What families actually buy — and how to choose it

These are the categories that come up again and again when people try to keep someone at home longer. Prices change constantly, so instead of quoting a number that will be wrong next month, here is what to check before you buy.

Bed rails & fall protection

Falls are the most common reason a family moves from home care to a facility — and the most expensive to recover from.

  • Check the weight limit and whether it fits the mattress thickness you have
  • Adjustable height beats fixed if the bed is not a hospital bed
  • Look for a model that folds down, so it does not block getting out
See current options & prices on Amazon →

Walkers & rollators

A rollator with a seat and brakes lets someone stay mobile — and keep the hours of paid care lower.

  • Measure the handle height with the person standing; wrong height causes back pain
  • Test the brakes: loop brakes are easier for arthritic hands than squeeze brakes
  • Width matters if hallways or bathroom doors are narrow
See current options & prices on Amazon →

Bathroom safety

Most falls happen in the bathroom. Grab bars and a shower chair are the cheapest intervention on this page.

  • Grab bars must be screwed into studs — suction cups are not a fall-prevention device
  • A shower chair with a back and arms is easier to stand up from
  • Non-slip mat inside and outside the tub
See current options & prices on Amazon →

Medical alert systems

If the person is alone for part of the day, this is the difference between a fall and a fall found hours later.

  • Decide between a landline base and cellular — no landline means cellular only
  • Check the monthly cost, not just the device price; it is the recurring part that adds up
  • Fall detection is a separate feature and usually costs more
See current options & prices on Amazon →

Incontinence supplies

A recurring cost families rarely budget for — and one of the first things that pushes hours of care up.

  • Match absorbency to overnight vs daytime use; one product for both wastes money
  • Check the size chart by waist measurement, not clothing size
  • Subscribe-and-save pricing is usually cheaper than one-off orders for this category
See current options & prices on Amazon →

As an Amazon Associate we earn from qualifying purchases. This does not change what we recommend — the selection criteria above are the same ones we would give a friend.

Frequently asked questions

Why is every number on this site a national median?

Because a median is the one figure a public survey can publish honestly for the whole country. Individual quotes vary widely — the survey itself warns that a specific provider can differ significantly from the median for its own market. State-level medians exist in the survey but this site does not republish them yet, so treat the national figure as a planning baseline and confirm with local quotes.

Which care types does this site cover, and which does it not?

Five: in-home non-medical caregiving, adult day health care, assisted living, and nursing home care in a semi-private or private room. The survey also publishes a rate for skilled nursing in the home ($90/hour in 2025) and for private duty nursing. Those are clinical services with a different pricing structure, so they are not in the calculator or on these pages.

Do the numbers include medication, therapy, or one-off costs?

No. Each figure is the median price of the care setting itself. Medication management, higher care tiers, transportation, therapies, and one-off move-in or community fees are usually billed on top of it — ask any provider for a full fee schedule rather than the headline rate.

How current is this data?

Every figure comes from CareScout's Cost of Care Survey with a fieldwork window of July–November 2025. The survey also publishes the prior year for comparison, which is how the year-over-year percentages on these pages are calculated. Costs generally rise, so a figure from an older survey will understate what you are likely to be quoted today.