Page Reviewed / Updated - Aug. 2017
Cost of Care Calculator
How much does eldercare cost? The answer depends both on the type of care and one’s geographic location within the US. Follows is an overview of senior care services and residential living situations and their average costs. Alternatively, use our Cost of Care Calculator to learn the specific cost of care in your area.
Home care aides provide non-medical assistance to seniors such as helping with personal hygiene, laundry, cooking and transportation. Paradoxically, home care does not necessarily need to be provided in the home. It can also be provided to persons residing in assisted living. Location does not impact price. Typically, a home care aide will visit a home several times a week for visits lasting from 2 – 8 hours. In 2017, the national average for non-medical, in-home care is $21 / hour with different state averages ranging from $16 - $26 / hour.
It should be noted these are average costs from home care agencies. Private individuals can be retained to provide some of the same services with fees 20-30% lower. Search for a home care agency or learn more about hiring independent caregivers.
Home health aides offer skilled care such as checking patients’ pulse, temperature and respiration and assisting with medical equipment such as ventilators. They will visit the home as much as medically necessary but typically for shorter periods of time than home care aide visits. In 2017, the national average is $21 / hour with different state averages ranging from $16 - $27 / hour.
Adult day care centers provide the elderly with supervision and social activities in a structured setting during daytime hours. In 2017, the national average is $72 / day with different state averages ranging from $38 - $125 / day.
Adult day medical care provides the supervisory and social aspects of adult day care and offers more intensive health and therapeutic services for individuals with severe medical problems and those at risk of requiring nursing home care. Families should expect to pay 5% - 15% more for adult day health / medical care than for regular adult day (social) care.
Assisted living residences provide help with activities of daily living including basic health services, recreational and social activities. Cost is usually made up of monthly rent with additional fees based on the level of attention the resident requires. In 2017, the national average amount paid is $3,750 / month and different state averages range from $2,600 to $5,750. Patients requiring Alzheimer’s or dementia care in memory care homes costs an additional $1,200 / month on average. Find assisted Living and Alzheimer's care communities or see residential care costs by state. One can also read assisted living reviews here. This can help families identify if lower cost results in lesser quality care.
Skilled nursing residences offer 24/7 care by licensed health professionals including all housekeeping, medical and social needs. In 2017, the average amount being paid for a shared room is $227 / day with different state averages ranging from $145 / day to $800 / day. A shared residence usually costs 80-90% of a private one. Find affordable skilled nursing homes.
CCRCs are residences that provide a continuum of care from independent living to assisted living to skilled nursing. These are designed to enable seniors to remain in a single residential location. This is particularly attractive for seniors with declining health conditions or couples in mixed health. While CCRCs offer much for seniors, they are the most expensive long-term-care solution available. There is a one-time entrance fee and monthly maintenance fees. Entrance fees range from $60,000 - $120,000 and monthly maintenance fees from $500 to $3000. The location and size of the residence and the senior’s current health accounts for some the wide range in costs. There are also three types of care contracts that play a major role in fees.
1. Extensive or Life Care Contract is the most expensive option and covers all long-term care costs at no additional fees. This option offers a predictable monthly fee regardless of the needs of the individual. Therefore, they enable families to build a payment plan the remainder of the senior’s lifetime.
2. Modified or Continuing Care Contract is less expensive than a Life Care Contract, but restricts the total number of days one can receive long term care. Should the senior require additional care, it can be purchased at the time for a discounted rate. Therefore, while less expensive, there may be unexpected future costs.
3. Fee-For-Service Contract is the least expensive monthly rate but residents will pay separately for all long-term care. If extensive care is required, this will be very expensive.
Geriatric Care Managers (GCMs) are professionals that manage the coordination of care for an individual in need. They bill in a variety of ways, but typically their hourly rates are between $50-$200 / hour. A typical engagement involves a needs assessment, care plan creation and implementation; this might require 20-40 hours of work. Therefore, retaining a care manager might cost from $1,000 - $8,000. Medicare, Medicaid and health insurance very rarely pay for these costs, long term care insurance might, but most often this is an out-of-pocket cost.
In addition to the convenience and security they provide, Care Managers can save families money because their needs assessments align an individual’s present condition with only those services that are necessary at that time. This prevents unnecessary fees from home care providers and assisted living residences.
The quick reference table below shows the costs of each type of care by hour, day, month and year. Also useful is the easy-to-use, Long Term Care Cost Calculator provided by the website eCareDiary.
2017 Average Senior Care Costs by Type and Duration
Type of Senior Care
Home Care Aide Cost
$160 (8 hrs / day)
$3,520 (22 work days / mo.)
$40,000 (250 work days / yr.)
Home Health Aide Cost
$168 (8 hrs / day)
$3,696 (22 work days / mo.)
$42,000 (250 work days / yr.)
Adult Day Care Cost
$1,562 (22 work days / mo.)
$17,750 (250 work days / yr.)
Assisted Living Cost
Skilled Nursing Home Cost