State-by-state cost breakdowns for assisted living, including facility costs, Medicare supplements, prescription coverage, Medicaid benefits, and the out-of-pocket expenses most families don't see coming.
51 State Cost Articles Available
Each state article details the full monthly cost of assisted living, not just the facility quote: Medicare supplement premiums, Part D prescriptions, dental, vision, hearing, personal expenses, and Medicaid coverage adjusted for that state's cost of living.
Alaska senior living costs run slightly above the national average, with Anchorage and the Mat-Su Valley holding most of the state's capacity and Medi...
$5,476/mo facility base · COL index 102.4
Alabama senior living costs run below the national average, but Alabama Medicaid's E&D Waiver doesn't cover services in licensed assisted living setti...
$4,752/mo facility base · COL index 88.8
Arkansas senior living costs run well below the national average overall, with Northwest Arkansas pulling sharply above the state median and the Delta...
$4,651/mo facility base · COL index 86.9
Arizona senior living costs run modestly above the national average, with the Phoenix metro running higher and rural Arizona running lower. Here's wha...
$5,386/mo facility base · COL index 100.7
California senior living costs run above the national average, with monthly figures shaped by region, care level, and which county your parent lives i...
$5,924/mo facility base · COL index 110.7
Colorado senior living costs run above the national average, with the Front Range and mountain-resort markets pulling pricing well above rural Colorad...
$5,513/mo facility base · COL index 103.1
Connecticut senior living costs run above the national average, with Fairfield County far above and Eastern Connecticut closer to the baseline. CHCPE ...
$5,543/mo facility base · COL index 103.6
Washington DC senior living costs run above the national median, with Northwest DC at the top of the band and the suburban Maryland and Virginia marke...
$5,880/mo facility base · COL index 109.9
Delaware senior living costs track right at the national average overall, with coastal Sussex running well above and inland counties running notably b...
$5,340/mo facility base · COL index 99.8
Florida senior living costs run modestly above the national average, with monthly figures shaped by coastal-versus-inland markets and the out-of-state...
$5,532/mo facility base · COL index 103.4
Georgia senior living costs run modestly below the national average, shaped by Atlanta metro versus rural Georgia and a deep family-care tradition. He...
$5,152/mo facility base · COL index 96.3
Hawaii senior living costs run well above the national median, with Honolulu pricing setting the ceiling and neighbor island families often facing an ...
$5,882/mo facility base · COL index 110.0
Iowa senior living costs run well below the national average, with IA Health Link's Elderly Waiver providing a real Medicaid pathway through Iowa's ma...
$4,695/mo facility base · COL index 87.8
Idaho senior living costs track close to the national median, with capacity concentrated in Boise and Coeur d'Alene and the Aged and Disabled Waiver a...
$5,109/mo facility base · COL index 95.5
Illinois senior living costs run modestly below the national average overall, with the Supportive Living Program offering a Medicaid pathway that most...
$5,348/mo facility base · COL index 100.0
Indiana senior living costs run notably below the national average, shaped by manufacturing-era pensions and an Indianapolis-versus-rural divide. Here...
$4,993/mo facility base · COL index 93.3
Kansas senior living costs run below the national average, with the Frail Elderly Waiver delivered through KanCare managed-care MCOs giving qualifying...
$4,819/mo facility base · COL index 90.1
Kentucky senior living costs run below the national average, with Louisville, Lexington, and Northern Kentucky pricing closer to national norms and th...
$4,824/mo facility base · COL index 90.2
Louisiana senior living costs run well below the national median, but the Community Choices Waiver waitlist shapes how families have to plan the Medic...
$4,719/mo facility base · COL index 88.2
Massachusetts senior living costs run above the national average, with MassHealth's relatively generous LTSS framework and community-rated Medigap str...
$5,658/mo facility base · COL index 105.8
Maryland senior living costs run above the national average, with dramatic differences between the DC corridor counties, Baltimore metro, and Eastern ...
$5,615/mo facility base · COL index 105.0
Maine senior living costs run slightly below the national average, but the state's oldest-population demographic and thin rural capacity make the supp...
$5,192/mo facility base · COL index 97.1
Michigan senior living costs run modestly below the national average, shaped by auto-industry pensions, four distinct regional markets, and a substant...
$5,148/mo facility base · COL index 96.2
Minnesota senior living costs track close to the national average, with Minnesota's Elderly Waiver giving families one of the more accessible Medicaid...
$5,276/mo facility base · COL index 98.6
Missouri senior living costs run notably below the national average, with three distinct markets in St. Louis, Kansas City, and the Ozarks. Here's wha...
$4,859/mo facility base · COL index 90.8
Mississippi senior living costs run well below the national median, and the state's Assisted Living Waiver is one of the few Medicaid pathways in the ...
$4,652/mo facility base · COL index 87.0
Montana senior living costs run below the national average overall, but the Big Sky Waiver waitlist and the state's spread-out geography shape the pla...
$5,063/mo facility base · COL index 94.6
North Carolina senior living costs run below the national average, with a three-region split between the Triangle, Charlotte, the coast, and the Appal...
$5,047/mo facility base · COL index 94.3
North Dakota senior living costs run below the national median, with Fargo and Bismarck carrying most of the inventory and the SPED program serving as...
$4,759/mo facility base · COL index 89.0
Nebraska senior living costs run below the national median, with Omaha and Lincoln carrying most of the capacity and farm-asset Medicaid planning shap...
$4,820/mo facility base · COL index 90.1
New Hampshire senior living costs run above the national average, with the no-state-income-tax and community-rated Medigap structure changing the long...
$5,573/mo facility base · COL index 104.2
New Jersey senior living costs run well above the national average, with Bergen-Essex, the shore, and Princeton running highest and the South Jersey r...
$5,821/mo facility base · COL index 108.8
New Mexico senior living costs run below the national average, with Centennial Care offering Medicaid LTSS through a managed care 1115 framework rathe...
$4,933/mo facility base · COL index 92.2
Nevada senior living costs track close to the national average, with a dedicated Assisted Living Waiver giving Nevada families one of the more targete...
$5,349/mo facility base · COL index 100.0
New York senior living costs run well above the national average, with a dramatic downstate-versus-upstate split. Here's what families should expect a...
$5,774/mo facility base · COL index 107.9
Ohio senior living costs run notably below the national average, shaped by three metro markets and a manufacturing-era pension demographic. Here's wha...
$4,963/mo facility base · COL index 92.8
Oklahoma senior living costs run well below the national average, with SoonerCare and the ADvantage Waiver providing planning tools for families. Here...
$4,699/mo facility base · COL index 87.8
Oregon senior living costs run slightly above the national average, but Oregon's K Plan gives families the most accessible Medicaid pathway into assis...
$5,530/mo facility base · COL index 103.4
Pennsylvania senior living costs run modestly below the national average, shaped by manufacturing-era pensions and a tight Medicaid landscape for resi...
$5,220/mo facility base · COL index 97.6
Rhode Island senior living costs run somewhat above the national average, with the East Bay and Newport County highest and the LTSS Assisted Living Pr...
$5,472/mo facility base · COL index 102.3
South Carolina senior living costs run slightly below the national average, with Charleston and Hilton Head premium and the Pee Dee and Upstate rural ...
$5,016/mo facility base · COL index 93.8
South Dakota senior living costs run well below the national average, with capacity concentrated in Sioux Falls + Rapid City and rural counties facing...
$4,740/mo facility base · COL index 88.6
Tennessee senior living costs run below the national average, shaped by Nashville's premium pricing and TennCare's tight CHOICES eligibility. Here's w...
$4,915/mo facility base · COL index 91.9
Texas senior living costs run modestly below the national average, with monthly figures shaped by which Texas you're in: metro, small-town, or rural. ...
$5,193/mo facility base · COL index 97.1
Utah's senior living costs sit close to the national average, with monthly figures shaped by care level, region, and what's actually included in the b...
$5,289/mo facility base · COL index 98.9
Virginia senior living costs run above the national average overall, with dramatic differences between Northern Virginia, Hampton Roads, and Southwest...
$5,409/mo facility base · COL index 101.1
Vermont senior living costs track close to the national average, with Choices for Care giving families one of the more flexible Medicaid LTSS pathways...
$5,241/mo facility base · COL index 98.0
Washington senior living costs run above the national average overall, with a sharp Cascade Range divide between the Puget Sound corridor and Eastern ...
$5,725/mo facility base · COL index 107.0
Wisconsin senior living costs run below the national average, with Family Care and IRIS giving Wisconsin families more long-term care pathways than pe...
$5,034/mo facility base · COL index 94.1
West Virginia senior living costs run below the national median, but a narrow Medicaid pathway into assisted living and thin capacity outside three re...
$4,788/mo facility base · COL index 89.5
Wyoming senior living costs run below the national median overall, with Jackson Hole as a wealth-driven outlier and most of the state running well bel...
$4,959/mo facility base · COL index 92.7
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Understanding the data behind our estimates
Important: All figures are estimates for planning purposes only. Actual costs vary by provider, facility, and individual circumstances. See each state's page for the complete disclaimer.