Nursing Home Costs By State 2020

Nursing homes provide residential care for elderly or disabled people. Some nursing homes also provide short-term rehabilitative stays for those who have undergone surgery, illness, or injury that include physical therapy, occupational therapy, or speech therapy.

Nursing homes typically have nursing aides and certified nurses available 24 hours per day. Residents are also offered other services such as housekeeping and planned activities with aides and other residents.

The cost of nursing home care depends on several factors, including the location, the provider, how long the person’s stay is, and any special considerations. Many nursing home facilities have all-inclusive rates while others may charge additional fees for services beyond housing, food, and housecleaning. Additionally, there will be a higher cost for a private room vs. a semi-private room, where residents have a roommate typically separated by a curtain between them.

In the United States, the average private room in a nursing home is $8,365 per month or $275 per day. The average cost of a semi-private room is $7,441 per month and $245 per day. Annually, a semi-private room costs an average of $89,297 and a private room costs an average of $100,375.

Since 2016, the annual costs of both types of rooms have increased significantly. In 2016, a semi-private room cost about $82,128 per year, more than $7,000 less than in 2018. A private room cost about $92,376 in 2016, about $8,000 less than in 2018. This trend is expected to continue, with a semi-private room averaging $120,008 per year and a private room averaging $134,896 per year by 2028. Given this trend, those who are planning on entering a nursing home for an extended period of time should anticipate increases in cost in the coming years.

The cost of these rooms varies greatly by state. Additionally, some states have decreased their average cost of nursing homes in recent years while others have seen double-digit growth.

Nursing home costs can be a large financial burden, but there are options to help you pay for one. For those who are eligible, Medicaid pays between 45% and 65% of the total nursing home costs in the United States. Veterans and surviving spouses have two options to help: the Aid and Attendance Benefit and state VA nursing homes. Other options include long term care insurance benefits, nursing home tax deductions, and relocating to a state where the cost of nursing home care is less expensive.

States with the Highest Nursing Home Costs

The ten states with highest average monthly cost of a semi-private room in a nursing home are:

  1. Alaska - $27,573
  2. Connecticut - $12,623
  3. Hawaii - $12,167
  4. Massachusetts - $12,015
  5. New York - $11,756
  6. North Dakota - $11,027
  7. New Jersey - $10,646
  8. Delaware - $10,494
  9. New Hampshire - $10,281
  10. West Virginia - $10,281

The ten states with the highest average monthly cost of a private room in a nursing home are:

  1. Alaska - $29,291
  2. Connecticut - $13,733
  3. Hawaii - $13,657
  4. Massachusetts - $12,775
  5. New York - $12,189
  6. New Jersey - $11,863
  7. North Dakota - $11,690
  8. New Hampshire - $11,102
  9. West Virginia - $11,072
  10. Delaware - $10,950

Alaska has the most expensive nursing home costs in the United States. A semi-private room averages over $330,000 per year and a private room averages over $351,000 per year. Because Alaska is separated from the rest of the United States and is generally very remote, all medical costs are more expensive than in other states. Alaska’s nursing home costs surpass the rest of the country by a very large margin. The cost of both semi-private and semi-private rooms in Connecticut, which has the second-highest costs for nursing home care, cost less than half of those in Alaska.

Most of the states with the highest nursing home costs have the highest overall cost of living in the United States.

States with the Lowest Nursing Home Costs

The ten states with the lowest average monthly cost of a semi-private room in a nursing home are:

  1. Oklahoma - $4,639
  2. Texas - $4,798
  3. Missouri – $5,019
  4. Louisiana - $5,232
  5. Arkansas - $5,353
  6. Kansas - $5,414
  7. Illinois - $5,916
  8. Iowa - $6,983
  9. Utah - $6,083
  10. Alabama - $6,279

The ten states with the lowest average monthly cost of a private room in a nursing home are:

  1. Oklahoma - $5,293
  2. Louisiana - $5,542
  3. Missouri - $5,543
  4. Kansas - $5,865
  5. Arkansas - $5,986
  6. Iowa - $6,479
  7. Texas - $6,540
  8. Alabama - $6,661
  9. Illinois - $6,753
  10. Georgia - $6,768

The least expensive areas for nursing home care are in the Midwest and the Southeast.

Whichever state you choose as the best location for elder care, it is best to do thorough research into nursing homes to find the best care and options.

Nursing Home Costs By State 2020

*Figures displayed are for average monthly cost
State Semi-Private Care Private Care 2020 Pop.
Alaska$27,573$29,291734,002
Connecticut$12,623$13,7333,563,080
Hawaii$12,167$13,6571,412,690
Massachusetts$12,015$12,7756,976,600
New York$11,756$12,18919,440,500
North Dakota$11,027$11,690761,723
New Jersey$10,646$11,8638,936,570
Delaware$10,494$10,950982,895
New Hampshire$10,342$11,1021,371,250
West Virginia$10,281$11,0721,778,070
Pennsylvania$9,612$10,11412,820,900
Vermont$9,475$9,901628,061
Maine$9,429$10,0981,345,790
Oregon$9,277$9,9774,301,090
Maryland$9,231$9,6736,083,120
Minnesota$9,125$10,1885,700,670
District of Columbia$9,125$9,733720,687
Rhode Island$8,821$9,7331,056,160
Washington$8,669$9,7187,797,100
Michigan$8,562$9,12510,045,000
California$8,365$9,81739,937,500
Wisconsin$8,334$9,3465,851,750
Nevada$8,228$9,2623,139,660
Florida$8,152$9,06421,993,000
Colorado$7,892$9,0005,845,530
Idaho$7,574$8,0451,826,160
Virginia$7,452$8,5178,626,210
New Mexico$7,285$7,6192,096,640
Wyoming$7,178$7,543567,025
Ohio$7,118$7,90811,747,700
Montana$7,006$7,3101,086,760
North Carolina$6,950$7,71110,611,900
Nebraska$6,905$7,2661,952,570
Indiana$6,859$8,2436,745,350
Kentucky$6,844$7,6044,499,690
Mississippi$6,692$7,0872,989,260
South Dakota$6,616$7,072903,027
Arizona$6,494$7,9087,378,490
South Carolina$6,418$7,2095,210,100
Tennessee$6,388$6,8446,897,580
Georgia$6,342$6,76810,736,100
Alabama$6,279$6,6614,908,620
Utah$6,083$7,6043,282,120
Iowa$6,083$6,4793,179,850
Illinois$5,916$6,75312,659,700
Kansas$5,414$5,8652,910,360
Arkansas$5,353$5,9863,039,000
Louisiana$5,232$5,5424,645,180
Missouri$5,019$5,5436,169,270
Texas$4,798$6,54029,472,300
Oklahoma$4,639$5,2933,954,820