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Cost of U.S. Home Health Care

  • Published: 2010-06-13 (Revised/Updated 2017-08-10) : Susan Slobac.
  • Synopsis: Chart of average home health care prices in America listed by state of residence

Main Document

Quote: "Medicare does not pay for personal care or custodial care only. It only pays for part time or intermittent skilled nursing care prescribed by a doctor and provided by a Medicare-certified home health agency."

The cost of home health care warrants proactive planning and should be weighed against your budget and other anticipated expenses.

For a home health aide to visit just 3 times a week to provide in home care, you may have to pay nearly $18,000 a year. It is wise then, to fully understand what is involved in contracting home health services and how it impacts your finances.

To get a full picture of what to expect when engaging a home health care provider, determine the cost your home health services, the public programs for which you are eligible, what payments these programs cover and what private funding options are available. This will greatly simplify identifying what option best meets your budget and in home care needs.

According to the US Department of Health and Human Services, in 2008, the average cost of hiring a home health care provider in United States is $29 an hour. The cost may vary depending upon where you live, however. Those in Los Angeles, may have to pay $29/hour for a home health aide, but those in San Jose, may need to pay $50/hour for the same in home care.

The table below shows average hourly rates of home healthcare services state-wise.

Average state hourly home health aide rates in $USD (Source: 2008 Cost of Care Survey, Genworth Financial, March 2008)

State by State Cost of US Home Health Care

  • Alabama 46.00
  • Alaska 49.00
  • Arizona 29.00
  • Arkansas 21.00
  • California 36.00
  • Colorado 27.00
  • Connecticut 25.00
  • Delaware 31.00
  • District of Columbia 20.00
  • Florida 20.00
  • Georgia 42.00
  • Hawaii 32.00
  • Idaho 25.00
  • Illinois 30.00
  • Indiana 21.00
  • Iowa 28.00
  • Kansas 22.00
  • Kentucky 16.00
  • Louisiana 41.00
  • Maine 38.00
  • Massachusetts 28.00
  • Michigan 26.00
  • Minnesota 26.00
  • Mississippi 44.00
  • Missouri 25.00
  • Montana 23.00
  • Nebraska 23.00
  • Nevada 37.00
  • New Hampshire 32.00
  • New Jersey 26.00
  • New Mexico 23.00
  • New York 25.00
  • North Carolina 28.00
  • North Dakota 24.00
  • Oklahoma 29.00
  • Oregon 33.00
  • Pennsylvania 24.00
  • Rhode Island 22.00
  • South Carolina 29.00
  • South Dakota 20.00
  • Tennessee 30.00
  • Texas 28.00
  • Utah 24.00
  • Vermont 24.00
  • Virginia 25.00
  • Washington 45.00
  • West Virginia 32.00
  • Wisconsin 25.00
  • Wyoming 24.00

What you should know before hiring a caregiver:

Medicare does not pay for personal care or custodial care only. It only pays for part time or intermittent skilled nursing care prescribed by a doctor and provided by a Medicare-certified home health agency.

Medicaid pays for home healthcare, but some states may limit certain services.

Private insurance may or may not cover home health care.

To meet your requirements for in home care while remaining mindful of your finances, be sure to understand all options first.

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