ElderCarePeek

Des Moines, IA vs Fresno, CA

Elder Care Cost Comparison 2025

Quick Answer

Des Moines, IA: Nursing home $7,105/mo · Assisted living $3,971/mo · Home aide $23.36/hr

Fresno, CA: Nursing home $12,096/mo · Assisted living $6,047/mo · Home aide $33.65/hr

Side-by-Side Cost Comparison

Care TypeDes Moines, IAFresno, CANational Avg
Nursing Home (Private)$7,105/mo$12,096/mo$9,514/mo
Assisted Living$3,971/mo$6,047/mo$4,612/mo
Home Health Aide$23.36/hr$33.65/hr$25.82/hr
Adult Day Care$1,619/mo$2,121/mo$1,692/mo

Des Moines, IA

Nursing Home
$7,105/mo
Assisted Living
$3,971/mo
Home Health Aide
$23.36/hr
Adult Day Care
$1,619/mo
Full Des Moines profile →

Fresno, CA

Nursing Home
$12,096/mo
Assisted Living
$6,047/mo
Home Health Aide
$33.65/hr
Adult Day Care
$2,121/mo
Full Fresno profile →

Frequently Asked Questions

Is Des Moines or Fresno cheaper for senior care?
Des Moines, IA is cheaper for nursing home care at $7,105/mo vs $12,096/mo in Fresno, CA — a difference of $4,991/mo.
What does assisted living cost in Des Moines vs Fresno?
Assisted living in Des Moines, IA costs $3,971/mo. In Fresno, CA it costs $6,047/mo. The national average is $4,612/mo.
What is the home health aide rate in Des Moines vs Fresno?
Home health aides in Des Moines, IA charge $23.36/hr. In Fresno, CA the rate is $33.65/hr.
How do Des Moines senior care costs compare to the national average?
The national average nursing home cost is $9,514/mo. Des Moines, IA at $7,105/mo is below average. Fresno, CA at $12,096/mo is above average.