Maryland vs Massachusetts: Senior Care Cost Comparison (2026)
Side-by-side comparison of nursing home, assisted living, and home care costs.
Which State is More Affordable for Senior Care?
Maryland has lower nursing home costs by $3,010/month ($36,120/year). Over 5 years, that's a difference of $180,600.
Detailed Cost Comparison
| Care Type | Maryland | Massachusetts | Difference |
|---|---|---|---|
| Nursing Home (Private) | $10,982/mo | $13,992/mo | $3,010 |
| Nursing Home (Semi-Private) | $10,068/mo | $12,167/mo | $2,099 |
| Assisted Living | $4,750/mo | $5,750/mo | $1,000 |
| Home Health Aide | $26.00/hr | $30.00/hr | $4.00 |
| Adult Day Care | $1,833/mo | $2,100/mo | $267 |
| Homemaker Services | $24.00/hr | $28.00/hr | $4.00 |
Annual Cost Comparison
Maryland Annual Costs
Nursing Home (Private)$131,784/yr
Assisted Living$57,000/yr
Home Health Aide (8hr/day)$54,912/yr
Adult Day Care$21,996/yr
Massachusetts Annual Costs
Nursing Home (Private)$167,904/yr
Assisted Living$69,000/yr
Home Health Aide (8hr/day)$63,360/yr
Adult Day Care$25,200/yr
Senior Care Planning Resources
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Medicare Part A Coverage
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Elder Law Attorneys
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Frequently Asked Questions
Which state has cheaper nursing homes: Maryland or Massachusetts?
Maryland has lower nursing home costs. Maryland averages $10,982/month while Massachusetts averages $13,992/month, a difference of $3,010/month.
How do assisted living costs compare between Maryland and Massachusetts?
Assisted living in Maryland costs $4,750/month compared to $5,750/month in Massachusetts.
What about home health aide costs?
Home health aides charge $26.00/hour in Maryland and $30.00/hour in Massachusetts.
Which state has better Medicaid coverage for senior care?
Both states offer Medicaid coverage for nursing home care. Maryland: Maryland Medicaid covers nursing homes. Community Options waiver and other HCBS programs available.... Massachusetts: MassHealth covers nursing facility care. Frail Elder waiver and Senior Care Options program available....
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Data verified March 2026 · Source: Genworth Cost of Care Survey