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Massachusetts vs Missouri: Senior Care Cost Comparison (2026)

Side-by-side comparison of nursing home, assisted living, and home care costs.

Massachusetts

$13,992/mo

Nursing home (private room)

Senior population: 17%

Missouri

$6,236/mo

Nursing home (private room)

Senior population: 17.2%

Which State is More Affordable for Senior Care?

Missouri has lower nursing home costs by $7,756/month ($93,072/year). Over 5 years, that's a difference of $465,360.

Detailed Cost Comparison

Care TypeMassachusettsMissouriDifference
Nursing Home (Private)$13,992/mo$6,236/mo+$7,756
Nursing Home (Semi-Private)$12,167/mo$5,628/mo+$6,539
Assisted Living$5,750/mo$3,263/mo+$2,487
Home Health Aide$30.00/hr$22.00/hr+$8.00
Adult Day Care$2,100/mo$1,383/mo+$717
Homemaker Services$28.00/hr$20.00/hr+$8.00

Annual Cost Comparison

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

Missouri Annual Costs

Nursing Home (Private)$74,832/yr
Assisted Living$39,156/yr
Home Health Aide (8hr/day)$46,464/yr
Adult Day Care$16,596/yr

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Frequently Asked Questions

Which state has cheaper nursing homes: Massachusetts or Missouri?
Missouri has lower nursing home costs. Massachusetts averages $13,992/month while Missouri averages $6,236/month, a difference of $7,756/month.
How do assisted living costs compare between Massachusetts and Missouri?
Assisted living in Massachusetts costs $5,750/month compared to $3,263/month in Missouri.
What about home health aide costs?
Home health aides charge $30.00/hour in Massachusetts and $22.00/hour in Missouri.
Which state has better Medicaid coverage for senior care?
Both states offer Medicaid coverage for nursing home care. Massachusetts: MassHealth covers nursing facility care. Frail Elder waiver and Senior Care Options program available.... Missouri: Missouri Medicaid covers nursing facilities. Aged and Disabled waiver provides community alternatives....

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Data verified March 2026 · Source: Genworth Cost of Care Survey