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Massachusetts vs Virginia: 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%

Virginia

$8,913/mo

Nursing home (private room)

Senior population: 15.9%

Which State is More Affordable for Senior Care?

Virginia has lower nursing home costs by $5,079/month ($60,948/year). Over 5 years, that's a difference of $304,740.

Detailed Cost Comparison

Care TypeMassachusettsVirginiaDifference
Nursing Home (Private)$13,992/mo$8,913/mo+$5,079
Nursing Home (Semi-Private)$12,167/mo$8,000/mo+$4,167
Assisted Living$5,750/mo$4,750/mo+$1,000
Home Health Aide$30.00/hr$24.00/hr+$6.00
Adult Day Care$2,100/mo$1,733/mo+$367
Homemaker Services$28.00/hr$22.50/hr+$5.50

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

Virginia Annual Costs

Nursing Home (Private)$106,956/yr
Assisted Living$57,000/yr
Home Health Aide (8hr/day)$50,688/yr
Adult Day Care$20,796/yr

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Frequently Asked Questions

Which state has cheaper nursing homes: Massachusetts or Virginia?
Virginia has lower nursing home costs. Massachusetts averages $13,992/month while Virginia averages $8,913/month, a difference of $5,079/month.
How do assisted living costs compare between Massachusetts and Virginia?
Assisted living in Massachusetts costs $5,750/month compared to $4,750/month in Virginia.
What about home health aide costs?
Home health aides charge $30.00/hour in Massachusetts and $24.00/hour in Virginia.
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.... Virginia: Virginia Medicaid covers nursing home care. Commonwealth Coordinated Care Plus for community services....

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