ElderCarePeek

Missouri vs North Carolina: Senior Care Cost Comparison (2026)

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

Missouri

$6,236/mo

Nursing home (private room)

Senior population: 17.2%

North Carolina

$8,304/mo

Nursing home (private room)

Senior population: 17%

Which State is More Affordable for Senior Care?

Missouri has lower nursing home costs by $2,068/month ($24,816/year). Over 5 years, that's a difference of $124,080.

Detailed Cost Comparison

Care TypeMissouriNorth CarolinaDifference
Nursing Home (Private)$6,236/mo$8,304/mo$2,068
Nursing Home (Semi-Private)$5,628/mo$7,452/mo$1,824
Assisted Living$3,263/mo$4,250/mo$987
Home Health Aide$22.00/hr$23.00/hr$1.00
Adult Day Care$1,383/mo$1,517/mo$134
Homemaker Services$20.00/hr$21.00/hr$1.00

Annual Cost Comparison

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

North Carolina Annual Costs

Nursing Home (Private)$99,648/yr
Assisted Living$51,000/yr
Home Health Aide (8hr/day)$48,576/yr
Adult Day Care$18,204/yr

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Frequently Asked Questions

Which state has cheaper nursing homes: Missouri or North Carolina?
Missouri has lower nursing home costs. Missouri averages $6,236/month while North Carolina averages $8,304/month, a difference of $2,068/month.
How do assisted living costs compare between Missouri and North Carolina?
Assisted living in Missouri costs $3,263/month compared to $4,250/month in North Carolina.
What about home health aide costs?
Home health aides charge $22.00/hour in Missouri and $23.00/hour in North Carolina.
Which state has better Medicaid coverage for senior care?
Both states offer Medicaid coverage for nursing home care. Missouri: Missouri Medicaid covers nursing facilities. Aged and Disabled waiver provides community alternatives.... North Carolina: North Carolina Medicaid covers nursing facility care. Community Alternatives Program waivers available....

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