North Dakota vs Tennessee: 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?
Tennessee has lower nursing home costs by $2,921/month ($35,052/year). Over 5 years, that's a difference of $175,260.
Detailed Cost Comparison
| Care Type | North Dakota | Tennessee | Difference |
|---|---|---|---|
| Nursing Home (Private) | $10,373/mo | $7,452/mo | +$2,921 |
| Nursing Home (Semi-Private) | $9,354/mo | $6,692/mo | +$2,662 |
| Assisted Living | $4,250/mo | $4,000/mo | +$250 |
| Home Health Aide | $28.00/hr | $22.00/hr | +$6.00 |
| Adult Day Care | $1,733/mo | $1,383/mo | +$350 |
| Homemaker Services | $26.00/hr | $20.50/hr | +$5.50 |
Annual Cost Comparison
North Dakota Annual Costs
Nursing Home (Private)$124,476/yr
Assisted Living$51,000/yr
Home Health Aide (8hr/day)$59,136/yr
Adult Day Care$20,796/yr
Tennessee Annual Costs
Nursing Home (Private)$89,424/yr
Assisted Living$48,000/yr
Home Health Aide (8hr/day)$46,464/yr
Adult Day Care$16,596/yr
Senior Care Planning Resources
Long-Term Care Insurance Quotes
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Medicaid Planning Services
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Medicare Part A Coverage
Understand what Medicare covers for skilled nursing facility care.
Elder Law Attorneys
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Frequently Asked Questions
Which state has cheaper nursing homes: North Dakota or Tennessee?
Tennessee has lower nursing home costs. North Dakota averages $10,373/month while Tennessee averages $7,452/month, a difference of $2,921/month.
How do assisted living costs compare between North Dakota and Tennessee?
Assisted living in North Dakota costs $4,250/month compared to $4,000/month in Tennessee.
What about home health aide costs?
Home health aides charge $28.00/hour in North Dakota and $22.00/hour in Tennessee.
Which state has better Medicaid coverage for senior care?
Both states offer Medicaid coverage for nursing home care. North Dakota: North Dakota Medicaid covers nursing homes. SPED waiver for home-based services.... Tennessee: TennCare covers nursing home care. CHOICES program provides home and community-based services....
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Data verified March 2026 · Source: Genworth Cost of Care Survey