How Hawaii Ranks in Long-term-care Costs


U.S. Average


Highest Cost

Lowest Cost

Assisted Living (per year)
$35,628 $45,036 $60,372 (Dist. of Columbia) $23,568 (North Dakota)
Nursing  home (per year)
$77,745 $116,800 $237,250 (Alaska) $65,700 (Mississippi)
Home health aide (per hour)
$19 $23 $27 (Minnesota) $14 (Louisiana)
Adult day care (per day)
$61 $58 $130 (Vermont) $31 (Alabama)












*Assisted-living rates are for a private room with private bath and typically at least two meals per day, housekeeping and personal-care assistance.

**Private-room rates were obtained from nursing homes that are licensed, provide both skilled and custodial care, and have a private pay rate for custodial care, not the Medicare or Medicaid reimbursed rate.

***Hourly rates for home health aides were obtained from licensed (if required by the state) agencies. Typically, a home visit from a home health aide lasts longer than an hour. Home health aides assist with activities such as bathing, dressing and toileting.

Source:  Metlife Mature Market Institute, 2007   


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