Home care costs · MA
Massachusetts home care costs: 2026 guide
In Massachusetts, the median rate for a non-medical caregiver is $40 an hour. Full-time help at 44 hours a week comes to about $7,627 a month. That hourly rate is 14% above the US median.
Source: CareScout Cost of Care Survey 2025, fielded July to November 2025, published March 2026. These are the most recent published medians. Actual quotes vary by city, agency and care needs.
Part-time home care in Massachusetts
Most families start with fewer than 44 hours. Monthly cost at the Massachusetts median rate:
| Hours per week | Monthly | Yearly | vs. assisted living |
|---|---|---|---|
| 10 hours | $1,733 | $20,796 | $7,867/mo less |
| 20 hours | $3,467 | $41,604 | $6,133/mo less |
| 30 hours | $5,200 | $62,400 | $4,400/mo less |
| 44 hours | $7,627 | $91,524 | $1,973/mo less |
| 60 hours | $10,400 | $124,800 | $800/mo more |
Stay home or move? The Massachusetts break-even point
At the median rates, in-home care costs less than assisted living up to about 55 hours of paid help a week. Beyond that, assisted living is usually cheaper on cost alone, though many families still weigh independence, safety and what their parent wants.
A middle option: adult day care three days a week plus 15 hours of in-home help runs about $4,056 a month at Massachusetts medians.
Try the calculator with Massachusetts numbers
Adjust hours to match the help your family actually needs.
Medians from the CareScout Cost of Care Survey 2025. Home care is scaled from the published 44-hour monthly median. The sensor link is an affiliate link.
Common questions
- How much does home care cost per hour in Massachusetts?
- The median hourly rate for a non-medical caregiver in Massachusetts is $40, according to the CareScout Cost of Care Survey 2025. The US median is $35.
- How much is full-time home care per month in Massachusetts?
- At 44 hours a week, the median is about $7,627 a month, or $91,524 a year.
- Is home care cheaper than assisted living in Massachusetts?
- Below roughly 55 hours of paid help a week, in-home care costs less than the Massachusetts assisted living median of $9,600 a month. Above that, assisted living is usually cheaper on cost alone.
- What does a nursing home cost in Massachusetts?
- A semi-private room has a median cost of $14,448 a month, and a private room $15,817.
Next steps families often take
Trust & Will
Will Plan from $199, Trust Plan from $499 (trustandwill.com/compare)
Online wills and revocable living trusts, state-specific, with optional attorney support.
Often a fit when: you need a Massachusetts-specific will, power of attorney and living will in place before care decisions get urgent.
Affiliate link. We may earn a commission. We have not tested this service ourselves.
envoyatHome
$99/month plus a one-time $399 equipment package (envoyathome.com)
Passive home monitoring for seniors living alone: small motion and door sensors that alert family to falls, missed routines and night wandering. No cameras or wearables.
Often a fit when: paid help covers only part of the week and you want to know about falls or missed routines in the gaps.
Affiliate link. We may earn a commission. We have not tested this service ourselves.
Planning care in Massachusetts?
Five short emails over three weeks: what to compare first, the paperwork to do early, and real numbers for part-time help.