Maryland vs North Carolina: 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?
North Carolina has lower nursing home costs by $2,678/month ($32,136/year). Over 5 years, that's a difference of $160,680.
Detailed Cost Comparison
| Care Type | Maryland | North Carolina | Difference |
|---|---|---|---|
| Nursing Home (Private) | $10,982/mo | $8,304/mo | +$2,678 |
| Nursing Home (Semi-Private) | $10,068/mo | $7,452/mo | +$2,616 |
| Assisted Living | $4,750/mo | $4,250/mo | +$500 |
| Home Health Aide | $26.00/hr | $23.00/hr | +$3.00 |
| Adult Day Care | $1,833/mo | $1,517/mo | +$316 |
| Homemaker Services | $24.00/hr | $21.00/hr | +$3.00 |
Annual Cost Comparison
Maryland Annual Costs
Nursing Home (Private)$131,784/yr
Assisted Living$57,000/yr
Home Health Aide (8hr/day)$54,912/yr
Adult Day Care$21,996/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
Senior Care Planning Resources
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Medicare Part A Coverage
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Frequently Asked Questions
Which state has cheaper nursing homes: Maryland or North Carolina?
North Carolina has lower nursing home costs. Maryland averages $10,982/month while North Carolina averages $8,304/month, a difference of $2,678/month.
How do assisted living costs compare between Maryland and North Carolina?
Assisted living in Maryland costs $4,750/month compared to $4,250/month in North Carolina.
What about home health aide costs?
Home health aides charge $26.00/hour in Maryland 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. Maryland: Maryland Medicaid covers nursing homes. Community Options waiver and other HCBS programs available.... 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