Massachusetts vs Pennsylvania: 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?
Pennsylvania has lower nursing home costs by $3,924/month ($47,088/year). Over 5 years, that's a difference of $235,440.
Detailed Cost Comparison
| Care Type | Massachusetts | Pennsylvania | Difference |
|---|---|---|---|
| Nursing Home (Private) | $13,992/mo | $10,068/mo | +$3,924 |
| Nursing Home (Semi-Private) | $12,167/mo | $9,050/mo | +$3,117 |
| Assisted Living | $5,750/mo | $4,500/mo | +$1,250 |
| Home Health Aide | $30.00/hr | $25.00/hr | +$5.00 |
| Adult Day Care | $2,100/mo | $1,733/mo | +$367 |
| Homemaker Services | $28.00/hr | $23.00/hr | +$5.00 |
Annual Cost Comparison
Massachusetts Annual Costs
Nursing Home (Private)$167,904/yr
Assisted Living$69,000/yr
Home Health Aide (8hr/day)$63,360/yr
Adult Day Care$25,200/yr
Pennsylvania Annual Costs
Nursing Home (Private)$120,816/yr
Assisted Living$54,000/yr
Home Health Aide (8hr/day)$52,800/yr
Adult Day Care$20,796/yr
Senior Care Planning Resources
Long-Term Care Insurance Quotes
Protect your savings with affordable LTC insurance coverage.
Medicaid Planning Services
Navigate Medicaid eligibility and asset protection strategies.
Medicare Part A Coverage
Understand what Medicare covers for skilled nursing facility care.
Elder Law Attorneys
Get legal help with estate planning and Medicaid spend-down rules.
Frequently Asked Questions
Which state has cheaper nursing homes: Massachusetts or Pennsylvania?
Pennsylvania has lower nursing home costs. Massachusetts averages $13,992/month while Pennsylvania averages $10,068/month, a difference of $3,924/month.
How do assisted living costs compare between Massachusetts and Pennsylvania?
Assisted living in Massachusetts costs $5,750/month compared to $4,500/month in Pennsylvania.
What about home health aide costs?
Home health aides charge $30.00/hour in Massachusetts and $25.00/hour in Pennsylvania.
Which state has better Medicaid coverage for senior care?
Both states offer Medicaid coverage for nursing home care. Massachusetts: MassHealth covers nursing facility care. Frail Elder waiver and Senior Care Options program available.... Pennsylvania: Pennsylvania Medicaid covers nursing home care. LIFE program and aging waiver for community services....
Was this data helpful?
Data verified March 2026 · Source: Genworth Cost of Care Survey