Montana 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 $1,202/month ($14,424/year). Over 5 years, that's a difference of $72,120.
Detailed Cost Comparison
| Care Type | Montana | North Carolina | Difference |
|---|---|---|---|
| Nursing Home (Private) | $9,506/mo | $8,304/mo | +$1,202 |
| Nursing Home (Semi-Private) | $8,517/mo | $7,452/mo | +$1,065 |
| Assisted Living | $4,500/mo | $4,250/mo | +$250 |
| Home Health Aide | $28.00/hr | $23.00/hr | +$5.00 |
| Adult Day Care | $1,650/mo | $1,517/mo | +$133 |
| Homemaker Services | $26.00/hr | $21.00/hr | +$5.00 |
Annual Cost Comparison
Montana Annual Costs
Nursing Home (Private)$114,072/yr
Assisted Living$54,000/yr
Home Health Aide (8hr/day)$59,136/yr
Adult Day Care$19,800/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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Elder Law Attorneys
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Frequently Asked Questions
Which state has cheaper nursing homes: Montana or North Carolina?
North Carolina has lower nursing home costs. Montana averages $9,506/month while North Carolina averages $8,304/month, a difference of $1,202/month.
How do assisted living costs compare between Montana and North Carolina?
Assisted living in Montana costs $4,500/month compared to $4,250/month in North Carolina.
What about home health aide costs?
Home health aides charge $28.00/hour in Montana 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. Montana: Montana Medicaid covers nursing home care. Big Sky waiver for home and community-based services.... 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