ElderCarePeek

New Hampshire vs North Carolina: Senior Care Cost Comparison (2026)

Side-by-side comparison of nursing home, assisted living, and home care costs.

New Hampshire

$12,167/mo

Nursing home (private room)

Senior population: 18.7%

North Carolina

$8,304/mo

Nursing home (private room)

Senior population: 17%

Which State is More Affordable for Senior Care?

North Carolina has lower nursing home costs by $3,863/month ($46,356/year). Over 5 years, that's a difference of $231,780.

Detailed Cost Comparison

Care TypeNew HampshireNorth CarolinaDifference
Nursing Home (Private)$12,167/mo$8,304/mo+$3,863
Nursing Home (Semi-Private)$11,135/mo$7,452/mo+$3,683
Assisted Living$5,500/mo$4,250/mo+$1,250
Home Health Aide$29.00/hr$23.00/hr+$6.00
Adult Day Care$2,017/mo$1,517/mo+$500
Homemaker Services$27.00/hr$21.00/hr+$6.00

Annual Cost Comparison

New Hampshire Annual Costs

Nursing Home (Private)$146,004/yr
Assisted Living$66,000/yr
Home Health Aide (8hr/day)$61,248/yr
Adult Day Care$24,204/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

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Frequently Asked Questions

Which state has cheaper nursing homes: New Hampshire or North Carolina?
North Carolina has lower nursing home costs. New Hampshire averages $12,167/month while North Carolina averages $8,304/month, a difference of $3,863/month.
How do assisted living costs compare between New Hampshire and North Carolina?
Assisted living in New Hampshire costs $5,500/month compared to $4,250/month in North Carolina.
What about home health aide costs?
Home health aides charge $29.00/hour in New Hampshire 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. New Hampshire: New Hampshire Medicaid covers nursing facilities. Choices for Independence waiver for community care.... 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