Nursing home and long-term care costs in Hawaii
CareScout's 2025 survey median for a semi-private nursing home room in Hawaii is $185,679 a year ($15,473 a month) — 61% above the national median of $114,975.
Median costs in Hawaii (2025)
| Setting | Annual median | Monthly |
|---|---|---|
| Nursing home — semi-private room | $185,679 | $15,473 |
| Nursing home — private room | $196,735 | $16,395 |
| Assisted living community | $145,155 | $12,096 |
| Adult day health care | $30,615 | $2,551 |
| Homemaker services (44 h/week) | $93,808 | $7,817 |
| In-home caregiver (hourly median) | $41/hour | — |
What drives cost in Hawaii
State medians reflect local wages, staffing requirements and demand. Within Hawaii, urban facilities usually cost more than rural ones, private rooms cost more than semi-private, and memory care or skilled nursing costs more than basic assisted living. The median is a starting point: ask each facility for its complete fee schedule, including medication management, therapy, laundry, transport and any entrance or community fee.
What the survey does not include
The figures are private-pay medians for the base service. Nursing home rates generally exclude medications, specialised therapies and transport; assisted living rates often exclude a la carte care charges. Long-term insurance, Medicaid and VA benefits can change what a family actually pays — see the payment guides below.
Nursing homes in Hawaii
Compare the local facilities and their CMS ratings: all certified nursing homes in Hawaii.
Frequently asked questions
How much does a nursing home cost in Hawaii?
The 2025 CareScout survey median for a semi-private room in Hawaii is $185,679 a year ($15,473 a month); a private room is $196,735. Actual prices vary by facility and contract.
How much is assisted living in Hawaii?
The median assisted living rate in Hawaii is $145,155 a year ($12,096 a month), excluding a la carte care charges.
How much does in-home care cost in Hawaii?
The median non-medical caregiver rate in Hawaii is $41 per hour; homemaker services at 44 hours a week cost $93,808 a year.
Written and maintained by the US Nursing Homes data team · last reviewed 2026-10-24 · sources and methodology.