Nursing home and long-term care costs in Massachusetts
CareScout's 2025 survey median for a semi-private nursing home room in Massachusetts is $173,375 a year ($14,448 a month) — 51% above the national median of $114,975.
Median costs in Massachusetts (2025)
| Setting | Annual median | Monthly |
|---|---|---|
| Nursing home — semi-private room | $173,375 | $14,448 |
| Nursing home — private room | $189,800 | $15,817 |
| Assisted living community | $115,200 | $9,600 |
| Adult day health care | $29,120 | $2,427 |
| Homemaker services (44 h/week) | $91,520 | $7,627 |
| In-home caregiver (hourly median) | $40/hour | — |
What drives cost in Massachusetts
State medians reflect local wages, staffing requirements and demand. Within Massachusetts, 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 Massachusetts
Compare the local facilities and their CMS ratings: all certified nursing homes in Massachusetts.
Frequently asked questions
How much does a nursing home cost in Massachusetts?
The 2025 CareScout survey median for a semi-private room in Massachusetts is $173,375 a year ($14,448 a month); a private room is $189,800. Actual prices vary by facility and contract.
How much is assisted living in Massachusetts?
The median assisted living rate in Massachusetts is $115,200 a year ($9,600 a month), excluding a la carte care charges.
How much does in-home care cost in Massachusetts?
The median non-medical caregiver rate in Massachusetts is $40 per hour; homemaker services at 44 hours a week cost $91,520 a year.
Written and maintained by the US Nursing Homes data team · last reviewed 2026-10-24 · sources and methodology.