2026 National Senior Care Cost Index • Updated with U.S. Census ACS & CMS Medicare Data Covering 51 States & DC • 29,639 Cities • 14,676 CMS Facilities

2026 Senior Living & Nursing Home Costs in Maryland

Compare monthly care rates across 430 cities and 221 CMS-certified nursing facilities in Maryland.

2026 Medicaid Income Cap: $2,901/mo CMS Certified Facilities: 221 Avg. Home Value: $366,278
Assisted Living🏠
$7,700/mo
$92,400/year
+24% vs U.S. avg
Memory Care🧠
$9,390/mo
$112,680/year
+24% vs U.S. avg
Home Care (44h/wk)🤝
$8,290/mo
$43.47 per hour
+24% vs U.S. avg
Nursing Home (Semi)🏥
$11,900/mo
Private room: $13,410/mo
+24% vs U.S. avg

2026 Long-Term Care Financial & Runway Simulator

Models eldercare inflation, home equity liquidation fees (7%), income offsets & Medicaid spend-down rules.

1. Select Care Setting & Schedule
Assisted Living$7,700/mo
Memory Care$9,390/mo
Home Care$43.47/hr
Nursing Semi$11,900/mo
Nursing Priv$13,410/mo
Planning Horizon 3 Years (36 mos)
Average U.S. assisted living stay: 28–36 mos
Annual Care Inflation 4.0% / yr
Historical eldercare inflation: 3.5%–4.5%/yr
2. Monthly Income & Insurance Offsets
Social Security & Pension ($/mo)
LTC Insurance / VA Benefit ($/mo)
VA Aid & Attendance up to $2,358/mo
3. Capital & Home Equity Reserves
Liquid Savings & IRA ($)
Home Value / Equity ($) Net: $341k
Auto-deducts 7% realtor & closing costs
Total Projected Care Cost
$0
Year 1 → Year 3
Net Out-of-Pocket Gap
$0
Initial monthly shortfall: $0/mo
Annual Care Cost vs. Remaining Capital End Balance: $0
Annual Care Cost (Inflation-Adjusted) Remaining Net Capital
2026 Cost Crossover Analysis

Home Care vs. Assisted Living Break-Even Point in Maryland

40.9 hrs/wk Break-even threshold

At Maryland's average caregiver rate of $43.47/hr, hiring in-home care equals the $7,700/mo cost of Assisted Living at exactly 40.9 hours per week (~5.8 hrs/day).

Part-Time Care (15 hrs/wk) Crossover: 40.9 hrs/wk 24/7 Shifts (168 hrs/wk)
Home Care Cheaper 20 hrs/wk at Home
$3,767/mo

Saves $3,933/mo vs. Assisted Living (excludes home mortgage/utilities).

Full-Time Benchmark (44h/wk) 44 hrs/wk vs. Assisted Living
$8,288 vs. $7,700/mo

Full-time home care costs $588/mo more than Assisted Living (where meals & utilities are included).

Facility Cheaper 80+ hrs/wk (Day + Night)
$15,068/mo

Assisted Living saves $7,368/mo; Memory Care averages $9,390/mo.

Major Cities in Maryland

Sorted by number of Medicare-certified care facilities and local market size.

City County Assisted Living Memory Care Nursing Home (Semi) Median Home Value CMS Facilities
Baltimore Anne Arundel $8,990/mo $10,970/mo $13,890/mo $450,300 39
Silver Spring Montgomery $9,350/mo $11,410/mo $14,450/mo $615,200 12
Catonsville Baltimore $5,270/mo $6,430/mo $8,150/mo $219,300 8
Towson Baltimore $5,270/mo $6,430/mo $8,150/mo $219,300 8
Rockville Montgomery $9,350/mo $11,410/mo $14,450/mo $615,200 7
Frederick Frederick $8,230/mo $10,040/mo $12,720/mo $437,700 6
Hagerstown Washington $5,200/mo $6,340/mo $8,040/mo $275,900 6
Annapolis Anne Arundel $8,990/mo $10,970/mo $13,890/mo $450,300 4
Bethesda Montgomery $9,350/mo $11,410/mo $14,450/mo $615,200 4
Cumberland Allegany $4,340/mo $5,290/mo $6,710/mo $149,200 4
Salisbury Wicomico $5,530/mo $6,750/mo $8,550/mo $238,900 4
Chestertown Kent $5,330/mo $6,500/mo $8,230/mo $307,100 3
Clinton Prince Georges $7,780/mo $9,490/mo $12,030/mo $404,300 3
Ellicott City Howard $9,930/mo $12,110/mo $15,340/mo $576,700 3
Glen Burnie Anne Arundel $8,990/mo $10,970/mo $13,890/mo $450,300 3
Hyattsville Prince Georges $7,780/mo $9,490/mo $12,030/mo $404,300 3
Oakland Garrett $4,340/mo $5,290/mo $6,710/mo $217,000 3
Randallstown Baltimore $5,270/mo $6,430/mo $8,150/mo $219,300 3
Sykesville Carroll $7,190/mo $8,770/mo $11,110/mo $406,400 3
Westminster Carroll $7,190/mo $8,770/mo $11,110/mo $406,400 3
Bel Air Harford $7,550/mo $9,210/mo $11,670/mo $367,300 2
Boonsboro Washington $5,200/mo $6,340/mo $8,040/mo $275,900 2
Cambridge Dorchester $4,410/mo $5,380/mo $6,810/mo $252,300 2
Cockeysville Baltimore $5,270/mo $6,430/mo $8,150/mo $219,300 2
Columbia Howard $9,930/mo $12,110/mo $15,340/mo $576,700 2
Denton Caroline $4,880/mo $5,950/mo $7,550/mo $272,400 2
Easton Talbot $5,910/mo $7,210/mo $9,130/mo $398,300 2
Elkton Cecil $6,430/mo $7,840/mo $9,940/mo $311,800 2
Frostburg Allegany $4,340/mo $5,290/mo $6,710/mo $149,200 2
Gaithersburg Montgomery $9,350/mo $11,410/mo $14,450/mo $615,200 2
Havre De Grace Harford $7,550/mo $9,210/mo $11,670/mo $367,300 2
Laurel Anne Arundel $8,990/mo $10,970/mo $13,890/mo $450,300 2
Mount Airy Frederick $8,230/mo $10,040/mo $12,720/mo $437,700 2
Sandy Spring Montgomery $9,350/mo $11,410/mo $14,450/mo $615,200 2
Solomons Calvert $8,570/mo $10,460/mo $13,240/mo $440,200 2
Williamsport Washington $5,200/mo $6,340/mo $8,040/mo $275,900 2
Adamstown Frederick $8,230/mo $10,040/mo $12,720/mo $437,700 1
Arnold Anne Arundel $8,990/mo $10,970/mo $13,890/mo $450,300 1
Belcamp Harford $7,550/mo $9,210/mo $11,670/mo $367,300 1
Berlin Worcester $5,640/mo $6,880/mo $8,710/mo $348,100 1
Bowie Prince Georges $7,780/mo $9,490/mo $12,030/mo $404,300 1
Burtonsville Montgomery $9,350/mo $11,410/mo $14,450/mo $615,200 1
Centreville Queen Annes $7,760/mo $9,470/mo $11,990/mo $441,800 1
Charlotte Hall Saint Marys $7,700/mo $9,390/mo $11,900/mo $412,644 1
Chevy Chase Montgomery $9,350/mo $11,410/mo $14,450/mo $615,200 1
Crisfield Somerset $4,340/mo $5,290/mo $6,710/mo $164,300 1
Crofton Anne Arundel $8,990/mo $10,970/mo $13,890/mo $450,300 1
Crownsville Anne Arundel $8,990/mo $10,970/mo $13,890/mo $450,300 1
Dundalk Baltimore $5,270/mo $6,430/mo $8,150/mo $219,300 1
Edgewater Anne Arundel $8,990/mo $10,970/mo $13,890/mo $450,300 1
Elkridge Howard $9,930/mo $12,110/mo $15,340/mo $576,700 1
Essex Baltimore $5,270/mo $6,430/mo $8,150/mo $219,300 1
Forest Hill Harford $7,550/mo $9,210/mo $11,670/mo $367,300 1
Fort Washington Prince Georges $7,780/mo $9,490/mo $12,030/mo $404,300 1
Gambrills Anne Arundel $8,990/mo $10,970/mo $13,890/mo $450,300 1
Glen Arm Baltimore $5,270/mo $6,430/mo $8,150/mo $219,300 1
Grantsville Garrett $4,340/mo $5,290/mo $6,710/mo $217,000 1
Kensington Montgomery $9,350/mo $11,410/mo $14,450/mo $615,200 1
La Plata Charles $8,750/mo $10,680/mo $13,520/mo $402,300 1
Lanham Prince Georges $7,780/mo $9,490/mo $12,030/mo $404,300 1
Leonardtown Saint Marys $7,700/mo $9,390/mo $11,900/mo $412,644 1
Lexington Park Saint Marys $7,700/mo $9,390/mo $11,900/mo $412,644 1
Lonaconing Allegany $4,340/mo $5,290/mo $6,710/mo $149,200 1
Manchester Carroll $7,190/mo $8,770/mo $11,110/mo $406,400 1
Middle River Baltimore $5,270/mo $6,430/mo $8,150/mo $219,300 1
Parkville Baltimore $5,270/mo $6,430/mo $8,150/mo $219,300 1
Pikesville Baltimore $5,270/mo $6,430/mo $8,150/mo $219,300 1
Pocomoke City Worcester $5,640/mo $6,880/mo $8,710/mo $348,100 1
Potomac Montgomery $9,350/mo $11,410/mo $14,450/mo $615,200 1
Prince Frederick Calvert $8,570/mo $10,460/mo $13,240/mo $440,200 1
Princess Anne Somerset $4,340/mo $5,290/mo $6,710/mo $164,300 1
Reisterstown Baltimore $5,270/mo $6,430/mo $8,150/mo $219,300 1
Rising Sun Cecil $6,430/mo $7,840/mo $9,940/mo $311,800 1
Riverdale Prince Georges $7,780/mo $9,490/mo $12,030/mo $404,300 1
Severna Park Anne Arundel $8,990/mo $10,970/mo $13,890/mo $450,300 1
Snow Hill Worcester $5,640/mo $6,880/mo $8,710/mo $348,100 1
Takoma Park Montgomery $9,350/mo $11,410/mo $14,450/mo $615,200 1
Taneytown Carroll $7,190/mo $8,770/mo $11,110/mo $406,400 1
Waldorf Charles $8,750/mo $10,680/mo $13,520/mo $402,300 1
Walkersville Frederick $8,230/mo $10,040/mo $12,720/mo $437,700 1

Maryland Senior Care FAQ (2026)

The statewide average for assisted living in Maryland is $7,700 per month ($92,400 per year), compared to the U.S. national median of $6,200 per month.
In Maryland, a semi-private room in a CMS-certified nursing home averages $11,900 per month, while a private room averages $13,410 per month.
For 2026, the standard individual monthly income limit for long-term care Medicaid in Maryland is $2,901 per month.