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 Massachusetts

Compare monthly care rates across 511 cities and 341 CMS-certified nursing facilities in Massachusetts.

2026 Medicaid Income Cap: $2,901/mo CMS Certified Facilities: 341 Avg. Home Value: $507,523
Assisted Living🏠
$7,750/mo
$93,000/year
+25% vs U.S. avg
Memory Care🧠
$9,460/mo
$113,520/year
+25% vs U.S. avg
Home Care (44h/wk)🤝
$8,340/mo
$43.75 per hour
+25% vs U.S. avg
Nursing Home (Semi)🏥
$11,980/mo
Private room: $13,500/mo
+25% 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$7,750/mo
Memory Care$9,460/mo
Home Care$43.75/hr
Nursing Semi$11,980/mo
Nursing Priv$13,500/mo
Planning Horizon 3 Years (36 mos)
Average U.S. assisted living stay: 28–36 mos
Annual Care Inflation 4.0% / yr
Historical eldercare inflation: 3.5%–4.5%/yr
2. Monthly Income & Insurance Offsets
Social Security & Pension ($/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: $472k
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 Massachusetts

40.9 hrs/wk Break-even threshold

At Massachusetts's average caregiver rate of $43.75/hr, hiring in-home care equals the $7,750/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
$3,791/mo

Saves $3,959/mo vs. Assisted Living (excludes home mortgage/utilities).

Full-Time Benchmark (44h/wk) 44 hrs/wk vs. Assisted Living
$8,341 vs. $7,750/mo

Full-time home care costs $591/mo more than Assisted Living (where meals & utilities are included).

Facility Cheaper 80+ hrs/wk (Day + Night)
$15,166/mo

Assisted Living saves $7,416/mo; Memory Care averages $9,460/mo.

Major Cities in Massachusetts

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
Worcester Worcester $6,450/mo $7,870/mo $9,970/mo $390,700 16
Boston Suffolk $8,370/mo $10,210/mo $12,940/mo $680,700 11
Holyoke Hampden $5,110/mo $6,230/mo $7,890/mo $276,300 8
Fall River Bristol $5,720/mo $6,980/mo $8,840/mo $421,800 7
Lowell Middlesex $9,550/mo $11,650/mo $14,760/mo $687,200 7
Haverhill Essex $7,510/mo $9,160/mo $11,600/mo $584,000 6
New Bedford Bristol $5,720/mo $6,980/mo $8,840/mo $421,800 6
Brockton Plymouth $7,770/mo $9,480/mo $12,000/mo $513,000 5
Danvers Essex $7,510/mo $9,160/mo $11,600/mo $584,000 5
Framingham Middlesex $9,550/mo $11,650/mo $14,760/mo $687,200 5
Peabody Essex $7,510/mo $9,160/mo $11,600/mo $584,000 5
Agawam Hampden $5,110/mo $6,230/mo $7,890/mo $276,300 4
Braintree Norfolk $9,400/mo $11,470/mo $14,520/mo $649,400 4
Chelsea Suffolk $8,370/mo $10,210/mo $12,940/mo $680,700 4
Norwood Norfolk $9,400/mo $11,470/mo $14,520/mo $649,400 4
Pittsfield Berkshire $5,000/mo $6,100/mo $7,720/mo $283,800 4
Quincy Norfolk $9,400/mo $11,470/mo $14,520/mo $649,400 4
Beverly Essex $7,510/mo $9,160/mo $11,600/mo $584,000 3
Cambridge Middlesex $9,550/mo $11,650/mo $14,760/mo $687,200 3
East Longmeadow Hampden $5,110/mo $6,230/mo $7,890/mo $276,300 3
Fairhaven Bristol $5,720/mo $6,980/mo $8,840/mo $421,800 3
Fitchburg Worcester $6,450/mo $7,870/mo $9,970/mo $390,700 3
Greenfield Franklin $5,340/mo $6,510/mo $8,250/mo $303,400 3
Hingham Plymouth $7,770/mo $9,480/mo $12,000/mo $513,000 3
Lexington Middlesex $9,550/mo $11,650/mo $14,760/mo $687,200 3
Marlborough Middlesex $9,550/mo $11,650/mo $14,760/mo $687,200 3
Medford Middlesex $9,550/mo $11,650/mo $14,760/mo $687,200 3
Milford Worcester $6,450/mo $7,870/mo $9,970/mo $390,700 3
Natick Middlesex $9,550/mo $11,650/mo $14,760/mo $687,200 3
Newburyport Essex $7,510/mo $9,160/mo $11,600/mo $584,000 3
North Andover Essex $7,510/mo $9,160/mo $11,600/mo $584,000 3
Plymouth Plymouth $7,770/mo $9,480/mo $12,000/mo $513,000 3
Taunton Bristol $5,720/mo $6,980/mo $8,840/mo $421,800 3
Webster Worcester $6,450/mo $7,870/mo $9,970/mo $390,700 3
Westborough Worcester $6,450/mo $7,870/mo $9,970/mo $390,700 3
Weymouth Norfolk $9,400/mo $11,470/mo $14,520/mo $649,400 3
Amesbury Essex $7,510/mo $9,160/mo $11,600/mo $584,000 2
Andover Essex $7,510/mo $9,160/mo $11,600/mo $584,000 2
Attleboro Bristol $5,720/mo $6,980/mo $8,840/mo $421,800 2
Chelmsford Middlesex $9,550/mo $11,650/mo $14,760/mo $687,200 2
Falmouth Barnstable $7,150/mo $8,720/mo $11,050/mo $575,900 2
Gardner Worcester $6,450/mo $7,870/mo $9,970/mo $390,700 2
Great Barrington Berkshire $5,000/mo $6,100/mo $7,720/mo $283,800 2
Lawrence Essex $7,510/mo $9,160/mo $11,600/mo $584,000 2
Lenox Berkshire $5,000/mo $6,100/mo $7,720/mo $283,800 2
Leominster Worcester $6,450/mo $7,870/mo $9,970/mo $390,700 2
Lynn Essex $7,510/mo $9,160/mo $11,600/mo $584,000 2
Marblehead Essex $7,510/mo $9,160/mo $11,600/mo $584,000 2
Melrose Middlesex $9,550/mo $11,650/mo $14,760/mo $687,200 2
Methuen Essex $7,510/mo $9,160/mo $11,600/mo $584,000 2
Middleboro Plymouth $7,770/mo $9,480/mo $12,000/mo $513,000 2
Needham Norfolk $9,400/mo $11,470/mo $14,520/mo $649,400 2
Newton Middlesex $9,550/mo $11,650/mo $14,760/mo $687,200 2
Northborough Worcester $6,450/mo $7,870/mo $9,970/mo $390,700 2
Norwell Plymouth $7,770/mo $9,480/mo $12,000/mo $513,000 2
Rockland Plymouth $7,770/mo $9,480/mo $12,000/mo $513,000 2
Saugus Essex $7,510/mo $9,160/mo $11,600/mo $584,000 2
Scituate Plymouth $7,770/mo $9,480/mo $12,000/mo $513,000 2
Somerset Bristol $5,720/mo $6,980/mo $8,840/mo $421,800 2
Springfield Hampden $5,110/mo $6,230/mo $7,890/mo $276,300 2
Stoneham Middlesex $9,550/mo $11,650/mo $14,760/mo $687,200 2
Stoughton Norfolk $9,400/mo $11,470/mo $14,520/mo $649,400 2
Sudbury Middlesex $9,550/mo $11,650/mo $14,760/mo $687,200 2
Wakefield Middlesex $9,550/mo $11,650/mo $14,760/mo $687,200 2
Waltham Middlesex $9,550/mo $11,650/mo $14,760/mo $687,200 2
Wellesley Norfolk $9,400/mo $11,470/mo $14,520/mo $649,400 2
Westfield Hampden $5,110/mo $6,230/mo $7,890/mo $276,300 2
Wilbraham Hampden $5,110/mo $6,230/mo $7,890/mo $276,300 2
Wilmington Middlesex $9,550/mo $11,650/mo $14,760/mo $687,200 2
Winchester Middlesex $9,550/mo $11,650/mo $14,760/mo $687,200 2
Wrentham Norfolk $9,400/mo $11,470/mo $14,520/mo $649,400 2
Abington Plymouth $7,770/mo $9,480/mo $12,000/mo $513,000 1
Acton Middlesex $9,550/mo $11,650/mo $14,760/mo $687,200 1
Amherst Hampshire $6,190/mo $7,550/mo $9,570/mo $363,400 1
Arlington Middlesex $9,550/mo $11,650/mo $14,760/mo $687,200 1
Ashland Middlesex $9,550/mo $11,650/mo $14,760/mo $687,200 1
Athol Worcester $6,450/mo $7,870/mo $9,970/mo $390,700 1
Auburn Worcester $6,450/mo $7,870/mo $9,970/mo $390,700 1
Ayer Middlesex $9,550/mo $11,650/mo $14,760/mo $687,200 1
Baldwinville Worcester $6,450/mo $7,870/mo $9,970/mo $390,700 1

Massachusetts Senior Care FAQ (2026)

The statewide average for assisted living in Massachusetts is $7,750 per month ($93,000 per year), compared to the U.S. national median of $6,200 per month.
In Massachusetts, a semi-private room in a CMS-certified nursing home averages $11,980 per month, while a private room averages $13,500 per month.
For 2026, the standard individual monthly income limit for long-term care Medicaid in Massachusetts is $2,901 per month.