Elder Care Cost in St. Louis, MO (2026)
Assisted living in St. Louis, MO averages $3,800/month (16% below national avg). Nursing home private room: $7,500/month. In-home aide: $4,700/month.
Source: Genworth/CareScout Cost of Care Survey 2024–2025
Assisted Living
$3,800
per month
Nursing Home
$7,500
private room
In-Home Aide
$4,700
44 hrs/week
Memory Care
$5,300
per month
Adult Day Care
$1,300
per month
How St. Louis, MO compares
Care type
Assisted Living
St. Louis, MO
$3,800/mo
National avg
$4,500/mo
Nursing Home
private room
$7,500/mo
$9,733/mo
In-Home Aide
44 hrs/week
$4,700/mo
$5,339/mo
Memory Care
$5,300/mo
$6,200/mo
Annual costs in St. Louis, MO
Assisted living
$45,600/year
or $3,800/month
Nursing home (private room)
$90,000/year
or $7,500/month
Most families need 2–4 years of care on average. At St. Louis, MO assisted living rates, that's $91,200–$182,400 total before insurance or Medicaid.
St. Louis, MO vs Missouri statewide average
Assisted living
St. Louis, MO is 6% above the state average
Nursing home (private)
Understanding care types in St. Louis, MO
Assisted Living — $3,800/mo
Private apartment-style living with meals, housekeeping, medication management, and help with bathing or dressing. Good fit when someone needs regular support but not 24-hour nursing. No Medicare coverage. Most families pay privately.
Nursing Home — $7,500/mo
24-hour skilled nursing care. Required when someone needs ongoing medical attention — wound care, IV medications, physical therapy. Medicare covers the first 100 days after a qualifying hospital stay; Medicaid pays for long-term stays for those who qualify.
In-Home Aide — $4,700/mo
A home health aide comes to the house — typically 44 hours/week based on survey methodology. Covers personal care, light housekeeping, and companionship. Part-time (20 hrs/week) runs roughly $2,400/month in St. Louis, MO.
Memory Care — $5,300/mo
A secured unit within or attached to an assisted living facility, designed for residents with Alzheimer's or other dementias. Higher staff ratios and specialized programming push costs $1,500/month above standard assisted living in St. Louis, MO.
Nearby cities
Columbia, MO
$3,700/mo
assisted living
Kansas City, MO
$3,800/mo
assisted living
Springfield, MO
$3,600/mo
assisted living
Little Rock, AR
$3,600/mo
assisted living
Albuquerque, NM
$4,100/mo
assisted living
Hialeah, FL
$4,200/mo
assisted living
San Diego, CA
$6,000/mo
assisted living
Louisville, KY
$4,000/mo
assisted living
Amarillo, TX
$3,900/mo
assisted living
Full Missouri data
Statewide averages, Medicaid coverage details, and all care-type breakdowns.
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