Elder Care Cost: Boston, MA vs Louisville, KY (2026)
Louisville, KY assisted living runs $4,000/month — $2,300/month less than Boston, MA's $6,300/month. That's $27,600/year.
Boston, MA, MA
$6,300
assisted living/month
+$1,800 vs national avg
Louisville, KY, KY
$4,000
assisted living/month
-$500 vs national avg
Boston, MA vs Louisville, KY — All Care Types
Monthly costs. Green = lower cost. National average shown for context.
| Care Type | Boston, MA | Louisville, KY |
|---|---|---|
| Assisted Living | $6,300/mo | $4,000/mo ✓ |
| Nursing Home (Private) | $14,500/mo | $8,700/mo ✓ |
| In-Home Aide | $6,700/mo | $4,600/mo ✓ |
| Memory Care | $8,700/mo | $5,600/mo ✓ |
| Adult Day Care | $2,200/mo | $1,350/mo ✓ |
Source: Genworth/CareScout Cost of Care Survey. 2026 estimates.
Annual Cost Impact
For assisted living, Louisville, KY costs $48,000/year vs Boston, MA's $75,600/year.
Monthly savings
$2,300
Annual savings
$27,600
2-year total savings
$55,200
% difference
57%
Savings = Boston, MA cost minus Louisville, KY cost. Assisted living only.
Overall, Louisville, KY is more affordable — lower cost on 5 of 5 care types.
Frequently Asked Questions
Is elder care cheaper in Boston, MA or Louisville, KY?
Louisville, KY has lower assisted living costs at $4,000/month vs. $6,300/month in Boston, MA — a difference of $2,300/month ($27,600/year).
What types of elder care are compared here?
This page compares five common senior care types: assisted living, nursing home (private room), in-home aide (44 hrs/week), memory care, and adult day care. These cover the full range from part-time supervision to full residential skilled nursing care.
How do these cities compare to the national average?
The national average for assisted living is $4,500/month. Boston, MA is $1,800 above the national average. Louisville, KY is $500 below the national average.