Elder Care Cost: Fresno, CA vs Raleigh, NC (2026)
Raleigh, NC assisted living runs $4,300/month — $900/month less than Fresno, CA's $5,200/month. That's $10,800/year.
Fresno, CA, CA
$5,200
assisted living/month
+$700 vs national avg
Raleigh, NC, NC
$4,300
assisted living/month
-$200 vs national avg
Fresno, CA vs Raleigh, NC — All Care Types
Monthly costs. Green = lower cost. National average shown for context.
| Care Type | Fresno, CA | Raleigh, NC |
|---|---|---|
| Assisted Living | $5,200/mo | $4,300/mo ✓ |
| Nursing Home (Private) | $10,200/mo | $9,200/mo ✓ |
| In-Home Aide | $6,200/mo | $5,000/mo ✓ |
| Memory Care | $7,100/mo | $6,000/mo ✓ |
| Adult Day Care | $1,750/mo | $1,450/mo ✓ |
Source: Genworth/CareScout Cost of Care Survey. 2026 estimates.
Annual Cost Impact
For assisted living, Raleigh, NC costs $51,600/year vs Fresno, CA's $62,400/year.
Monthly savings
$900
Annual savings
$10,800
2-year total savings
$21,600
% difference
21%
Savings = Fresno, CA cost minus Raleigh, NC cost. Assisted living only.
Overall, Raleigh, NC is more affordable — lower cost on 5 of 5 care types.
Frequently Asked Questions
Is elder care cheaper in Fresno, CA or Raleigh, NC?
Raleigh, NC has lower assisted living costs at $4,300/month vs. $5,200/month in Fresno, CA — a difference of $900/month ($10,800/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. Fresno, CA is $700 above the national average. Raleigh, NC is $200 below the national average.