Elder Care Cost: Honolulu, HI vs San Diego, CA (2026)
San Diego, CA assisted living runs $6,000/month — $200/month less than Honolulu, HI's $6,200/month. That's $2,400/year.
Honolulu, HI, HI
$6,200
assisted living/month
+$1,700 vs national avg
San Diego, CA, CA
$6,000
assisted living/month
+$1,500 vs national avg
Honolulu, HI vs San Diego, CA — All Care Types
Monthly costs. Green = lower cost. National average shown for context.
| Care Type | Honolulu, HI | San Diego, CA |
|---|---|---|
| Assisted Living | $6,200/mo | $6,000/mo ✓ |
| Nursing Home (Private) | $14,400/mo | $12,000/mo ✓ |
| In-Home Aide | $7,100/mo | $7,100/mo |
| Memory Care | $8,600/mo | $8,200/mo ✓ |
| Adult Day Care | $2,200/mo | $2,050/mo ✓ |
Source: Genworth/CareScout Cost of Care Survey. 2026 estimates.
Annual Cost Impact
For assisted living, San Diego, CA costs $72,000/year vs Honolulu, HI's $74,400/year.
Monthly savings
$200
Annual savings
$2,400
2-year total savings
$4,800
% difference
3%
Savings = Honolulu, HI cost minus San Diego, CA cost. Assisted living only.
Overall, San Diego, CA is more affordable — lower cost on 4 of 5 care types.
Frequently Asked Questions
Is elder care cheaper in Honolulu, HI or San Diego, CA?
San Diego, CA has lower assisted living costs at $6,000/month vs. $6,200/month in Honolulu, HI — a difference of $200/month ($2,400/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. Honolulu, HI is $1,700 above the national average. San Diego, CA is $1,500 above the national average.