Elder Care Cost: Honolulu, HI vs San Francisco, CA (2026)
Honolulu, HI assisted living runs $6,200/month — $800/month less than San Francisco, CA's $7,000/month. That's $9,600/year.
Honolulu, HI, HI
$6,200
assisted living/month
+$1,700 vs national avg
San Francisco, CA, CA
$7,000
assisted living/month
+$2,500 vs national avg
Honolulu, HI vs San Francisco, CA — All Care Types
Monthly costs. Green = lower cost. National average shown for context.
| Care Type | Honolulu, HI | San Francisco, CA |
|---|---|---|
| Assisted Living | $6,200/mo ✓ | $7,000/mo |
| Nursing Home (Private) | $14,400/mo | $14,000/mo ✓ |
| In-Home Aide | $7,100/mo ✓ | $8,200/mo |
| Memory Care | $8,600/mo ✓ | $9,600/mo |
| Adult Day Care | $2,200/mo ✓ | $2,400/mo |
Source: Genworth/CareScout Cost of Care Survey. 2026 estimates.
Annual Cost Impact
For assisted living, Honolulu, HI costs $74,400/year vs San Francisco, CA's $84,000/year.
Monthly savings
$800
Annual savings
$9,600
2-year total savings
$19,200
% difference
13%
Savings = San Francisco, CA cost minus Honolulu, HI cost. Assisted living only.
Overall, Honolulu, HI is more affordable — lower cost on 4 of 5 care types.
Frequently Asked Questions
Is elder care cheaper in Honolulu, HI or San Francisco, CA?
Honolulu, HI has lower assisted living costs at $6,200/month vs. $7,000/month in San Francisco, CA — a difference of $800/month ($9,600/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. Honolulu, HI is $1,700 above the national average. San Francisco, CA is $2,500 above the national average.