Elder Care Cost: Louisville, KY vs Nashville, TN (2026)
Louisville, KY assisted living runs $4,000/month — $400/month less than Nashville, TN's $4,400/month. That's $4,800/year.
Louisville, KY, KY
$4,000
assisted living/month
-$500 vs national avg
Nashville, TN, TN
$4,400
assisted living/month
-$100 vs national avg
Louisville, KY vs Nashville, TN — All Care Types
Monthly costs. Green = lower cost. National average shown for context.
| Care Type | Louisville, KY | Nashville, TN |
|---|---|---|
| Assisted Living | $4,000/mo ✓ | $4,400/mo |
| Nursing Home (Private) | $8,700/mo | $8,200/mo ✓ |
| In-Home Aide | $4,600/mo | $4,600/mo |
| Memory Care | $5,600/mo ✓ | $6,100/mo |
| Adult Day Care | $1,350/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 Nashville, TN's $52,800/year.
Monthly savings
$400
Annual savings
$4,800
2-year total savings
$9,600
% difference
10%
Savings = Nashville, TN cost minus Louisville, KY cost. Assisted living only.
Overall, Louisville, KY is more affordable — lower cost on 2 of 5 care types.
Frequently Asked Questions
Is elder care cheaper in Louisville, KY or Nashville, TN?
Louisville, KY has lower assisted living costs at $4,000/month vs. $4,400/month in Nashville, TN — a difference of $400/month ($4,800/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. Louisville, KY is $500 below the national average. Nashville, TN is $100 below the national average.