Elder Care Cost: Portland, OR vs Fresno, CA (2026)
Fresno, CA assisted living runs $5,200/month — $200/month less than Portland, OR's $5,400/month. That's $2,400/year.
Portland, OR, OR
$5,400
assisted living/month
+$900 vs national avg
Fresno, CA, CA
$5,200
assisted living/month
+$700 vs national avg
Portland, OR vs Fresno, CA — All Care Types
Monthly costs. Green = lower cost. National average shown for context.
| Care Type | Portland, OR | Fresno, CA |
|---|---|---|
| Assisted Living | $5,400/mo | $5,200/mo ✓ |
| Nursing Home (Private) | $11,500/mo | $10,200/mo ✓ |
| In-Home Aide | $6,300/mo | $6,200/mo ✓ |
| Memory Care | $7,500/mo | $7,100/mo ✓ |
| Adult Day Care | $1,900/mo | $1,750/mo ✓ |
Source: Genworth/CareScout Cost of Care Survey. 2026 estimates.
Annual Cost Impact
For assisted living, Fresno, CA costs $62,400/year vs Portland, OR's $64,800/year.
Monthly savings
$200
Annual savings
$2,400
2-year total savings
$4,800
% difference
4%
Savings = Portland, OR cost minus Fresno, CA cost. Assisted living only.
Overall, Fresno, CA is more affordable — lower cost on 5 of 5 care types.
Frequently Asked Questions
Is elder care cheaper in Portland, OR or Fresno, CA?
Fresno, CA has lower assisted living costs at $5,200/month vs. $5,400/month in Portland, OR — 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. Portland, OR is $900 above the national average. Fresno, CA is $700 above the national average.