Elder Care Cost: Sacramento, CA vs Honolulu, HI (2026)
Sacramento, CA assisted living runs $5,500/month — $700/month less than Honolulu, HI's $6,200/month. That's $8,400/year.
Sacramento, CA, CA
$5,500
assisted living/month
+$1,000 vs national avg
Honolulu, HI, HI
$6,200
assisted living/month
+$1,700 vs national avg
Sacramento, CA vs Honolulu, HI — All Care Types
Monthly costs. Green = lower cost. National average shown for context.
| Care Type | Sacramento, CA | Honolulu, HI |
|---|---|---|
| Assisted Living | $5,500/mo ✓ | $6,200/mo |
| Nursing Home (Private) | $10,800/mo ✓ | $14,400/mo |
| In-Home Aide | $6,500/mo ✓ | $7,100/mo |
| Memory Care | $7,500/mo ✓ | $8,600/mo |
| Adult Day Care | $1,900/mo ✓ | $2,200/mo |
Source: Genworth/CareScout Cost of Care Survey. 2026 estimates.
Annual Cost Impact
For assisted living, Sacramento, CA costs $66,000/year vs Honolulu, HI's $74,400/year.
Monthly savings
$700
Annual savings
$8,400
2-year total savings
$16,800
% difference
13%
Savings = Honolulu, HI cost minus Sacramento, CA cost. Assisted living only.
Overall, Sacramento, CA is more affordable — lower cost on 5 of 5 care types.
Frequently Asked Questions
Is elder care cheaper in Sacramento, CA or Honolulu, HI?
Sacramento, CA has lower assisted living costs at $5,500/month vs. $6,200/month in Honolulu, HI — a difference of $700/month ($8,400/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. Sacramento, CA is $1,000 above the national average. Honolulu, HI is $1,700 above the national average.