Elder Care Cost: Sacramento, CA vs San Jose, CA (2026)
Sacramento, CA assisted living runs $5,500/month — $1,000/month less than San Jose, CA's $6,500/month. That's $12,000/year.
Sacramento, CA, CA
$5,500
assisted living/month
+$1,000 vs national avg
San Jose, CA, CA
$6,500
assisted living/month
+$2,000 vs national avg
Sacramento, CA vs San Jose, CA — All Care Types
Monthly costs. Green = lower cost. National average shown for context.
| Care Type | Sacramento, CA | San Jose, CA |
|---|---|---|
| Assisted Living | $5,500/mo ✓ | $6,500/mo |
| Nursing Home (Private) | $10,800/mo ✓ | $13,000/mo |
| In-Home Aide | $6,500/mo ✓ | $7,700/mo |
| Memory Care | $7,500/mo ✓ | $8,900/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 San Jose, CA's $78,000/year.
Monthly savings
$1,000
Annual savings
$12,000
2-year total savings
$24,000
% difference
18%
Savings = San Jose, CA 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 San Jose, CA?
Sacramento, CA has lower assisted living costs at $5,500/month vs. $6,500/month in San Jose, CA — a difference of $1,000/month ($12,000/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. San Jose, CA is $2,000 above the national average.