Elder Care Cost: Washington, DC vs Fresno, CA (2026)
Fresno, CA assisted living runs $5,200/month — $1,300/month less than Washington, DC's $6,500/month. That's $15,600/year.
Washington, DC, DC
$6,500
assisted living/month
+$2,000 vs national avg
Fresno, CA, CA
$5,200
assisted living/month
+$700 vs national avg
Washington, DC vs Fresno, CA — All Care Types
Monthly costs. Green = lower cost. National average shown for context.
| Care Type | Washington, DC | Fresno, CA |
|---|---|---|
| Assisted Living | $6,500/mo | $5,200/mo ✓ |
| Nursing Home (Private) | $13,400/mo | $10,200/mo ✓ |
| In-Home Aide | $6,300/mo | $6,200/mo ✓ |
| Memory Care | $9,000/mo | $7,100/mo ✓ |
| Adult Day Care | $2,200/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 Washington, DC's $78,000/year.
Monthly savings
$1,300
Annual savings
$15,600
2-year total savings
$31,200
% difference
25%
Savings = Washington, DC 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 Washington, DC or Fresno, CA?
Fresno, CA has lower assisted living costs at $5,200/month vs. $6,500/month in Washington, DC — a difference of $1,300/month ($15,600/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. Washington, DC is $2,000 above the national average. Fresno, CA is $700 above the national average.