ElderCareCost

Elder Care Cost: Washington, DC vs Sacramento, CA (2026)

Sacramento, CA assisted living runs $5,500/month — $1,000/month less than Washington, DC's $6,500/month. That's $12,000/year.

Washington, DC, DC

$6,500

assisted living/month

+$2,000 vs national avg

Sacramento, CA, CA

$5,500

assisted living/month

+$1,000 vs national avg

Washington, DC vs Sacramento, CA — All Care Types

Monthly costs. Green = lower cost. National average shown for context.

Care Type Washington, DC Sacramento, CA
Assisted Living $6,500/mo $5,500/mo
Nursing Home (Private) $13,400/mo $10,800/mo
In-Home Aide $6,300/mo $6,500/mo
Memory Care $9,000/mo $7,500/mo
Adult Day Care $2,200/mo $1,900/mo

Source: Genworth/CareScout Cost of Care Survey. 2026 estimates.

Annual Cost Impact

For assisted living, Sacramento, CA costs $66,000/year vs Washington, DC's $78,000/year.

Monthly savings

$1,000

Annual savings

$12,000

2-year total savings

$24,000

% difference

18%

Savings = Washington, DC cost minus Sacramento, CA cost. Assisted living only.

Overall, Sacramento, CA is more affordable — lower cost on 4 of 5 care types.

Frequently Asked Questions

Is elder care cheaper in Washington, DC or Sacramento, CA?

Sacramento, CA has lower assisted living costs at $5,500/month vs. $6,500/month in Washington, DC — 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. Washington, DC is $2,000 above the national average. Sacramento, CA is $1,000 above the national average.