Senior Care Costs 2025
Senior Care Costs in Hawaii
In Hawaii, the median cost of assisted living is $12,096 per month, 95% above the U.S. median of $6,200. A semi-private nursing home room has a median of $15,473 per month, and non-medical in-home care averages $41 per hour, or $7,817 per month at 44 hours a week. For assisted living, Hawaii ranks 1st highest among 50 states.
Median monthly costs in Hawaii
Assisted living
$12,096 /mo
+95% vs national
Nursing home (semi-private)
$15,473 /mo
+61% vs national
Nursing home (private)
$16,395 /mo
+52% vs national
In-home care (non-medical)
$7,817 /mo
+17% vs national
Other care options in Hawaii
Adult day health care
$118 /day
Non-medical caregiver
$41 /hour
Private duty nurse (in the home)
$65 /hour
How Hawaii compares
| Monthly median | Hawaii | U.S. median | Lowest state | Highest state |
|---|---|---|---|---|
| Assisted living | $12,096 | $6,200 | Mississippi $4,369 | Hawaii $12,096 |
| Nursing home (semi-private) | $15,473 | $9,581 | Texas $5,627 | Alaska $27,831 |
| Nursing home (private) | $16,395 | $10,798 | Texas $7,604 | Oregon $18,448 |
| In-home care (non-medical) | $7,817 | $6,673 | Mississippi $4,576 | Wyoming $8,771 |
What two years of care could cost
Illustrative totals using the Hawaii monthly median multiplied by 24 months. Actual costs depend on the community, the level of care, and annual price increases.
| Care type | Two-year estimate |
|---|---|
| Assisted living | $290,304 |
| Nursing home (semi-private) | $371,352 |
| Nursing home (private) | $393,480 |
| In-home care (44 hours a week) | $187,608 |
States with similar costs
These states have median assisted living, nursing home, and in-home care costs closest to Hawaii.
- Massachusetts Assisted living $9,600/mo · Nursing home $14,448/mo
- Connecticut Assisted living $9,118/mo · Nursing home $15,208/mo
- Vermont Assisted living $8,597/mo · Nursing home $14,113/mo
- New Jersey Assisted living $8,710/mo · Nursing home $12,775/mo
Paying with Medicaid in Hawaii
Medicaid can help pay for nursing home care when a person's income and assets are within the limits set by their state. Rules differ from state to state and change over time, so confirm the current figures with the agency before making decisions.
As of October 10, 2026, we could not verify Hawaii's Medicaid limits against official sources, so we do not show any figures here. Please check the current limits with the state agency below.
Apply or get help: Hawaii Med-QUEST Division →
This is general information, not legal or financial advice. An elder law attorney or your state agency can explain how the rules apply to a specific situation.
Frequently asked questions about costs in Hawaii
How much does assisted living cost in Hawaii?
The median cost of assisted living in Hawaii is $12,096 per month ($145,155 per year) for a private one-bedroom unit, according to the 2025 CareScout Cost of Care Survey. That is 95% above the U.S. median of $6,200 per month.
How much does a nursing home cost in Hawaii?
A semi-private nursing home room in Hawaii has a median cost of $15,473 per month ($185,679 per year), compared with $9,581 nationally. A private room has a median of $16,395 per month ($196,735 per year).
How much does in-home care cost in Hawaii?
Non-medical in-home care in Hawaii has a median rate of $41 per hour, which comes to $7,817 per month ($93,808 per year) at 44 hours of care a week. The U.S. median is $35 per hour. Adult day health care has a median of $118 per day, or $30,615 per year at five days a week.
Is senior care in Hawaii more expensive than the national average?
Hawaii is above the U.S. median for 4 of the 4 care types with 2025 data (assisted living, nursing home semi-private and private rooms, and in-home care). Costs also vary widely by city and county within a state, so use these figures as a starting point.
Methodology and sources
Data source: CareScout Cost of Care Survey 2025, published by CareScout (Genworth) in March 2026. Rates were collected from long-term care providers between July–November 2025.
How figures are calculated: Assisted living is the median monthly rate for a private one-bedroom unit. Nursing home figures are median monthly rates for semi-private and private rooms. In-home care assumes 44 hours of non-medical care per week, and adult day health care assumes five days per week. Annual figures are the reported annual medians; monthly figures are the annual rate divided by 12.
Keep in mind: These are state-level medians. Costs can differ significantly between cities and counties, and between individual communities. Use them to plan and to ask better questions, and confirm current prices directly with providers.