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In-Home Care vs. Assisted Living

New York's $35/hour CareScout median for in-home care, and the crossover point where assisted living becomes the cheaper option.

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Short answer

CareScout's 2025 survey puts New York's non-medical caregiver median at $35/hour. At 44 hours a week that is roughly $6,673/month -- close to, but still under, the $7,110/month New York assisted living median. Past roughly 50 hours a week, in-home care in New York typically costs more than a licensed assisted living community.

The crossover math

Hours/weekApprox. monthly cost at $35/hr
10$1,517
20$3,033
40$6,067
44 (full-time)$6,673
60$9,100
168 (round-the-clock)$25,480

Once a parent needs more than roughly 45-50 hours of paid help a week, run the math directly against New York's $7,110/month assisted living median before assuming home is the cheaper option -- it frequently is not, once overnight or round-the-clock coverage is needed.

When home usually wins

Below about 20-25 hours a week, or when a spouse or family member covers unpaid hours, staying home is usually the lower-cost path, and it avoids a move entirely.

Questions families ask

How much does assisted living cost in New York State?

According to CareScout's 2025 Cost of Care Survey, the median cost of an assisted living community (private one-bedroom) in New York State is $225 per day, or about $7,110 per month and $85,320 per year. This is a statewide median - CareScout's published state-level data tables do not break out a separate Long Island or metro New York figure.

What does a nursing home cost per day in New York?

CareScout's 2025 Cost of Care Survey puts the New York State median at $511 per day ($15,528/month, $186,333/year) for a semi-private room and $550 per day ($16,729/month, $200,750/year) for a private room, both based on 365 days of care. These are statewide figures; CareScout does not publish a separate Long Island-specific nursing home rate.

How much does hourly in-home caregiving cost in New York?

CareScout's 2025 Cost of Care Survey reports a New York State median of $35 per hour for what it now calls non-medical caregiver services, a category that merged the formerly separate homemaker services and home health aide categories in 2025 due to price convergence. Based on a 44-hour week, that works out to roughly $6,673 per month or $80,080 per year. Private duty nursing, a higher-acuity service, runs a New York State median of $120 per hour.

What does adult day care cost in New York, and could it help delay a move to assisted living?

CareScout's 2025 Cost of Care Survey puts New York State's Adult Day Health Care median at $144 per day, or about $3,120 per month based on five days a week, $37,440 per year. That's up from $113 per day in the 2024 survey, an increase of roughly 27 percent year over year, the largest percentage jump among CareScout's surveyed New York categories.

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