The Cost of Home Care in Massachusetts

Kind personal care aide providing high-quality care that’s well worth the cost of home care in MassachusettsAccording to the Health Services Research Report, 65% of the elderly who need daily living assistance rely on informal caregiving, with another 30% relying, to some extent, on paid care (eg, home care). Estimations suggest formal caregiving costs approximately $133 billion a year.

Informal caregiving may be provided by a family member, friend, or neighbor. Formal caregiving may be provided by a Personal Care Aide (PCA) that is contracted through a home care service company or by a Healthcare Professional.

Generally, Registered Nurses (RN) take on the role of Home Healthcare Professional. Since an RN is a licensed medical professional, he/she can order certain tests, monitor the senior’s health, and administer medication via injections or through an IV.

Learn more about how much you can expect to pay for home care

What is the Cost of Home Care in Massachusetts?

According to the Genworth Financial 2019 Cost of Care Survey, the national average hourly cost of a Personal Care Aide in the U.S. is $22.50 and $23 an hour for a Home Healthcare Professional. Locally, Massachusetts ranks as one of the more expensive states for in-home senior care with home care costs averaging $27 / hour.

Average Price:


When you choose North River Home Care, you get what you pay for. By adhering to high standards, the professionalism and quality of senior in-home care are guaranteed. The personal care aides with North River Home Care have compassionately served over 1,000 senior clients in Massachusetts.

Personal Care Aide Training & Certification

Although a Personal Care Aide is not a medical professional, per se, these individuals typically receive specialized training from the home care company they work for. There are also certification programs available.

If the PCA is working with an agency funded by Medicaid or Medicare, he or she must meet specific requirements. Besides meeting these requirements, to work with these agencies, it is essential that the Personal Care Aide passes a state certification and/or an evaluation test.

Formal Caregiving with a Personal Care Aide

A Personal Care Aide performs a variety of tasks to assist the senior daily.

Personal Care Aides can assist with activities of daily living including:

  • Cooking
  • Feeding
  • Ensuring medications are taken on time
  • Showering/Bathing
  • Dressing
  • Toileting (including issues related to incontinence)
  • Light housework (i.e., dishes, laundry, etc.)
  • Walking assistance to prevent falls
  • Shopping
  • Pet care

Calculating Home Care Service Costs

Companies specializing in providing home care for seniors can perform a comprehensive assessment to determine the type of care an individual needs. Here’s how the costs tend to breakdown:

Hourly Rates

When a senior remains somewhat independent in his or her day-to-day activities, 24-hour care may not be necessary. In cases such as these, hourly rates will be the pay rate used. Some companies do require that their clients have a caregiver spend a minimum amount of time at the home: The minimum amount of required time usually ranges from two to four hours per day.

Daily Rates

These rates are used when a senior needs care or assistance 24-hours a day. Rates are usually calculated daily. The caregiver’s breaks and rests are deducted from the daily total. Daily rates vary greatly, ranging from $200 to around $350 on average daily.

Overnight Rates

Overnight rates are not usually calculated by the hour, and these rates are not as costly as daily rates. The activities performed and the number of hours the caregiver is providing service to the senior is typically less at night than during the day. For this reason, overnight rates are less costly than daily rates.

An overnight client is usually a senior who needs assistance when heading to the bathroom or an individual who has a degenerative condition like Alzheimer’s, which causes him/her to wander off during the night. The home care worker is there to ensure the senior remains safe and to offer assistance with toileting or any other task that the senior needs help with.

When family members are serving as the primary caregivers for their loved one during the day, overnight caregivers are frequently hired to care for the senior throughout the night. Overnight home care rates range from $120 to $200 for a 10- to 12-hour shift.

Learn more how much you can expect to pay for in-home care

Impacts on the Cost of Home Care in Massachusetts

How much long-term home care will cost depends on the kind of home care a senior needs and the duration of that care. Other factors include the provider used and the location in which the senior lives.

In addition, evenings, weekends, and holidays are usually more expensive than a typical weekday. Furthermore, unless a company offers all-inclusive fees, additional services performed by the Personal Care Aide or Healthcare Professional may result in extra charges.

More resources you may be interested in:

Cost of Home Care in Massachusetts FAQs

Here are some frequently asked questions we receive about the cost of home care in Massachusetts. 

What is the average cost of 24/7 hour home health care?

The amount will vary based on the factors listed above and more; however, we’ve found that the average annual cost of home health care in Massachusetts is around $63,000.  

Also, according to the Genworth Financial 2019 Cost of Care Survey, the hourly rate for a Personal Care Aide who is providing home care is $27. Various factors will impact this number, including your insurance, the rate of the provider you choose, the level of support the patient needs, etc.

Can I get paid to take care of my elderly parents?

In most situations, you will not be able to receive payment to cover the cost of home care for your elderly parents. There are some situations where this can happen, but it’s not typical. 

Does MassHealth cover the cost of home care in Massachusetts?

MassHealth, which is the name of the Medicaid program in Massachusetts, will cover the cost of some home care services. It’s important to check with MassHealth to see exactly which services they will cover and how much. 

Does Social Security pay for home care?

Since social security payments go directly to the recipient or their caregiver, the funds can be used to cover the cost of home care in Massachusetts. 

Home Care Service Area

North River Home Care serves families and their loved ones in the Southshore, Cape Cod, and Metrowest areas. Below is a list of specific areas we serve. View our full-service area.