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Service Costs


The type of care you need and where you live greatly affect price. The table below will give you a good idea of how much long-term services cost, if you are to pay out of pocket. Depending on level of care and financial circumstances, you may be eligible for Medicaid services or long-term care insurance may help pay for care.

Long-term services and supports are expensive. For example, one year of nursing home care in Washington State can cost nearly $93,000 for a semi-private room. Although significantly lower in cost, in-home care can also be expensive. One year of care from an in-home care worker for three hours per day can cost more than $20,000.

Average costs of Long-Term Services and Supports in Washington State*
Washington State In-home Personal Care Adult Day Services Assisted Living (Private) Adult Residential Care Adult Family Home Adults foster/care home
Hourly Rate Daily Rate Monthly Rate Daily Rate Daily Rate Daily Rate
Bellingham Hourly Rate$20 Daily Rate$67 Monthly Rate$132 Daily Rate$155 Daily Rate$158 Daily Rate$230
Bremerton Area Hourly Rate$18.75 Daily Rate$57 Monthly Rate$123 Daily Rate$155 Daily Rate$158 Daily Rate$285
Kennewick Area Hourly Rate$16.88 Daily Rate$67 Monthly Rate$118 Daily Rate$155 Daily Rate$158 Daily Rate$242
Longview Area Hourly Rate$15.63 Daily Rate$120 Monthly Rate$106 Daily Rate$146 Daily Rate$150 Daily Rate$221
Mount Vernon Hourly Rate$18.38 Daily Rate$100 Monthly Rate$153 Daily Rate$146 Daily Rate$150 Daily Rate$264
Olympia Area Hourly Rate$18.75 Daily Rate$126 Monthly Rate$148 Daily Rate$155 Daily Rate$158 Daily Rate$285
Seattle Hourly Rate$17.25 Daily Rate$65 Monthly Rate$156 Daily Rate$160 Daily Rate$164 Daily Rate$276
Spokane Hourly Rate$17.63 Daily Rate$60 Monthly Rate$132 Daily Rate$155 Daily Rate$158 Daily Rate$270
Wenatchee Hourly Rate$17.25 Daily Rate$67 Monthly Rate$139 Daily Rate$146 Daily Rate$150 Daily Rate$220
Walla Walla Hourly Rate$17.25 Daily Rate$50 Monthly Rate$133 Daily Rate$146 Daily Rate$150 Daily Rate$260
Yakima Hourly Rate$17.25 Daily Rate$17 Monthly Rate$148 Daily Rate$155 Daily Rate$158 Daily Rate$258
Rest of State Hourly Rate$17.25 Daily Rate$67 Monthly Rate$132 Daily Rate$146 Daily Rate$150 Daily Rate$250
State Median Hourly Rate$18 Daily Rate$67 Monthly Rate$140 Daily Rate$155 Daily Rate$158 Daily Rate$253
*The Above costs are averages and may be different in your area. Sources: U.S.
Department of Health and Human Services www.longtermcare.gov and Washington State 2014 Medicaid Rates for Contracted Home and Community Residential Care Services

Seventy percent of people over 65 will need long-term services and supports. There's a good chance they will have to pay for some or all of them.

Washington State’s Community Living Connections (CLC) has tools to help you plan for your long-term services and supports needs. Learn more about:

Washington’s Community Living Connections staff are available to help you explore your options to meet your current needs or create a plan for the future.

How much will services cost?

Calculate your future long-term services and supports expenses.

How will I pay for services?

Estimate your likely future financial resources

Call Toll-Free 1-855-567-0252