What senior care costs in Missouri
Typical monthly prices from CareScout's 2025 Cost of Care Survey, compared with the U.S. Actual prices vary by facility and care needs.
How Missouri compares
Median monthly cost by type of care, 2025.
Nursing home, shared room
Monthly median, 2025.
Nursing home, private room
Monthly median, 2025.
Assisted living
Monthly median, 2025.
Home care, 44 hours a week
Monthly median, 2025.
Costs by metro area
CareScout 2025 monthly medians. Home care is hourly. Rural Missouri covers counties outside a metro area.
| Area | Nursing home, shared | Nursing home, private | Assisted living | Home care |
|---|---|---|---|---|
| Cape Girardeau | $4,380 | $4,380 | $6,324 | $31 |
| Columbia | $6,692 | $7,194 | $5,761 | $31 |
| Jefferson City | $7,209 | $7,787 | $3,500 | $30 |
| Joplin | $7,695 | $8,517 | $3,000 | $31 |
| Kansas City | $8,486 | $10,494 | $6,828 | $35 |
| Springfield | $6,829 | $7,939 | $5,475 | $33 |
| St. Joseph | $7,057 | $8,349 | $5,400 | $33 |
| St. Louis | $8,060 | $9,247 | $6,050 | $35 |
| Rural Missouri | $6,235 | $7,148 | $4,270 | $33 |
| Missouri | $6,741 | $7,604 | $5,400 | $33 |
Who pays
Medicare
Covers short skilled nursing stays after a 3-day inpatient hospital stay: $0 a day for days 1 to 20 and $217 a day for days 21 to 100 in 2026. It doesn't pay for long-term care or assisted living.
Medicaid
MO HealthNet pays for long nursing home stays once you qualify. Missouri rules
Private pay
Most assisted living and the first months of most nursing home stays are paid from income and savings.
Insurance and benefits
Long-term care insurance and veterans benefits can help. Check what a policy covers before you choose a facility.
Nursing homes in Missouri
From CMS data on this site.
Browse: All Missouri areas · Missouri Medicaid guide
Cost questions
From CareScout and CMS data.
How much does a nursing home cost in Missouri?
The 2025 median is $6,741 a month for a shared room and $7,604 for a private room, according to CareScout. The U.S. medians are $9,581 and $10,798.
How much does assisted living cost in Missouri?
The 2025 median is $5,400 a month, compared with $6,200 nationally.
How much does home care cost in Missouri?
The median rate is $33 an hour, or about $6,292 a month at 44 hours a week.
How much does adult day care cost in Missouri?
The 2025 median is $95 a day.
How many Missouri nursing homes accept Medicaid?
477 of 487 Medicare-certified nursing homes in Missouri are also certified for Medicaid, according to CMS.
Source: CareScout Cost of Care Survey 2025, provider-reported medians collected July to November 2025. Metro areas follow federal definitions and can include counties in other states. Home care combines home health aide and homemaker rates. Nursing home counts, beds and Medicaid status from CMS.