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Posted: October 12, 2004

Nursing Home Costs Hit $70,000 Per Year on Average;

Alaska Most Expensive, Louisiana Cheapest

Inflation may be under control, but nursing home costs continue to skyrocket. A major insurance company says the average daily cost of a private room in a nursing home in the United States is $70,080 per year, or $192 per day.

The highest rates were reported in the state of Alaska where the cost is $204,765 per year or $561 per day on average. The lowest rates were found in Shreveport, Louisiana, at $36,135 per year or $99 per day.

The average length of stay in a nursing home for current residents is 2.4 years, which makes the average cost of a nursing home stay approximately $168,192. The data is contained in the 2004 MetLife Market Survey of Nursing Home and Home Care Costs.

The study also found that the cost of a home healthcare aide averaged $18 per hour nationally. Home healthcare is most expensive in Hartford, Connecticut, at $28 per hour and least expensive in Shreveport, Louisiana, and Jackson, Mississippi, where rates are $13 per hour on average.

According to the 2003 MetLife Market Survey of Nursing Home and Home Care Costs, the average daily rate for a private room in a nursing home was $181 per day or $66,065 annually, about $4,000 less than this year. The hourly rate in 2003 for a home health aide was $18, the same as this year.

"The cost of long-term care continues to rise," said Sandra Timmermann, Ed.D., director of the MetLife Mature Market Institute. "Whether one chooses care at home or care in a nursing home, the costs can be exorbitant. As people prepare for their retirement and assess their asset and income requirements, it is also essential that they plan for the possibility that they will need assistance with day-to-day living. Unanticipated long-term care costs can derail an individual's financial plan; long-term care insurance may be a solution," said Timmermann.

People are living longer, but long life may not be accompanied by good health. In 1940, a 65-year-old woman could expect to live an additional 14.7 years; by 2000 a 65-year-old woman could expect to live another 19.5 years, and by 2040 women are expected to live an additional 22 years.

Chances increase that as people age they will develop a chronic condition or physical or cognitive disability for which they will require assistance. For example, almost 38% of people aged 65 and over are diagnosed with a severe disability, and 47% of those aged 85 and older have Alzheimer's disease or another form of dementia.

Approximately 1.6 million people reside in 18,000 nursing homes in the United States with just under 10% of the residents people aged less than 65 years old and 46.5% aged 85 years and over, according to the National Center for Health Statistics. Most residents (72%) are women and three-quarters require assistance with three or more activities of daily living.

More than 1.3 million patients received home healthcare services from 7,200 agencies in 2000, with more than half receiving help with at least one activity of daily living. Seven in 10 patients were ages 65 and older, and 65% were women, according to the National Center for Health Statistics.

Here are the average daily nursing home costs per market for a private room:

Statewide, AK $561

Birmingham, AL $133

Montgomery, AL $145
Little Rock, AR $131

Phoenix, AZ $169

Tucson, AZ $191

Los Angeles, CA $160

San Diego, CA $217

San Francisco Area, CA $293

Denver, CO $172

Colorado Springs, CO $165

Hartford, CT $277

Stamford, CT $331

Washington, DC $260

Wilmington, DE $198

Jacksonville, FL $180

Orlando, FL $182

Miami, FL $193

Alpharetta, GA $157

Atlanta, GA $151

Honolulu, HI $227

Des Moines, IA $209

Boise, ID $175

Highland Park, IL $213

Chicago, IL $136

Peoria, IL $165

Indianapolis, IN $160

Fort Wayne, IN $170

Wichita, KS $142

Louisville, KY $180

Lexington, KY $174

New Orleans, LA $107

Shreveport, LA $ 99

Worcester, MA $272

Boston, MA $284

Silver Spring, MD $204

Baltimore, MD $198

Brunswick, ME $228

Detroit, MI $149

Grand Rapids, MI $197

Minneapolis/St. Paul, MN $221

Rochester, MN $171

St. Louis, MO $131

Kansas City, MO $129

Jackson, MS $142

Billings, MT $142

Raleigh/Durham, NC $178

Charlotte, NC $164

Fargo, ND $188

Omaha, NE $165

Manchester, NH $220

Cherry Hill, NJ $238

Bridgewater, NJ $244

Albuquerque, NM $186

Las Vegas, NV $175

New York City, NY $312

Syracuse, NY $232

Rochester, NY $251

Columbus, OH $192

Cleveland, OH $179

Cincinnati, OH $189

Oklahoma City, OK $170

Tulsa, OK $162

Portland, OR $162

Eugene, OR $166

Pittsburgh, PA $200

Scranton, PA $176

Philadelphia, PA $226

Providence, RI $206

Columbia, SC $179

Charleston, SC $138

Rapid City, SD $150

Nashville, TN $190

Memphis, TN $155

Dallas/Fort Worth, TX $163

Houston, TX $151

Austin, TX $175

Salt Lake City, UT $138

Arlington, VA $235

Richmond, VA $169

Statewide, VT $219

Seattle, WA $217

Spokane, WA $196

Milwaukee, WI $195

Madison, WI $199

Charleston, WV $172

Statewide, WY $165

Average $192

Here are the average hourly home health care aide costs per market from licensed agencies:

Statewide, AK $27

Birmingham, AL $14

Montgomery, AL $14

Little Rock, AR $15

Phoenix, AZ $19

Tucson, AZ $18

Los Angeles, CA $18

San Diego, CA $19

San Francisco Area, CA $21

Denver, CO $23

Colorado Springs, CO $21

Hartford, CT $28

Stamford, CT $23

Washington, DC $17

Wilmington, DE $21

Jacksonville, FL $18

Orlando, FL $16

Miami, FL $15

Alpharetta , GA $15

Atlanta, GA $17

Honolulu, HI $21

Des Moines, IA $20

Boise, ID $16

Highland Park, IL $20

Chicago, IL $16

Peoria, IL $17

Indianapolis, IN $21

Fort Wayne, IN $20

Wichita, KS $17

Louisville, KY $21

Lexington, KY $20

New Orleans, LA $14

Shreveport, LA $13

Worcester, MA $23

Boston, MA $22

Silver Spring, MD $16

Baltimore, MD $17

Brunswick, ME $18

Detroit, MI $18

Grand Rapids, MI $18

Minneapolis/St. Pau , MN $21

Rochester, MN $26

St. Louis, MO $18

Kansas City, MO $17

Jackson, MS $13

Billings, MT $17

Raleigh/Durham, NC $17

Charlotte, NC $17

Fargo, ND $17

Omaha, NE $17

Manchester, NH $23

Cherry Hill, NJ $18

Bridgewater, NJ $20

Albuquerque, NM $16

Las Vegas, NV $25

New York, NY $15

Syracuse, NY $20

Rochester, NY $19

Columbus, OH $19

Cleveland, OH $16

Cincinnati, OH $18

Oklahoma City, OK $16

Tulsa, OK $16

Portland, OR $20

Eugene, OR $17

Pittsburgh, PA $18

Scranton, PA $18

Philadelphia, PA $18

Providence, RI $21

Columbia, SC $14

Charleston, SC $17

Rapid City, SD $17

Nashville, TN $21

Memphis, TN $19

Dallas/Fort Worth, TX $16

Houston, TX $16

Austin, TX $18

Salt Lake City, UT $24

Arlington, VA $17

Richmond, VA $15

Statewide, VT $21

Seattle, WA $21

Spokane, WA $15

Milwaukee, WI $22

Madison, WI $17

Charleston, WV $16

Statewide, WY $22

Average $18

(Article courtesy of ConsumerAffairs.com)

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