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ElderCareCosts
Updated August 2026

Assisted Living in Birmingham, Alabama

Birmingham, AL has 18 licensed assisted living communities listed on ElderCareCosts. The median estimated cost is $4,610/mo. That's above the Alabama state median by about 4%. The typical licensed assisted living provider in Birmingham has 49 beds, against 32 statewide.

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Median monthly price, Birmingham

$4,610/mo

Estimated range $4,237 – $4,789

● Birmingham $4,610 ○ National median $6,230

Source: CareScout 2025 survey, adjusted for local wages

What senior care costs in Birmingham

2025 figures

Assisted Living cost comparison (2025)
Assisted LivingBirminghamAlabamaNational
25th percentile$4,237/mo$4,224/mo$5,488/mo
Median$4,610/mo$4,425/mo$6,230/mo
75th percentile$4,789/mo$4,809/mo$7,083/mo

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Staying home instead

Home care in Birmingham runs about $28 an hour. Here is what common schedules cost a month:

Hours of careWhat it looks likeEst. monthly cost
20 hrs/weekMornings or afternoons, weekdays~$2,438
44 hrs/weekMost of every weekday$5,364
24/7 (168 hrs/week)Round-the-clock coverage~$20,481

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Medicare generally does not cover long-term custodial care. Families usually combine private pay, long-term care insurance, VA Aid and Attendance, or a Medicaid waiver where they qualify. See paying for care and the state Medicaid guides.

Nearby cities: Hoover

What can you afford?

Here is what different monthly budgets cover in Birmingham.

Under $2,500/mo

Adult day, family care, or affordable senior housing

Adult day care in Birmingham runs about $1,298 a month. Income-restricted affordable senior housing is the other common choice, and Birmingham has 30 such properties. The county aging agency at (205) 458-3330 can help you sort through options for free. If money is very tight, ask about Medicaid waivers.
$2,500 – $7,000/mo

Part-time home care or entry assisted living

Part-time home care usually falls here. Full-time care at 44 hours a week runs about $5,364 a month. The local assisted living median is $4,610 a month, and smaller homes often charge less. If Medicaid may apply, ask about waiver programs.
$7,000 – $11,000/mo

Assisted living with room to spare

Covers the Birmingham assisted living median of $4,610 a month with room to spare. It also covers close to full-time home care, about $5,364 a month.
Over $11,000/mo

Nursing care or heavy home-care schedules

Nursing homes in Birmingham run about $8,683 a month at the median. Around-the-clock home care usually costs more.
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18 assisted living communities in Birmingham

What assisted living looks like in Birmingham

The typical licensed assisted living provider in Birmingham has 49 beds, against 32 across Alabama. They range from 24 to 87.

Compare communities side by side
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Free local help worth saving

Birmingham, in Jefferson County, has about 198,173 residents. About 32,486 of them (16%) are 65 or older. The median household income is $46,051.

Source: US Census Bureau
  • United Way Area Agency on Aging of Jefferson County205-458-3330uwaaa.org

    Jefferson County AAA (Older Americans Act). Contact from Alabama ADSS Help & Services directory.

  • Alabama Long-Term Care Ombudsman Programltcombudsman.org

    State Long-Term Care Ombudsman program.

  • Alabama State Health Insurance Assistance Program (SHIP)shiphelp.org

    State Health Insurance Assistance Program (SHIP).

  • Alabama Ageline1-800-243-5463alabamaageline.gov

    Statewide help for older adults, people with disabilities and caregivers.

  • Birmingham VA Medical Centerva.gov

    VA Medical Center in Birmingham.

  • Home and Community-Based Waiver for the Elderly and DisabledOfficial program page

    Can help pay for care if your parent qualifies.

National helplines, including the Eldercare Locator and 211, are listed on paying for care.

Veterans & surviving spouses: VA Aid & Attendance can help wartime veterans who qualify. How Aid & Attendance works →

Questions families ask

Is assisted living in Birmingham more expensive than the rest of Alabama?

Birmingham's median assisted living cost is about 4% higher than the Alabama state median.

Find Birmingham care options

Tell us what you need and your budget, and we will email you licensed options right away.

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Reading up first? Assisted Living across Alabama → · Assisted Living cost across Alabama → · Adult Day Care vs Assisted Living →

Touring this week? Print our checklist: what to ask on a tour, what to notice, and the license paperwork to request. Or email it to yourself to have it on your phone.

Assisted Living in Birmingham: 2026 Costs & Licensed Providers