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ElderCareCosts
Updated August 2026

Assisted Living in Hilo, Hawaii

Hilo, HI has 71 licensed assisted living communities listed on ElderCareCosts. We don't have a city-specific cost estimate for Hilo yet. Statewide, the median is $12,096/mo. Most assisted living in Hilo is small: 99% of licensed providers have 16 beds or fewer, against 65% nationally.

Not sure which type of care fits? Take our 3-question care quiz →

Assisted Living, Hilo median
Not yet available

What senior care costs in Hilo

Hawaii, 2025 figures

Assisted Living cost comparison (2025)
Assisted LivingHiloHawaiiNational
25th percentile—$11,547/mo$5,488/mo
Median—$12,096/mo$6,230/mo
75th percentile—$13,147/mo$7,083/mo

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A dash means the underlying source can't support that figure for this area. We leave the cell empty rather than estimate around it.

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.

What can you afford?

Here is what different monthly budgets cover in Hilo.

Under $2,500/mo

Adult day, family care, or affordable senior housing

Adult day care and help from family are the usual options at this budget. Income-restricted affordable senior housing is the other common choice, and Hilo has 9 such properties. The county aging agency at (808) 961-8626 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

If Medicaid may apply, ask about waiver programs.
$7,000 – $11,000/mo

Assisted living with room to spare

This budget usually covers assisted living or substantial home care in Hilo.
Over $11,000/mo

Nursing care or heavy home-care schedules

Budgets this size cover skilled nursing or around-the-clock home care in Hilo.
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Tell us how you plan to pay and we'll send licensed options that fit.
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71 assisted living communities in Hilo

What assisted living looks like in Hilo

Hilo is a market of small licensed homes. 99% have 16 beds or fewer, against 65% nationally. The typical one has 3 beds.

Compare communities side by side
Tick Compare on the ones you like, then continue.
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In the last 365 days: 92 newly licensed · 2 closed. Counts come from our ingestion diffs, not a complete state registry dump.

Free local help worth saving

Hilo, in Hawaii County, has about 50,404 residents. About 11,451 of them (23%) are 65 or older. The median household income is $81,779.

Source: US Census Bureau

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

We don't have enough local data for Hilo, HI yet to publish reliable FAQs. Check back as we add providers and cost data.

Find Hilo 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 Hawaii → · Assisted Living cost across Hawaii → · 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 Hilo, HI. Cost & Providers