Urban Honolulu, HI has 359 licensed assisted living communities listed on ElderCareCosts. The median estimated cost is $12,022/mo. That's roughly in line with the Hawaii state median. Most assisted living in Urban Honolulu is small: 95% of licensed providers have 16 beds or fewer, against 65% nationally.
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Median monthly price, Urban Honolulu
$12,022/mo
Estimated range $11,373 – $13,789
● Urban Honolulu $12,022 ○ National median $6,230
2025 figures
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Home care in Urban Honolulu runs about $41 an hour. Here is what common schedules cost a month:
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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: Aiea · Kaneohe · Kailua · Pearl City · Ewa Beach
Here is what different monthly budgets cover in Urban Honolulu.
Urban Honolulu is a market of small licensed homes. 95% have 16 beds or fewer, against 65% nationally. The typical one has 4 beds.
In the last 365 days: 451 newly licensed · 16 closed. Counts come from our ingestion diffs, not a complete state registry dump.
Urban Honolulu, in Honolulu County, has about 345,482 residents. About 75,965 of them (22%) are 65 or older. The median household income is $86,504.
Source: US Census BureauArea Agency on Aging serving this city.
State Long-Term Care Ombudsman program.
State Health Insurance Assistance Program (SHIP).
Statewide help for older adults, people with disabilities and caregivers.
VA Medical Center in Honolulu.
Can help pay for care if your parent qualifies.
2 VA Community Living Centers or State Veterans Homes nearby.
Honolulu HI CLC · Honolulu HI CLC
VA Aid & Attendance overview →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 →
Urban Honolulu's median assisted living cost is about 1% lower than the Hawaii state median.
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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.