St. Louis, MO has 64 licensed assisted living communities listed on ElderCareCosts. The median estimated cost is $5,505/mo. That's roughly in line with the Missouri state median.
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Median monthly price, St. Louis
$5,505/mo
Estimated range $4,565 – $6,051
● St. Louis $5,505 ○ National median $6,230
2025 figures
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Home care in St. Louis runs about $34 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.
Here is what different monthly budgets cover in St. Louis.
The typical licensed assisted living provider in St. Louis has 40 beds. They range from 8 to 232.
St. Louis, in St. Louis city, has about 288,512 residents. About 44,707 of them (15%) are 65 or older. The median household income is $56,160.
Source: US Census BureauCity of St. Louis AAA (Region 9). Contact from Missouri Association of Area Agencies on Aging directory (linked from DHSS).
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 St. Louis.
Can help pay for care if your parent qualifies.
3 VA Community Living Centers or State Veterans Homes nearby.
MISSOURI VETERANS HOME - ST. LOUIS · MISSOURI VETERANS HOME - ST. LOUIS · St. Louis MO 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 →
St. Louis's median assisted living cost is about 2% higher than the Missouri state median.
Tell us what you need and your budget, and we will email you licensed options right away.
Reading up first? Assisted Living across Missouri → · Assisted Living cost across Missouri → · 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.