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ElderCareCosts
Updated August 2026

Assisted Living in St. Louis, Missouri

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.

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

Median monthly price, St. Louis

$5,505/mo

Estimated range $4,565 – $6,051

● St. Louis $5,505 ○ National median $6,230

Source: CareScout 2025 survey, adjusted for local wages

See all 64 providers →Compare costs →

What senior care costs in St. Louis

2025 figures

Assisted Living cost comparison (2025)
Assisted LivingSt. LouisMissouriNational
25th percentile$4,565/mo$5,155/mo$5,488/mo
Median$5,505/mo$5,400/mo$6,230/mo
75th percentile$6,051/mo$5,869/mo$7,083/mo

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Source: CareScout 2025 survey, adjusted for local wages (opens in a new tab)

Staying home instead

Home care in St. Louis runs about $34 an hour. Here is what common schedules cost a month:

Hours of careWhat it looks likeEst. monthly cost
20 hrs/weekMornings or afternoons, weekdays~$2,916
44 hrs/weekMost of every weekday$6,415
24/7 (168 hrs/week)Round-the-clock coverage~$24,494

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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.

What can you afford?

Here is what different monthly budgets cover in St. Louis.

Under $2,500/mo

Adult day, family care, or affordable senior housing

Adult day care in St. Louis runs about $2,098 a month. Income-restricted affordable senior housing is the other common choice, and St. Louis has 67 such properties. The county aging agency at (314) 612-5918 can help you sort through options for free. If money is very tight, ask about Medicaid waivers.
Affordable senior apartments →
$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 $6,415 a month. The local assisted living median is $5,505 a month, and smaller homes often charge less. If Medicaid may apply, ask about waiver programs.
Medicaid & waiver paths →
$7,000 – $11,000/mo

Assisted living with room to spare

Covers the St. Louis assisted living median of $5,505 a month with room to spare. It also covers close to full-time home care, about $6,415 a month.
How families pay →
Over $11,000/mo

Nursing care or heavy home-care schedules

Nursing homes in St. Louis run about $6,872 a month at the median. Around-the-clock home care usually costs more.
How families pay →
Find options that fit your budget
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64 assisted living communities in St. Louis

What assisted living looks like in St. Louis

The typical licensed assisted living provider in St. Louis has 40 beds. They range from 8 to 232.

Compare communities side by side
Tick Compare on the ones you like, then continue.
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Free local help worth saving

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 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

Is assisted living in St. Louis more expensive than the rest of Missouri?

St. Louis's median assisted living cost is about 2% higher than the Missouri state median.

Find St. Louis care options

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

Find care options →

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.

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Assisted Living in St. Louis: 2026 Costs & Licensed Providers · Page 2