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ElderCareCosts
Updated August 2026

Adult Day Care in St. Louis, Missouri

St. Louis, MO has 45 licensed adult day care centers listed on ElderCareCosts. The estimated cost here is $2,098/mo, the Missouri median adjusted for local wages. 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

$2,098/mo

Estimated range $1,740 – $2,306

● St. Louis $2,098 ○ National median $2,058

Source: CareScout 2025 survey, adjusted for local wages

See all 45 providers →Compare costs →

What senior care costs in St. Louis

2025 figures

Adult Day Care cost comparison (2025)
Adult Day CareSt. LouisMissouriNational
25th percentile$1,740/mo$1,965/mo$1,798/mo
Median$2,098/mo$2,058/mo$2,058/mo
75th percentile$2,306/mo$2,237/mo$3,033/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 $33.65 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 care, 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

Assisted living, nursing homes or home care

Part-time home care, 20 hours a week, runs about $2,916 a month. Full-time home care at 44 hours a week runs about $6,415 a month. Assisted living in St. Louis runs about $5,505 a month at the median, and smaller homes often charge less. Nursing homes in St. Louis run about $6,872 a month at the median. If Medicaid may apply, ask about waiver programs.
Medicaid & waiver paths →
$7,000 – $11,000/mo

Above the typical costs here

A budget this size covers the typical cost of adult day care, assisted living, nursing homes and home care, but not round-the-clock home care.
How families pay →
Over $11,000/mo

Round-the-clock home care

Round-the-clock home care runs about $24,494 a month.
How families pay →
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45 adult day care centers in St. Louis

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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 adult day care in St. Louis more expensive than the rest of Missouri?

St. Louis's estimated adult day care 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? Adult Day Care across Missouri → · Adult Day Care 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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Adult Day Care in St. Louis: 2026 Costs & Licensed Providers