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ElderCareCosts
Updated August 2026

Cost of Home Health Care in South Carolina

Home health care in South Carolina runs about $2,719 a month at 20 hours a week, a common starting schedule. Full-time care at 44 hours a week runs $5,982 a month, below the national median.

Figures are for a non-medical caregiver, from the CareScout Cost of Care Survey 2025.

Starting tier, South Carolina

$2,719/mo

About 20 hours a week: a common starting point for a new home-care client

Full-time care (44 hrs/week, survey standard)

$5,982/mo

Estimated range $5,711 – $6,502

● South Carolina $5,982 at 44 hrs/wk ○ National median $6,769 at 44 hrs/wk

Source: CareScout Cost of Care Survey 2025

City, state, and national

Each area's cost compared with the national median.

Home Health Care cost by area (2025)
AreaScaleMonthly costvs national
Charleston$6,669/mo−1.5%
Columbia$5,908/mo−12.7%
North Charleston$6,669/mo−1.5%
South Carolina (state median)$5,982/mo−11.6%
United States$6,769/moreference

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Open any city page for the full provider table. For example, home health care in Charleston.

City figures are the South Carolina median adjusted for local wages and housing costs, so cities in the same metro area share one figure.

Compare every state: Home Health Care cost by state · 2026 Cost of Care Index

Home Health Care cost trend in South Carolina
2024: $5,943/mo; 2025: $5,982/mo$6k$8k$10k$5,9432024$5,9822025

The 2024 figure is our estimate, the 2020 survey adjusted by national price growth. The 2025 figure is the CareScout survey itself, so the change between the two is not a measured one-year change.

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Compare home health care costs

Switch units, compare two places, and see a simple five-year projection.

South Carolina

$2,719/mo/mo

Based on 2025 survey data.

National median

$3,077/mo/mo

Need a different pair of places? Open the full cost calculator. Not sure which care type? Take the care quiz.

What can you afford?

Here is what different monthly budgets cover in South Carolina.

Under $2,500/mo

Adult day care, family care or affordable senior housing

Adult day care in South Carolina runs about $1,560 a month. Income-restricted affordable senior housing is the other common choice. Ask each property about its income limits. If money is very tight, ask about Medicaid waivers.
$2,500 – $7,000/mo

Assisted living or home care

Part-time home care, 20 hours a week, runs about $2,719 a month. Full-time home care at 44 hours a week runs about $5,982 a month. Assisted living in South Carolina runs about $5,350 a month at the median, and smaller homes often charge less. If Medicaid may apply, ask about waiver programs.
$7,000 – $11,000/mo

Nursing homes

Nursing homes in South Carolina run about $9,034 a month at the median.
Over $11,000/mo

Round-the-clock home care

Round-the-clock home care runs about $22,840 a month.

How to pay for home health care in South Carolina

Private pay (savings, income, home equity)Most common
The default payer for most families at the start, especially for assisted living and in-home care. Often combined with a second source once savings run low.
Long-term care insuranceCommon
Pays toward care costs if a policy was purchased in advance, usually years before care is needed. Policy terms (daily/monthly benefit caps, elimination periods) vary widely. Check the policy documents directly.
Medicaid (state-run, income- and asset-limited)Common
Covers nursing home care in every state, and many states offer Home & Community-Based Services (HCBS) waivers that extend Medicaid to assisted living or in-home care. Eligibility rules and waiver availability are state-specific.
VA Aid & Attendance (veterans and surviving spouses)Situational
An added benefit on top of a VA pension for eligible wartime veterans (or surviving spouses) who need help with daily activities. Requires meeting service, income, and care-need criteria.
MedicareNarrow eligibility
Does not cover long-term custodial care (help with daily living). It can cover short-term skilled nursing or home health following a qualifying hospital stay, under specific conditions.

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Long-Term Care Ombudsman

South Carolina Long-Term Care Ombudsman Program helps residents of nursing homes, assisted living, and similar settings in South Carolina resolve concerns about care and rights.

Find your local ombudsman

Medicaid programs for care at home

  • Community Choices Waiver. South Carolina 1915(c) Community Choices Waiver for adults 65+ and adults 18–64 with physical disabilities (CMS factsheet).

National helplines

Frequently asked questions

How much does home health care cost in South Carolina?

About $2,719 a month at 20 hours a week, a common starting schedule. Full-time care at 44 hours a week costs a median of $5,982 a month (estimated range $5,711 to $6,502). Based on 2025 survey data.

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