St. Louis, MO has 18 licensed home health care agencies listed on ElderCareCosts. The median estimated cost is $6,415/mo. That's roughly in line with the Missouri state median.
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Starting tier, St. Louis
$2,916/mo
About 20 hours a week: a common starting point for a new home-care client
Full-time care (44 hrs/week, survey standard)
$6,415/mo
Estimated range $5,319 – $7,051
● St. Louis $6,415 at 44 hrs/wk ○ National median $6,769 at 44 hrs/wk
2025 figures
This uses the survey's home care rate, because the survey no longer prices skilled nursing or therapy visits separately. Skilled visits are usually billed per visit.
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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.
If getting up from the toilet is the hard part, an electric toilet lift does the lifting, day or night. Sponsored
Here is what different monthly budgets cover in St. Louis.
7 of the 16 home health care here with a current CMS rating hold four or five stars, 44% against 66% across Missouri.
Home health care comes to the home, so agencies based one town over often serve St. Louis; their licensed office is simply in a different city. These 12 are based nearby, listed by office location, nearest first. They are separate from the licensed-in-St. Louis count above. Always confirm they cover your address.
Ordered by distance from St. Louis, never by who pays. Office location is shown on every card.
Between visits, a medical alert button covers the hours no one is in the house. See plans and the current offer. Sponsored
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 →
Based on the modeled median, home health care in St. Louis runs about $34 an hour. A 20-hour week runs about $2,916/month.
St. Louis's median home health care 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? Home Health Care across Missouri → · Home Health Care cost across Missouri → · Assisted Living vs Home Health Care →
Assessment scheduled this week? Print our checklist: what to ask during your in-home assessment, what to notice, and the license paperwork to request. Or email it to yourself to have it on your phone.