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ElderCareCosts
Updated August 2026

Home Health Care in Bismarck, North Dakota

Bismarck, ND has 3 licensed home health care agencies listed on ElderCareCosts. The median estimated cost is $6,523/mo. That's roughly in line with the North Dakota state median.

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

Starting tier, Bismarck

$2,965/mo

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

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

$6,523/mo

Estimated range $6,256 – $7,812

● Bismarck $6,523 at 44 hrs/wk ○ National median $6,769 at 44 hrs/wk

Source: CareScout 2025 survey, adjusted for local wages

What senior care costs in Bismarck

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.

Home Health Care cost comparison (2025)
Home Health CareBismarckNorth DakotaNational
25th percentile$6,256/mo$6,189/mo$6,221/mo
Median$6,523/mo$6,483/mo$6,769/mo
75th percentile$7,812/mo$7,046/mo$7,627/mo

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What home care costs by the hour

Home care in Bismarck 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~$2,965
44 hrs/weekMost of every weekday$6,523
24/7 (168 hrs/week)Round-the-clock coverage~$24,906

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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

What can you afford?

Here is what different monthly budgets cover in Bismarck.

Under $2,500/mo

Adult day, family care, or affordable senior housing

Adult day care in Bismarck runs about $5,559 a month. Income-restricted affordable senior housing is the other common choice, and Bismarck has 5 such properties. If money is very tight, ask about Medicaid waivers.
$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 $6,523 a month. The local assisted living median is $4,758 a month, and smaller homes often charge less. If Medicaid may apply, ask about waiver programs.
$7,000 – $11,000/mo

Assisted living with room to spare

Covers the Bismarck assisted living median of $4,758 a month with room to spare. It also covers close to full-time home care, about $6,523 a month.
Over $11,000/mo

Nursing care or heavy home-care schedules

Nursing homes in Bismarck run about $11,599 a month at the median. Around-the-clock home care usually costs more.
Find options that fit your budget
Tell us how you plan to pay and we'll send licensed options that fit.
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3 home health care agencies in Bismarck

Compare agencies side by side
Tick Compare on the ones you like, then continue.
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Also serving Bismarck

Home health care comes to the home, so agencies based one town over often serve Bismarck; their licensed office is simply in a different city. These 1 are based nearby, listed by office location, nearest first. They are separate from the licensed-in-Bismarck count above. Always confirm they cover your address.

Ordered by distance from Bismarck, never by who pays. Office location is shown on every card.

Include a nearby agency in your Bismarck shortlist
Check Compare on any nearby agency above, then continue. Selection before consent.
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Between visits, a medical alert button covers the hours no one is in the house. See plans and the current offer. Sponsored

Free local help worth saving

Bismarck, in Burleigh County, has about 75,556 residents. About 14,738 of them (20%) are 65 or older. The median household income is $78,387.

Source: US Census Bureau
  • North Dakota Long-Term Care Ombudsman Programltcombudsman.org

    State Long-Term Care Ombudsman program.

  • North Dakota State Health Insurance Assistance Program (SHIP)shiphelp.org

    State Health Insurance Assistance Program (SHIP).

  • The Aging and Disability Resource Link of North Dakota1-855-462-5465ndcarechoice.hhs.nd.gov

    Statewide help for older adults, people with disabilities and caregivers.

  • Bismarck VA Clinicva.gov

    Primary Care Community-Based Outpatient Clinic in Bismarck.

  • Medicaid Waiver for Home and Community Based ServicesOfficial program page

    Can help pay for care if your parent qualifies.

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

What does home health care cost per hour in Bismarck?

Based on the modeled median, home health care in Bismarck runs about $34 an hour. A 20-hour week runs about $2,965/month.

Is home health care in Bismarck more expensive than the rest of North Dakota?

Bismarck's median home health care cost is about 1% higher than the North Dakota state median.

Find Bismarck 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? Home Health Care across North Dakota → · Home Health Care cost across North Dakota → · 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.

Home Health Care in Bismarck: 2026 Costs & Licensed Providers