Skip to content
ElderCareCosts
UPDATED JUL 2026 · DATA AS OF 2025

In-Home Care in Des Moines, Iowa

Des Moines, IA has 1 licensed in-home care provider listed on ElderCareCosts. The median estimated cost is $7,917/mo. That's roughly in line with the Iowa state median. Compare providers below, or request a personalized shortlist to start your search.

Not sure which type of care fits? Answer 3 questions. We'll point you →

Starting tier, Des Moines

$3,599/mo

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

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

$7,917/mo

Typical range $7,634 – $8,231

Des Moines $7,917 at 44 hrs/wk National median $6,848 at 44 hrs/wk

Leaving the hospital this week?
Discharge deadlines are real. Tell us the situation and we'll shortlist same-day. Free.

Your number goes only to agencies you choose. No call blitz. Ever.

Fast-track my shortlist →
Starting today?
Three steps

1. Call the county aging agency

Free: (800) 747-5352 (Aging Resources of Central Iowa)

2. Shortlist 3 options

We'll narrow the 1 for you ↓

3. Prepare for the assessment

Print the questions ↓

What senior care costs in Des Moines

Des Moines figures as of 2025. Method and sources below.

Modeled median costs for in-home care in Des Moines versus Iowa and a multi-state national aggregate. Figures are estimates, not quotes.

In-Home Care cost comparison (2025)
In-Home CareDes MoinesIowaNational
25th percentile$7,634/mo$7,480/mo$6,537/mo
Median$7,917/mo$7,836/mo$6,848/mo
75th percentile$8,231/mo$8,517/mo$7,443/mo

Scroll for more →

Why is this number different on other websites? Most sites average "starting at" prices. Base rent, before care fees. We estimate the full monthly cost families actually pay. Budget from the all-in number. Our methodology →

What home care really costs by the hour

The $7,917 monthly figure assumes 44 hours of care a week. The survey standard. At Des Moines's implied rate of about $42 an hour:

Hours of careWhat it looks likeEst. monthly cost
20 hrs/weekMornings or afternoons, weekdays~$3,599
44 hrs/weekMost of every weekday$7,917
24/7 (168 hrs/week)Round-the-clock coverage~$30,229

Scroll for more →

Ways families typically pay

  • Private pay (savings, income, home equity)
  • Long-term care insurance
  • VA Aid & Attendance for eligible veterans and surviving spouses
  • Medicaid home- and community-based services (HCBS) waivers, where eligible. Rules vary by state

Medicare generally does not cover long-term custodial care. State-specific Medicaid waiver guides are coming soon.

Nearby: Pleasant Hill $6,763 · Windsor Heights $6,763 · Carlisle $6,763 · Saylorville $6,763 · Norwalk $6,763

What can you afford?

Every family starts with a number. Here's what different monthly budgets realistically cover in Des Moines, grounded in local medians on this page.

Under $2,500/mo

Adult day, family care, or affordable senior housing

Adult day care in Des Moines runs about $1,631/mo at the median. Income-restricted affordable senior housing is often the real under-$2,500 path when eligibility fits. Des Moines lists 26 such properties in our directory. Call the county aging agency at (800) 747-5352 for free navigation help. Medicaid/waiver paths can stretch a tight budget when eligibility fits.
$2,500 – $7,000/mo

Part-time home care or entry assisted living

Part-time home care often lands in this band (full survey month for in-home care is $7,917). Local assisted living median is $5,436/mo. Small homes can sit below that midpoint. Ask about waiver programs if Medicaid may apply.
$7,000 – $11,000/mo

Assisted living with room to spare

Covers the Des Moines assisted living median ($5,436/mo) comfortably. Or near-full-time home care around the $7,917/mo survey month.
Over $11,000/mo

Nursing care or heavy home-care schedules

Nursing homes in Des Moines run about $9,373/mo at the median. Round-the-clock home care usually costs more. Compare before deciding.
Want us to match you?
Tell us how you plan to pay and we'll match you with local options. Free. Every figure on this page stays visible either way.

Your number goes only to agencies you choose. No call blitz. Ever.

Match me with options →

Every licensed in-home care provider: 1

A note on counting: we show 1 licensed in-home care provider listed for Des Moines proper. Other sites show bigger numbers when they count a wide radius. Nearby options are linked below, labeled by city.

How we rank these: we don't. Sort them yourself.

Providers appear with their government data: CMS star ratings where they exist, license status, capacity, and inspection history. You can sort them yourself. Nobody pays to appear, and nobody pays to move up. If a listing says "Sponsored," a provider paid for that placement and the label says so.

Looking for a transparent sort by CMS stars, inspection records, and staffing? That is a separate data ranking, not an editorial pick.

Sponsored placements, when they appear, are always labeled. How we make money →

Compare agencies you choose
Check Compare on cards above, then continue. Selection before consent.

Your number goes only to agencies you choose. No call blitz. Ever.

Choose agencies →

Free local help worth saving

Des Moines has an estimated population of 212,421. About 27,045 residents (13%) are age 65 or older. Des Moines is located in Polk County, Iowa. The median household income is $65,932. Our directory currently lists 1 licensed in-home care provider in Des Moines. Estimated median cost in Des Moines is $7,917 per month, compared with $7,836 per month statewide in Iowa.

Source: US Census Bureau (ACS) · Updated Jul 2026.GOV

These services are public and free. We list them before anything we could earn from.

  • Aging Resources of Central Iowa800-747-5352agingresources.com

    AAA serving Polk County (Des Moines) and seven surrounding counties. Contact from Iowa HHS SFY 2025 AAA Plan Update Synopsis.

    State aging agency
  • Iowa Long-Term Care Ombudsman Programltcombudsman.org

    State Long-Term Care Ombudsman program.

    State LTC Ombudsman
  • Iowa State Health Insurance Assistance Program (SHIP)shiphelp.org

    State Health Insurance Assistance Program (SHIP).

    Medicare counseling (SHIP)
  • LifeLong Links1-866-468-7887lifelonglinks.org

    Aging & Disability Resource Center hub for this state.

    State aging agency
  • Des Moines VA Medical Centerva.gov

    VA Medical Center in Des Moines.

    VA open data
  • Home and Community Based Services – Elderly WaiverOfficial program page

    Can help pay for care if your parent qualifies. Rules change. Confirm on the official page.

    State Medicaid program
  • Veterans options in Des Moines

    1 licensed VA Community Living Center / State Veterans Home, sourced from VA Access to Care.

    VA Aid & Attendance overview →
    VA open data

Free national starting points. Official sites only; we do not scrape these directories.

Veterans & surviving spouses: VA Aid & Attendance can help wartime veterans who qualify. Official info only. How Aid & Attendance works →

Questions families ask

How many in-home care providers are listed in Des Moines, IA?

We currently list 1 licensed in-home care provider in Des Moines, IA.

What does in-home care cost per hour in Des Moines?

Based on the modeled median, in-home care in Des Moines runs about $42 an hour. A 20-hour week runs about $3,599/month.

Is in-home care in Des Moines more expensive than the rest of Iowa?

Des Moines's median in-home care cost is about 1% higher than the Iowa state median.

Want a Des Moines shortlist?

Tell us needs and budget once. We send licensed matches with real prices. Data stays free either way.

Your number goes only to agencies you choose. No call blitz. Ever.

Get a shortlist →

Reading up first? In-Home Care across Iowa → · In-Home Care cost breakdown → · Adult Day Care vs In-Home 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. Free, no email required. Optional send-to-email when you want it on your phone.

Trust & methodology

Cite this: According to ElderCareCosts' 2026 index, in-home care in Des Moines, IA costs $7,917/month (median), at the 44-hour-a-week survey standard.