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ElderCareCosts
UPDATED JUL 2026 · DATA AS OF 2025

In-Home Care in Rochester, New York

Rochester, NY has 30 licensed in-home care providers listed on ElderCareCosts. The median estimated cost is $6,030/mo. That's below the New York state median by about 10%. Compare providers below, or request a personalized shortlist to start your search.

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Starting tier, Rochester

$2,741/mo

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

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

$6,030/mo

Typical range $5,905 – $6,540

● Rochester $6,030 at 44 hrs/wk ○ National median $6,848 at 44 hrs/wk

Modeled estimate · 2025 dataEstimate; not a quoteDownload CSV
See all 30 providers →Compare costs →
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Free: (585) 753-6280 (Monroe County Office for the Aging)

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What senior care costs in Rochester

Rochester figures as of 2025. Method and sources below.

Modeled median costs for in-home care in Rochester versus New York and a multi-state national aggregate. Figures are estimates, not quotes.

In-Home Care cost comparison (2025)
In-Home CareRochesterNew YorkNational
25th percentile$5,905/mo$6,370/mo$6,537/mo
Median$6,030/mo$6,673/mo$6,848/mo
75th percentile$6,540/mo$7,253/mo$7,443/mo

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Source: Modeled estimate (opens in a new tab) · Updated 2025
Download CSVMethodology
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 $6,030 monthly figure assumes 44 hours of care a week. The survey standard. At Rochester's implied rate of about $32 an hour:

Hours of careWhat it looks likeEst. monthly cost
20 hrs/weekMornings or afternoons, weekdays~$2,741
44 hrs/weekMost of every weekday$6,030
24/7 (168 hrs/week)Round-the-clock coverage~$23,024

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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: Irondequoit $6,030 · Gates $6,109 · Brighton $6,030 · North Gates $6,109 · Greece $6,109

What can you afford?

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

Under $2,500/mo

Adult day, family care, or affordable senior housing

Adult day care in Rochester runs about $2,819/mo at the median. Income-restricted affordable senior housing is often the real under-$2,500 path when eligibility fits. Rochester lists 34 such properties in our directory. Call the county aging agency at (585) 753-6280 for free navigation help. Medicaid/waiver paths can stretch a tight budget when eligibility fits.
Affordable senior apartments →
$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 $6,030). Local assisted living median is $6,425/mo. Small homes can sit below that midpoint. Ask about waiver programs if Medicaid may apply.
Medicaid & waiver paths →
$7,000 – $11,000/mo

Assisted living with room to spare

Covers the Rochester assisted living median ($6,425/mo) comfortably. Or near-full-time home care around the $6,030/mo survey month.
How families pay →
Over $11,000/mo

Nursing care or heavy home-care schedules

Nursing homes in Rochester run about $14,032/mo at the median. Round-the-clock home care usually costs more. Compare before deciding.
How families pay →
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Every licensed in-home care provider: 30

A note on counting: we show 30 licensed in-home care providers listed for Rochester 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
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Also serving Rochester

In-home care comes to the home, so agencies based one town over often serve Rochester; their licensed office is simply in a different city. These 7 are based nearby, listed by office location, nearest first. They are separate from the licensed-in-Rochester count above. Always confirm they cover your address.

Ordered by distance from Rochester, never by who pays. Office location is shown on every card. How we make money →

Include a nearby agency in your Rochester shortlist
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Free local help worth saving

Rochester has an estimated population of 208,772. About 27,393 residents (13%) are age 65 or older. Rochester is located in Monroe County, New York. The median household income is $47,213. Our directory currently lists 30 licensed in-home care providers in Rochester. Estimated median cost in Rochester is $6,030 per month, compared with $6,673 per month statewide in New York.

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

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

  • Monroe County Office for the Aging(585) 753-6280Source page

    Area Agency on Aging serving this city.

    State aging agency
  • New York State Long-Term Care Ombudsman Program1-855-582-6769aging.ny.gov

    State Long-Term Care Ombudsman program.

    State LTC Ombudsman
  • Health Insurance Information Counseling and Assistance Program (HIICAP)1-800-701-0501aging.ny.gov

    State Health Insurance Assistance Program (SHIP).

    Medicare counseling (SHIP)
  • NY Connects1-800-342-9871nyconnects.ny.gov

    Aging & Disability Resource Center hub for this state.

    State aging agency
  • Rochester Calkins VA Clinicva.gov

    Multi-Specialty Community-Based Outpatient Clinic in Rochester.

    VA open data
  • Managed Long Term Care (MLTC)Official program page

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

    State Medicaid program

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 Rochester, NY?

We currently list 30 licensed in-home care providers in Rochester, NY.

What does in-home care cost per hour in Rochester?

Based on the modeled median, in-home care in Rochester runs about $32 an hour. A 20-hour week runs about $2,741/month.

Is in-home care in Rochester more expensive than the rest of New York?

Rochester's median in-home care cost is about 10% lower than the New York state median.

Want a Rochester shortlist?

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

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Reading up first? In-Home Care across New York → · 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.

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Trust & methodology

Cite this: According to ElderCareCosts' 2026 index, in-home care in Rochester, NY costs $6,030/month (median), at the 44-hour-a-week survey standard.

In-Home Care in Rochester: 2026 Costs & Licensed Providers · ElderCareCosts