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Home care cost calculator

What a caregiver costs per hour, per week and per month in your state: through an agency or hired directly, with employer taxes and overtime. And how it compares with assisted living and a nursing home.

How will you hire the caregiver?

Compared with other options in the state

Please note: this is a rough estimate for information only, not legal, tax or accounting advice. Minimum wages, overtime and taxes change every year and depend on your state, city and situation (for example, if the caregiver is a family member). State unemployment tax rates are the rates for new employers. Agency rates are CareScout 2025 medians and vary a lot. Check IRS Publication 926, your state labor agency or a tax professional.

Frequently asked questions

How much does an in-home caregiver cost in the United States?
According to the CareScout 2025 survey, the national median for a non-medical home care agency is $35 an hour. Hiring a caregiver directly usually costs less per hour, but you become an employer: you pay taxes and must follow minimum wage and overtime rules.
Do I have to pay taxes if I hire a caregiver?
If you pay a caregiver $3,000 or more in cash wages in 2026, you must pay Social Security and Medicare taxes (7.65% as your share, and withhold another 7.65% as the caregiver’s share), and if you pay $1,000 or more in a quarter, federal unemployment tax (FUTA). You report them on IRS Schedule H. See Publication 926.
Do I have to pay overtime?
In general, yes: federal law (FLSA) requires time and a half after 40 hours a week for most caregivers who help with personal care. Some states have their own rules (California, New York). The calculator applies them.
Does Medicaid or Medicare pay for a caregiver?
Medicare pays for home health for a limited time if a doctor orders it (nursing, therapy), not for daily care. Medicaid, however, can pay for personal care at home through state programs (for example, IHSS in California). Learn more.

Sources

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