Set the hours and the rate. The default rate is the Nevada statewide median of $37 an hour from the CareScout Cost of Care Survey 2025 — change it to a real quote once you have one, because a real quote beats a median every time.
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| Versus Nevada median assisted living |
Our arithmetic: rate × hours × 52 ÷ 12. It does not include shift minimums, overnight or weekend differentials, or volume discounts — all of which move a real quote. Assisted living comparison uses the Nevada statewide median of $6,241 a month; remember that figure includes housing, utilities, meals and 24-hour staff presence, while caregiver hours do not.
What the calculator leaves out
Shift minimums
Most agencies bill three or four hours minimum per visit. Five one-hour visits is billed as fifteen or twenty hours, not five.
Differentials
Overnights, weekends, holidays and short-notice shifts carry a premium at most agencies.
Volume discounts
Rates commonly fall as weekly hours rise. If you are heading past 40 hours, the retail hourly rate is not what you should end up paying.
Everything else about running a house
The comparison line against assisted living is not like-for-like. Assisted living rent covers housing, utilities, meals and staff presence. The caregiver figure covers caregiver hours only.
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The full cost breakdown · How many hours you actually need · Home care vs assisted living
Common questions
How much does 20 hours a week of home care cost?
At the Nevada statewide median of $37 an hour an hour, 20 hours a week works out to about $3,207 a month by our arithmetic — before shift minimums, differentials or any volume discount.
At what point does assisted living cost less?
At the Nevada median hourly rate, in-home care passes Nevada's median assisted living cost at roughly 32 to 33 hours a week — though the two are not like-for-like, since assisted living includes housing, utilities and meals.
Sources for this page
- CareScout Cost of Care Survey 2025 — state data tables — CareScout (Genworth), 2025. More than 25,000 rates collected from long-term care providers nationwide between July and November 2025. Annual figures assume 44 hours a week for 52 weeks.
Reviewed by the Vegas Senior Advisor care team. Last updated November 11, 2026. Spot something wrong? Call (725) 465-8617 and we will correct it within one business day.
