This map shows median home health aide hourly costs by state. The median national average cost is $27 per hour. Sometimes only a few hours of care per week may be required in addition to care provided by family or friends. Other individuals with significant needs who wish to remain at home or who want to rely less on family may pay for round-the-clock care if they are able to afford it. While care often starts at home, it may progress to other settings. The national median annual cost for a private room in a nursing home is about $108,000. Costs also vary by city, care type and provider. For costs for a specific area, visit the Genworth Cost of Care website.