Quick answer
In the CareScout Cost of Care Survey 2025, home health aide and homemaker services are reported together as "non-medical caregiver." The 2025 median was $34 an hour in Kansas, $33 in Missouri and $35 nationally; at 44 hours a week, that's $6,435, $6,292 and $6,673 a month. Medicare covers part-time home health aide services only as part of a home health plan when your parent is homebound and also needs skilled care. (800) 614-8388 to talk it through.
2025 costs
| Kansas | Missouri | U.S. | |
|---|---|---|---|
| Hourly median | $34 | $33 | $35 |
| Monthly, 44 hours a week | $6,435 | $6,292 | $6,673 |
| Yearly, 44 hours a week | $77,220 | $75,504 | $80,080 |
CareScout Cost of Care Survey 2025 ("non-medical caregiver," which includes home health aides). For skilled nursing at home, the private duty nurse median was $67 an hour in Kansas and $95 in Missouri.
What a home health aide does
- Bathing, dressing, grooming and toileting.
- Help moving, transferring and walking.
- Light housekeeping and meals, depending on the agency.
- Reporting changes to a nurse or family.
When Medicare pays for an aide
Medicare covers part-time home health aide services when they're part of a home health plan of care, your parent is homebound, and they also need skilled care such as nursing or therapy. Medicare doesn't cover personal care alone. See Medicare and home health.
Other ways to pay
- Medicaid waivers in Kansas and Missouri for people who qualify.
- VA home care for eligible veterans.
- Long-term care insurance.
Need a home health aide?
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Questions families ask
How much does a home health aide cost per hour?
The 2025 median was $34 in Kansas and $33 in Missouri (CareScout Cost of Care Survey 2025).
Does Medicare pay for a home health aide?
Only part-time, as part of a home health plan when your parent is homebound and also needs skilled care.
What's the difference between a home health aide and a homemaker?
Aides focus on personal care; homemakers on household tasks. The 2025 survey reports them together.
Is a private duty nurse more expensive?
Yes. The 2025 median was $67 an hour in Kansas.