Milford has the same median cost of home care as Cincinnati, $5,148 a month, which is $191 more than most seniors pay across the state. In Ohio’s northernmost cities, home care averages between $4,290 and $5,196 a month, with Youngstown and Cleveland representing the lower and upper ends of that range. Around the middle of the state, seniors are paying some of Ohio’s highest costs of home care, with Columbus and its $5,625 average cost of care among the costliest. West of Columbus, care costs fluctuate above and below Milford’s average. In Springfield and Dayton, the median cost of home care is $4,385 and $5,434 a month, respectively.