According to Genworth’s Cost of Care Survey 2021, in-home care from Round Hill is the most affordable in the country, costing $4,671 per month, slightly lower than the national median of $4,767. With the Virginia average being $4,957, Round Hill also compares favorably with other cities within the state. To the southeast, Harrisonburg seniors pay $4,957, while those in Charlottesville spend $6,292 monthly, the highest rate in Virginia. Home care providers charge $5,148 in Richmond, and just across the state line, those in Washington, D.C. charge $5,339 per month.