Assisted living prices within the rest of the state can be variable. While costs in Baltimore County are on par with the state median, western city Cumberland is more affordable at $4,665 per month. Nearby, the Hagerstown area has the lowest costs in the state at $4,500 per month, which is $500 cheaper than the Baltimore County average. On the banks of the Chesapeake Bay, California has the highest costs in the state at $6,200 monthly. Costs in Salisbury are slightly lower, but at $5,500, it is still $500 per month more expensive than Baltimore County. Assisted living prices can be lower in neighboring Virginia, where capital city Richmond averages $3,645 per month.