Assisted living prices within Maryland vary, and costs in Howard County are right on the median. On the border with Delaware, Salisbury has higher costs of $5,500. On the banks of the Chesapeake Bay, California has the highest assisted living prices in the state. At $6,200, it’s a full $1,200 per month more expensive than Howard County. Further inland, Hagerstown has the lowest costs at $4,500. At $4,665 per month, the nearby Cumberland area has similar assisted living prices. Seniors can find more affordable long-term care costs in neighboring Virginia where the Winchester area averages $4,304 and Blacksburg averages $4,000. Virginia’s capital Richmond has even lower assisted living prices with a monthly median of $3,645.