The average assisted living rate in Barnstable County exceeds the state median by about 4% at $6,338, making it the most expensive area in Massachusetts for this type of care. In the Boston area, fees are closer to the state median at $6,100. In Pittsfield, seniors pay $5,789 per month, and in Springfield, assisted living care costs are a little lower at $5,750. Worcester is the most cost-effective option in the state, with monthly rates averaging $5,488. Across state lines, care costs are lower than in Barnstable County, with seniors paying $4,950 per month in the Providence area of Rhode Island and $5,753 in Hartford, Connecticut.