At $5,550 per month, assisted living fees in the Montgomery County region are among the highest in the state. Those seeking affordable care have many options to choose from. In the capital city of Harrisburg, care costs exceed state and national averages but are considerably lower than in Montgomery County at $4,857 per month. In Erie, fees are closer to the national median at $4,315, and in the York area, care costs are a little lower at $4,260 per month. Rates in Lancaster average $4,050 per month, and in Pittsburgh, the second-most populous city in the state after Philadelphia, monthly care costs are very affordable at $3,550. The Scranton area is the cheapest city in the state for assisted living, with monthly fees coming in at $2,450.