If a nursing home placement isn’t the correct placement at the moment for a loved one, it’s helpful to compare those prices to the cost of other kinds of elderly care in Columbia. Going with the Missouri state average, adult day health care is the cheapest at $1,788. After that, comparing costs in Columbia, the least expensive choice is an assisted living facility with an average monthly cost of $2,900. Home care and home health care both cost $4,576 per month on average. Nursing homes are not much more expensive than home care options, with a semiprivate room averaging just $364 a month more. A private room in a Columbia nursing home costs an average of $5,870 monthly, which is $1,294 more expensive than home care options and double the cost of assisted living.