EHPAD : in these departments, the bill remains below 2,000 euros per month

Choosing an EHPAD for a relative is often a budgeting headache: according to the latest data from the National Solidarity Fund for Autonomy (CNSA), the average monthly rate of a medicalized nursing home reaches €2,628 for a single room not eligible for social assistance, but the gap between departments remains considerable. From the Meuse to Paris, the bill can almost double for a comparable service.

Price gaps that range from single to double

According to CNSA data relayed by specialist Cap Retraite and by the regional economic media Econostrum, the national range goes from €2,060 per month in the Meuse to more than €4,500 in Paris. Île-de-France shows the highest average in the country (€3,479), followed by PACA and Corse. Conversely, several rural departments in the center and west remain below the €2,000 mark:

• Mayenne: €1,896 per month
• Vienne: €1,900 per month
• Meuse: €1,908 per month
• Deux-Sèvres: €1,932 per month
• Haute-Saône: €1,936 per month
• Aveyron, Cantal, Haute-Marne, Eure-et-Loir, Allier and Charente: between €1,944 and €1,994 per month

Why such disparities between departments

Several factors explain these differences. The status of the facility weighs heavily: an EHPAD eligible for social assistance for accommodation (ASH) applies rates regulated by the departmental council, which brings the national average down to €2,214 versus €2,628 for a non-eligible place. Local real estate pressure also plays a role: in large metropolitan areas, land costs and healthcare staff salaries push prices up, while rural departments, often less strained, maintain more moderate rates despite recruitment difficulties.

How to reduce the bill for families

Faced with these amounts, several schemes can help reduce out-of-pocket costs. The Personalized Autonomy Allowance (APA), whether at home or in a facility, finances part of the dependency fee according to the degree of loss of autonomy. For households with modest incomes, the social assistance for accommodation, partly recoverable from the estate, allows admission to an eligible facility even without sufficient personal funds. It remains useful to compare several ASH-eligible facilities in one’s department before signing a contract, and to check eligibility for tax reductions related to dependency expenses, a point that often requires specialized legal assistance. Questions of health coverage and mutual insurance also deserve review before entering a facility, as does a broader look at the senior’s health budget.

Frequently asked questions

What is the average price of an EHPAD in France right now?

According to the CNSA, the average monthly rate is €2,628 for a single room in an establishment not eligible for social assistance, and €2,214 for an ASH-eligible establishment.

Which departments are the cheapest for an EHPAD?

Mayenne, Vienne, Meuse, Deux-Sèvres and Haute-Saône are among the departments where the average monthly rate remains below €2,000.

How to reduce the cost of an EHPAD for a relative?

The APA and social assistance for accommodation help reduce the out-of-pocket expense; comparing ASH-eligible facilities in one’s department and checking tax reductions related to dependency are also levers not to be overlooked.

Sources

• Cap Retraite — Comparison of EHPAD prices by department
• Econostrum — The departments where EHPAD remains under €2,000