Home Health Care Agency Startup Cost Comparison

Bismarck, ND vs Houston, TX

Bismarck, ND

$44,000 - $303,000

COL Index: 92

VS

Houston, TX

$47,000 - $325,000

COL Index: 96.5

Detailed Cost Comparison

Expense Bismarck, ND Houston, TX Difference
Licensing & Certification
$5,000 - $50,000 $5,000 - $50,000 Same
Office Space Setup
$2,100 - $13,900 $4,100 - $27,400 -49%
Software & Technology
$3,000 - $15,000 $3,000 - $15,000 Same
Insurance & Bonding
$5,000 - $25,000 $5,000 - $25,000 Same
Initial Caregiver Recruitment
$4,400 - $26,400 $4,600 - $27,600 -4%
Compliance & Accreditation
$3,000 - $20,000 $3,000 - $20,000 Same
Marketing & Referral Network
$3,000 - $15,000 $3,000 - $15,000 Same
Working Capital (3-6 Months)
$18,400 - $138,000 $19,300 - $144,800 -5%
Total Estimated Cost $44,000 - $303,000 $47,000 - $325,000 -7%

Local Market Factors

Factor Bismarck Houston
Cost of Living Index 92 96.5
Commercial Rent ($/sqft/yr) $10 - $22 $18 - $45
Labor Rate Index 0.88 0.92
Sales Tax 7.5% 8.25%
Minimum Wage $7.25/hr $7.25/hr
LLC Filing Fee $135 $300

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