Home Health Care Agency Startup Cost Comparison

Roanoke, VA vs New York, NY

Roanoke, VA

$44,000 - $301,000

COL Index: 90.5

VS

New York, NY

$74,000 - $519,000

COL Index: 187.2

Detailed Cost Comparison

Expense Roanoke, VA New York, NY Difference
Licensing & Certification
$5,000 - $50,000 $5,300 - $50,000 -1%
Office Space Setup
$2,200 - $14,800 $10,400 - $69,600 -79%
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
$4,300 - $25,500 $7,300 - $43,500 -41%
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)
$18,100 - $135,800 $37,400 - $280,800 -52%
Total Estimated Cost $44,000 - $301,000 $74,000 - $519,000 -42%

Local Market Factors

Factor Roanoke New York
Cost of Living Index 90.5 187.2
Commercial Rent ($/sqft/yr) $10 - $24 $40 - $120
Labor Rate Index 0.85 1.45
Sales Tax 5.3% 8.875%
Minimum Wage $12.41/hr $16.00/hr
LLC Filing Fee $100 $200

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