Home Health Care Agency Startup Cost Comparison

St. Louis, MO vs Houston, TX

St. Louis, MO

$44,000 - $306,000

COL Index: 90.8

VS

Houston, TX

$47,000 - $325,000

COL Index: 96.5

Detailed Cost Comparison

Expense St. Louis, MO Houston, TX Difference
Licensing & Certification
$5,000 - $50,000 $5,000 - $50,000 Same
Office Space Setup
$2,600 - $17,400 $4,100 - $27,400 -37%
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
$4,500 - $27,000 $4,600 - $27,600 -2%
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)
$18,200 - $136,200 $19,300 - $144,800 -6%
Total Estimated Cost $44,000 - $306,000 $47,000 - $325,000 -6%

Local Market Factors

Factor St. Louis Houston
Cost of Living Index 90.8 96.5
Commercial Rent ($/sqft/yr) $12 - $28 $18 - $45
Labor Rate Index 0.9 0.92
Sales Tax 9.679% 8.25%
Minimum Wage $12.30/hr $7.25/hr
LLC Filing Fee $50 $300

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