Transparent Home Care Pricing
Clear pricing. Real answers. No pressure.
Finding home care shouldn’t mean chasing down answers or sitting through a sales visit to understand cost. At All Heart Home Care, we believe pricing should be transparent, fair, and easy to understand from the very beginning.
You don’t need an in-home visit just to get pricing.
You don’t need to wait for a callback.
You don’t need to sit on hold or get transferred to voicemail.
You don’t need to guess.
One call is all it takes.
Why Home Care Pricing Is Often Confusing
Many families tell us the same thing after calling around:
- “No one could give me a straight answer.”
- “They said someone else had to call me back.”
- “They wouldn’t give pricing without meeting in person”
This is common in home care — but it doesn’t help families who are already overwhelmed and trying to make good decisions quickly.
We chose a different approach.
Our Pricing Philosophy
We designed our pricing model around three principles:
Clarity.
You should understand costs early, without pressure.
Fairness.
Rates reflect care needs based on shift length.
Transparency.
What we quote is what you see in writing.
That’s why we offer upfront pricing by phone and publish clear hourly ranges online. Your exact rate — including any adjustments for specific caregiver qualifications or care requirements — is always confirmed during your first call.
Our Hourly Home Care Rates
Individual Home Care
Rates begin at $37 per hour, depending on shift length.
We don’t use one flat rate for every situation. Instead, pricing is adjusted based on the length of each scheduled shift, allowing us to keep rates fair and sustainable.
Our structure:
- Shorter shifts have a higher hourly rate.
- Longer, consistent shifts receive a lower hourly rate. (except for 24-Hour Care)
This rewards families who need ongoing or extended care and supports caregiver consistency.
Exact rates are always provided during your first call — no in-home visit required.
Short-Duration Visits & Per-Visit Care
Many seniors value their independence and prefer not to have someone in their home for extended periods — but they still need help with meals, medication reminders, appointments, or daily check-ins.
For families balancing care needs with a loved one’s desire for privacy, we offer per-visit care for visits under four hours.
Per-visit rate (under 4 hours): $175 per visit
This rate applies whether care is provided for 1, 2, 3, or 3.5 hours. It accounts for caregiver travel, scheduling, and fair compensation for shorter shifts — while respecting your loved one’s preference for brief, focused support.
Your exact rate is always confirmed during your first call — clearly, calmly, and without pressure.
Why per-visit pricing makes sense:
Shorter visits require the same travel time and coordination as longer shifts, but with less working time for caregivers. The per-visit structure ensures fair compensation while giving your loved one the independence they value.
Visits under four hours are billed as a flat per-visit rate. Once a visit exceeds four hours, standard hourly pricing applies — often providing better value for families needing extended daily care.
Couples Care (Under 4 Hours): $195 per visit
When one caregiver supports two people during a short visit, the rate is $195 per visit to reflect the added responsibility and care coordination involved.
Couples Care
When one caregiver supports two people in the same household:
An additional hourly fee applies to reflect the increased level of responsibility and care coordination.
We’ll explain this clearly during your call and confirm the exact rate before any care begins.
Facility-Based Care
Care provided in skilled nursing facilities (SNFs), hospital settings, assisted living communities, or memory care facilities is priced differently from private home care. Facility rates begin at $38 per hour, depending on shift length — just like our home care rates, longer shifts receive lower hourly rates.
This rate reflects the additional operational requirements when working within facility environments, including:
- Overtime thresholds (8 hrs vs. 9 hrs in private homes)
- Mandatory meal and rest break coverage
- Facility compliance and documentation standards
- Coordination with facility staff and protocols
Your exact rate will be confirmed during your call based on your specific care setting and schedule.
Around-the-Clock Care
For families needing consistent daily or 24-hour support, we offer structured schedules designed for comfort, continuity, and cost efficiency. We waive your overtime fee, resulting in significant savings compared to regular hourly rates.
- 24-Hour Home Care: $960/day (no overtime)
Care is provided by two caregivers working 12-hour shifts to ensure quality and attentiveness. This rate applies to private residences (homes, condos, townhomes).
- Couples 24-Hour Care: $1,080/day (no overtime)
When one caregiver supports two people during 24-hour care, an additional $5 per hour applies — bringing the total to $45/hour or $1,080 per day.
Note: Facility-based 24-hour care rates are higher due to additional compliance and operational requirements.
Longer schedules provide better hourly value while maintaining caregiver quality. Your exact rate will be confirmed during your call.
Why Shift Length Affects Pricing
Shorter visits require caregivers to travel to your home for a limited number of working hours. With San Diego’s gas prices and commute times, this creates higher per-hour costs for the caregiver — which is reflected in the rate.
Longer shifts allow caregivers to spend more continuous time with your loved one while reducing repeated travel. That efficiency benefits everyone: caregivers earn more for their day, and families receive a lower hourly rate for extended care.
This isn’t a pricing strategy. It’s simply how home care works when you account for real travel costs and fair caregiver compensation.
We’ll always explain your options clearly so you can choose the schedule that fits your family’s needs and budget.
How to Get Your Exact Rate
Getting started is simple:
- 1. Call (619) 736-4677 and speak with a live care coordinator right now — no transfers, no waiting.
- 2. Share the schedule and type of care you’re considering
- 3. Receive your exact hourly rate within minutes
- 4. Decide — with no pressure — if you’d like to move forward
If you choose to continue, we’ll schedule a free in-home care assessment at your convenience. But you’ll already know the rate before that ever happens.
Frequently asked questions.
First Questions Families Ask
How do I get my exact rate?
Just call (619) 736-4677. You’ll speak with a live care coordinator who can provide your exact rate within minutes — no transfers, no voicemail, no pressure.
Are there any hidden fees?
No. We believe in complete transparency. There are no hidden fees, no surprise add-ons, and no unexpected charges. The rate we quote is the rate you’ll see in writing.
Is there a minimum number of hours required per shift?
No. We do not require minimum hours. Care can be scheduled based on what your family actually needs.
That said, shorter shifts typically have a higher hourly rate, while longer, consistent schedules receive lower hourly rates. We’ll walk you through the options so you can choose what works best for your situation.
When does per-visit pricing apply instead of hourly rates?
Per-visit pricing applies to any care visit under four hours in a private home. This includes 1-, 2-, 3-, or 3.5—hour visits, all billed at $175 per visit (or $195 for couples care).
Once a visit reaches or exceeds four hours, standard hourly pricing applies, which often provides better value for families needing extended daily care.
This structure allows us to fairly compensate caregivers for travel time and scheduling coordination while giving your loved one the flexibility of brief, focused support when that’s all they need.
Do you require a deposit to start care?
Yes. To begin care, we require a one-week refundable deposit, equal to one week of scheduled care. This secures your caregiver and confirms your start date.
The deposit is refunded at the termination of care services.
All deposit details are explained clearly before care begins.
Understanding Your Pricing Structure
Why do shorter shifts cost more per hour?
Shorter visits require caregivers to travel to and from your home for a limited number of working hours. With San Diego commute times and fuel costs, this increases the per-hour cost of care.
Longer shifts reduce repeated travel and allow caregivers to earn more consistently throughout the day — which allows us to offer a lower hourly rate for extended care.
This isn’t a pricing tactic.
It’s simply how home care works when caregivers are paid fairly.
Do you charge higher rates for weekend care?
No. Our standard hourly rates apply seven days a week, including weekends. There are no weekend surcharges.
Do you charge more on holidays?
Yes — on certain major holidays, caregiver hours are billed at time and a half to fairly compensate caregivers who work those days.
Holiday rate applies only to the following holidays:
- New Year’s Eve (starting at 12:00 p.m.)
- New Year’s Day
- Easter Sunday
- Memorial Day
- Independence Day (July 4th)
- Labor Day
- Thanksgiving Day
- Christmas Eve (starting at 12:00 p.m.)
- Christmas Day
If care is scheduled on one of these holidays, we’ll always explain the rate in advance — no surprises.
Do you charge for caregiver mileage?
In some situations, caregiver mileage may apply — but not for the caregiver’s commute to or from your home.
Mileage charges apply only when a caregiver drives their own vehicle on behalf of the client, such as running errands, attending appointments, or traveling between care-related locations during a shift.
If the caregiver is driving the client’s vehicle, no mileage fee is required.
California law requires employers to reimburse caregivers for work-related travel expenses. When mileage reimbursement is required, it is calculated based on the IRS standard mileage rate and passed through transparently.
If mileage applies to your care schedule, it is explained in advance and clearly reflected on your invoice — never added unexpectedly.
Specific Care Scenarios
Do you offer 24-hour home care?
Yes. We offer 24-hour home care for families who need continuous, around-the-clock support.
Care is provided by two caregivers working 12-hour shifts, which helps ensure attentiveness, safety, and caregiver well-being. This structure allows for consistent, reliable care without gaps.
We’ll help you determine whether 24-hour care or extended daily shifts are the best fit for your needs and budget — and explain the difference clearly before you decide.
Why is the hourly cost for 24-hour care higher if longer shifts usually cost less per hour?
Great question — and it comes down to overtime.
For most shifts (4, 6, or 8 hours), longer care reduces your hourly rate because caregivers work more efficiently without repeated travel.
But 24-hour care works differently. We have two caregivers, each working 12-hour shifts. At 12 hours, overtime kicks in for each caregiver, which increases the per-hour cost.
However, 24-hour care is often more cost-effective overall than paying for two separate 12-hour shifts at different base rates, plus daily fluctuating overtime charges.
Here’s why:
- One flat, all-inclusive rate: example: $40/hour ($960/day)
- No separate overtime charges — it's already built into the daily rate
- No fluctuating costs — you know exactly what you'll pay
- Simpler budgeting — one predictable number every day
In short:
24-hour care gives you one clear, predictable rate with no overtime surprises — which often costs less than piecing together shifts on your own.
We’ll always walk you through the comparison so you can see which option makes the most sense for your family.
Do you offer live-in care?
In most cases, we recommend 24-hour care instead of live-in care — because it’s often the better option for families.
Live-in care typically requires paying for a caregiver’s overnight hours, even when they’re sleeping. When that cost is factored in, live-in care can be more expensive without providing the same level of alert, consistent support.
With 24-hour care:
- Care is provided by two caregivers working 12-hour shifts
- Caregivers remain fully awake and attentive
- Overtime is already built into one clear daily rate
- Families often receive better coverage at a more predictable cost
Our goal is to recommend the option that makes the most financial and practical sense — not simply offer every model available.
We’re always happy to explain the difference so you can make an informed decision.
How does pricing work if the same caregiver works a split shift?
When the same caregiver is scheduled for a split shift (for example, a morning and evening visit on the same day), travel time and mileage may apply between the shifts.
This is because California law requires employers to compensate caregivers for work-related travel time and mileage incurred between assignments during the same workday.
What this means:
- Travel time and mileage apply only between the scheduled shifts
- You are not charged for the caregiver’s initial arrival or final departure
If a split shift is part of your care plan, any applicable travel time or mileage will be explained in advance so you know exactly what to expect.
Can pricing change after care starts?
Your rate remains the same unless your schedule, location, or care needs change. If an adjustment is ever needed, it’s discussed clearly and in advance.
What's included in your hourly rate?
Your rate covers professional home care — not just caregiver hours.
What you get:
- Fully licensed agency — regulated by the state of California (The Home Care Services Bureau), not a registry
- Background-checked caregivers — DOJ/FBI clearance, references, ongoing oversight
- Careful matching — caregivers selected for your specific needs
- Full insurance coverage — workers' compensation, bonded, and liability protection
- Digital care platform — real-time scheduling, care notes, family updates
- Professional coordination — we handle call-offs, replacements, and schedule changes
- 24/7 live support — reach a real person, not voicemail or a call center
- Ongoing adjustments — care plans adapt as needs change
Your rate covers care, compliance, protection, and peace of mind.
Do you offer certified caregivers (CNA or Home Health Aide)?
Yes. Many members of our caregiving team already hold a Certified Nursing Assistant (CNA) or Home Health Aide (HHA) certification. When available, we’re happy to match families with these certifications at no additional cost.
If a client requires that all caregivers assigned must hold a CNA or HHA certification, an additional $5 per hour applies. This reflects the higher wages required to fairly compensate these employees, who are often in high demand by hospitals and skilled nursing facilities.
We’ll always explain this clearly during your call and confirm any applicable rate adjustments before care begins — no surprises.
Special Requirements & Qualifications
Do you offer certified caregivers (CNA or Home Health Aide)?
Yes. Many members of our caregiving team already hold a Certified Nursing Assistant (CNA) or Home Health Aide (HHA) certification. When available, we’re happy to match families with these certifications at no additional cost.
If a client requires that all caregivers assigned must hold a CNA or HHA certification, an additional $5 per hour applies. This reflects the higher wages required to fairly compensate these employees, who are often in high demand by hospitals and skilled nursing facilities.
We’ll always explain this clearly during your call and confirm any applicable rate adjustments before care begins — no surprises.
What's included in your hourly rate?
Your rate covers professional home care — not just caregiver hours.
What you get:
- Fully licensed agency — regulated by the state of California (The Home Care Services Bureau), not a registry
- Background-checked caregivers — DOJ/FBI clearance, references, ongoing oversight
- Careful matching — caregivers selected for your specific needs
- Full insurance coverage — workers' compensation, bonded, and liability protection
- Digital care platform — real-time scheduling, care notes, family updates
- Professional coordination — we handle call-offs, replacements, and schedule changes
- 24/7 live support — reach a real person, not voicemail or a call center
- Ongoing adjustments — care plans adapt as needs change
Your rate covers care, compliance, protection, and peace of mind.
Can pricing change after care starts?
Your rate remains the same unless your schedule, location, or care needs change. If an adjustment is ever needed, it’s discussed clearly and in advance.
