As part of the Hampton Roads metro, Portsmouth shares similar home care costs with the Virginia Beach–Norfolk–Newport News area at $4,767 per month. According to Genworth Financial’s 2021 Cost of Care Survey, Portsmouth is average-priced in Virginia, as it’s also on par with the state average, and nearly $200 below the U.S. median of $4,957. State capital Richmond, at $5,148, is nearly $400 more expensive. In Central Virginia, Charlottesville, at $6,292, costs Portsmouth seniors over $1,500 more per month, while Lynchburg, at $4,185, is more affordable by about $600.