In New Castle, assisted living residents pay an average of $4,738 per month for housing and custodial care. This exceeds the state norm by about $600, and it’s about $200 higher than the national average. While seniors in Chambersburg typically pay even more for care, with local care costs averaging $4,823, other nearby cities may be more affordable for those seeking residential services. In Altoona, for example, care costs are about $700 less on average than in New Castle, and in Pittsburgh and Johnstown, respective rates are even lower, averaging $3,250 and $2,725.