According to Genworth’s 2018 Cost of Care study, the cost of assisted living varies considerably throughout California. In Fresno, the average monthly cost, at only $3,500, is significantly below both the national average ($4,000) and the state average ($4,500). When compared with larger cities, Fresno’s costs are much lower as well. In Los Angeles and San Diego, the average cost is $1,000 higher than Fresno, and in San Francisco ($5,500), it’s $2,000 higher. Next to Bakersfield, where the average monthly cost is only $3,150, Fresno’s average monthly cost is the lowest in the state.