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The highest average wages for Personal Care Assistants (PCAs) in the United States are typically found in cities like Bronx, New York, where the average pay is approximately $20.24 per hour, based on 551 reported salaries. Other cities with relatively higher pay include Buffalo, New York, at around $17.78 per hour, and Saint Paul, Minnesota, at about $17.61 per hour. These variations in pay are influenced by factors such as the cost of living, demand for healthcare services, and regional economic conditions. Generally, urban areas with higher living costs tend to offer higher wages to attract qualified PCAs, making cities like Bronx, NY, the top-paying locations for this profession.