The highest paid Personal Care Assistants (PCAs) in the United States are reported to earn approximately $20.24 per hour in Bronx, New York, based on 551 salary reports. This indicates that PCAs working in Bronx tend to have higher wages compared to other cities, reflecting factors such as cost of living, demand for healthcare services, and regional economic conditions. Other cities with relatively higher PCA wages include Buffalo, NY, where the average is around $17.78 per hour, and Saint Paul, MN, at approximately $17.61 per hour. These figures highlight regional variations in PCA compensation, with urban centers generally offering higher wages due to increased demand and living costs.