Abstract Purpose This study aims to investigate the willingness to pay (WTP) for a home-based rehabilitation service and explore the influencing factors of WTP among older adults in Shanghai, China. Design A cross-sectional design was used. Methods A questionnaire survey based on the contingent valuation method was conducted by face-to-face survey over 3 months. Findings Only 242 (44%) participants were willing to pay for a home-based rehabilitation service. The median amount they were willing to pay was RMB 8 (US$1.15) per visit. Older adults who had higher monthly income, had at least one partner who worked, and had medical insurance were willing to pay more for the service. Conclusions Older adults showed low WTP for a home-based rehabilitation service. Economic status and health condition are the significant influencing factors of WTP. Clinical Relevance Studies on recipients’ precise needs and ability to pay are required before home-based services are implemented.