I have a hand-crank machine. I kind of wish I had the Kitchenaid attachment to make the process faster, but I still really enjoy making homemade pasta. It makes me feel rustic. . .or something.
I'd say it's definitely worth making homemade pasta. The flavor is completely different. Whenever I make it for my family they got nuts over it and wonder why anyone would eat boxed, dried pasta. If I had the time I'd make fresh whenever I ate pasta. Or make a huge batch and dry it at home. It's not hard, it's just a bit messy and time consuming.