City Comparison

Alexandria vs Winston-Salem

Cost of Living Comparison · 2026

Alexandria

Virginia
145
Expensive
$590,000
Median Home
$2,125/mo
Median Rent
$119,700
Median Income

Winston-Salem

North Carolina
84
Very Affordable
$250,000
Median Home
$1,050/mo
Median Rent
$52,600
Median Income

The Verdict

72.6%

The cost gap between these cities is 72.6%, with Winston-Salem being the more affordable option. A $75,000 income in Alexandria has equivalent purchasing power to $43,448 in Winston-Salem.

Category-by-Category Breakdown

Index values · National average = 100 · Lower is more affordable

Housing
201
Alexandria
63
Winston-Salem
Groceries
113
Alexandria
97
Winston-Salem
Utilities
97
Alexandria
99
Winston-Salem
Transportation
107
Alexandria
94
Winston-Salem
Healthcare
102
Alexandria
103
Winston-Salem

Salary Equivalence

A $75,000 salary in Alexandria has the same purchasing power as $43,448 in Winston-Salem.

Conversely, $75,000 in Winston-Salem equals $129,464 in Alexandria.

Living in Alexandria vs Winston-Salem

Housing Costs

Alexandria's housing index of 201 is higher Winston-Salem's 63, translating to median home prices of $590,000 vs $250,000. The $340,000 difference in home prices means roughly $22,104 per year in additional mortgage costs at current rates. Renters face a similar gap: $2,125/mo in Alexandria compared to $1,050/mo in Winston-Salem, a monthly difference of $1,075.

Grocery & Food Costs

Grocery expenses index at 113 in Alexandria and 97 in Winston-Salem. A household spending the national average of $475/month on groceries would pay approximately $537/month in Alexandria vs $461/month in Winston-Salem. Winston-Salem offers a meaningful advantage on everyday food costs, saving roughly $912/year.

Utility Expenses

Utility costs — electricity, gas, water, internet — index at 97 in Alexandria and 99 in Winston-Salem. Monthly utility bills average approximately $388 in Alexandria vs $396 in Winston-Salem. Utility costs are relatively comparable between these two cities.

Healthcare

Healthcare costs index at 102 in Alexandria and 103 in Winston-Salem. This encompasses insurance premiums, doctor visit copays, dental care, and prescription costs. Healthcare costs are relatively similar between these two cities, though individual plan costs can still vary.

Income & Purchasing Power

Median household income is $119,700 in Alexandria and $52,600 in Winston-Salem. After adjusting for local costs, purchasing-power-equivalent incomes are approximately $82,552 and $62,619 respectively. Alexandria residents enjoy stronger real purchasing power despite higher nominal wages.

Relocation Considerations

Under the standard 28% rule, a median-income household can allocate $2,793/month to housing in Alexandria vs $1,227/month in Winston-Salem. In Alexandria, median rent of $2,125/mo fits within this budget. In Winston-Salem, median rent of $1,050/mo remains manageable. The biggest category-level difference between these two cities is Housing, where the gap is 138 index points — focus your budget analysis there.

Frequently Asked Questions

Winston-Salem is 72.6% more affordable overall with an index of 84 vs 145.
A $75,000 salary in Alexandria has equivalent purchasing power to approximately $43,448 in Winston-Salem, based on the cost of living difference.
Alexandria's housing index is 201 with median homes at $590,000, while Winston-Salem's is 63 with median homes at $250,000.

Moving & Relocation Resources

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