City Comparison

Bellevue vs Des Moines

Cost of Living Comparison · 2026

Bellevue

Washington
158
Very Expensive
$1.3M
Median Home
$2,525/mo
Median Rent
$169,200
Median Income

Des Moines

Iowa
89
Below Average
$210,000
Median Home
$1,100/mo
Median Rent
$55,958
Median Income

The Verdict

77.5%

The cost gap between these cities is 77.5%, with Des Moines being the more affordable option. A $75,000 income in Bellevue has equivalent purchasing power to $42,247 in Des Moines.

Category-by-Category Breakdown

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

Housing
249
Bellevue
74
Des Moines
Groceries
111
Bellevue
96
Des Moines
Utilities
100
Bellevue
93
Des Moines
Transportation
134
Bellevue
100
Des Moines
Healthcare
120
Bellevue
97
Des Moines

Salary Equivalence

A $75,000 salary in Bellevue has the same purchasing power as $42,247 in Des Moines.

Conversely, $75,000 in Des Moines equals $133,146 in Bellevue.

Living in Bellevue vs Des Moines

Housing Costs

Bellevue's housing index of 249 is higher Des Moines's 74, translating to median home prices of $1.3M vs $210,000. The $1.1M difference in home prices means roughly $70,920 per year in additional mortgage costs at current rates. Renters face a similar gap: $2,525/mo in Bellevue compared to $1,100/mo in Des Moines, a monthly difference of $1,425.

Grocery & Food Costs

Grocery expenses index at 111 in Bellevue and 96 in Des Moines. A household spending the national average of $475/month on groceries would pay approximately $527/month in Bellevue vs $456/month in Des Moines. Des Moines offers a meaningful advantage on everyday food costs, saving roughly $852/year.

Utility Expenses

Utility costs — electricity, gas, water, internet — index at 100 in Bellevue and 93 in Des Moines. Monthly utility bills average approximately $400 in Bellevue vs $372 in Des Moines. Utility costs are relatively comparable between these two cities.

Healthcare

Healthcare costs index at 120 in Bellevue and 97 in Des Moines. This encompasses insurance premiums, doctor visit copays, dental care, and prescription costs. The 23-point gap reflects real differences in provider costs, insurance market competition, and regional healthcare infrastructure.

Income & Purchasing Power

Median household income is $169,200 in Bellevue and $55,958 in Des Moines. After adjusting for local costs, purchasing-power-equivalent incomes are approximately $107,089 and $62,874 respectively. Bellevue residents enjoy stronger real purchasing power despite higher nominal wages.

Relocation Considerations

Under the standard 28% rule, a median-income household can allocate $3,948/month to housing in Bellevue vs $1,306/month in Des Moines. In Bellevue, median rent of $2,525/mo fits within this budget. In Des Moines, median rent of $1,100/mo remains manageable. The biggest category-level difference between these two cities is Housing, where the gap is 175 index points — focus your budget analysis there.

Frequently Asked Questions

Des Moines is 77.5% more affordable overall with an index of 89 vs 158.
A $75,000 salary in Bellevue has equivalent purchasing power to approximately $42,247 in Des Moines, based on the cost of living difference.
Bellevue's housing index is 249 with median homes at $1.3M, while Des Moines's is 74 with median homes at $210,000.

Moving & Relocation Resources

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