City Comparison

Boston vs Winston-Salem

Cost of Living Comparison · 2026

Boston

Massachusetts
162
Very Expensive
$620,000
Median Home
$2,800/mo
Median Rent
$76,298
Median Income

Winston-Salem

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

The Verdict

92.9%

The cost gap between these cities is 92.9%, with Winston-Salem being the more affordable option. A $75,000 income in Boston has equivalent purchasing power to $38,889 in Winston-Salem.

Category-by-Category Breakdown

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

Housing
242
Boston
63
Winston-Salem
Groceries
108
Boston
97
Winston-Salem
Utilities
126
Boston
99
Winston-Salem
Transportation
107
Boston
94
Winston-Salem
Healthcare
118
Boston
103
Winston-Salem

Salary Equivalence

A $75,000 salary in Boston has the same purchasing power as $38,889 in Winston-Salem.

Conversely, $75,000 in Winston-Salem equals $144,643 in Boston.

Living in Boston vs Winston-Salem

Housing Costs

Boston's housing index of 242 is higher Winston-Salem's 63, translating to median home prices of $620,000 vs $250,000. The $370,000 difference in home prices means roughly $24,048 per year in additional mortgage costs at current rates. Renters face a similar gap: $2,800/mo in Boston compared to $1,050/mo in Winston-Salem, a monthly difference of $1,750.

Grocery & Food Costs

Grocery expenses index at 108 in Boston and 97 in Winston-Salem. A household spending the national average of $475/month on groceries would pay approximately $513/month in Boston vs $461/month in Winston-Salem. Winston-Salem offers a meaningful advantage on everyday food costs, saving roughly $624/year.

Utility Expenses

Utility costs — electricity, gas, water, internet — index at 126 in Boston and 99 in Winston-Salem. Monthly utility bills average approximately $504 in Boston vs $396 in Winston-Salem. Climate differences between the two cities drive much of this gap, with heating and cooling costs varying substantially by region.

Healthcare

Healthcare costs index at 118 in Boston and 103 in Winston-Salem. This encompasses insurance premiums, doctor visit copays, dental care, and prescription costs. The 15-point gap reflects real differences in provider costs, insurance market competition, and regional healthcare infrastructure.

Income & Purchasing Power

Median household income is $76,298 in Boston and $52,600 in Winston-Salem. After adjusting for local costs, purchasing-power-equivalent incomes are approximately $47,098 and $62,619 respectively. Winston-Salem residents come out ahead in real purchasing power.

Relocation Considerations

Under the standard 28% rule, a median-income household can allocate $1,780/month to housing in Boston vs $1,227/month in Winston-Salem. In Boston, median rent of $2,800/mo exceeds this threshold, suggesting renters may feel stretched. 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 179 index points — focus your budget analysis there.

Frequently Asked Questions

Winston-Salem is 92.9% more affordable overall with an index of 84 vs 162.
A $75,000 salary in Boston has equivalent purchasing power to approximately $38,889 in Winston-Salem, based on the cost of living difference.
Boston's housing index is 242 with median homes at $620,000, while Winston-Salem's is 63 with median homes at $250,000.

Moving & Relocation Resources

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