Side-by-side cost of living comparison for 2026
Cincinnati and St. Louis have very similar costs of living, with less than a 3% difference overall.
Index values shown. National average = 100. Lower is cheaper.
To maintain the same standard of living:
See exact take-home pay: Ohio salaries ยท Missouri salaries
Housing is typically the biggest factor in any cost-of-living comparison. Cincinnati has a housing index of 76 while St. Louis sits at 72 (national average = 100). The median home in Cincinnati costs $195,000 compared to $175,000 in St. Louis, a difference of $20,000. Monthly rent follows a similar pattern: $1,100 in Cincinnati versus $1,000 in St. Louis.
Groceries and everyday expenses show a narrower gap: Cincinnati scores 99 while St. Louis scores 97. Both cities are close to the national average for grocery costs.
Healthcare costs in Cincinnati (96) are higher than St. Louis (95). Both are close to the national average.
Median household income in Cincinnati is $44,003 compared to $45,782 in St. Louis. When adjusted for cost of living, purchasing power is similar in both cities.
Amazon affiliate links