City Comparison

Cincinnati vs Winston-Salem

Cost of Living Comparison · 2026

Cincinnati

Ohio
91
Below Average
$195,000
Median Home
$1,100/mo
Median Rent
$44,003
Median Income

Winston-Salem

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

The Verdict

8.3%

The cost gap between these cities is 8.3%, with Winston-Salem being the more affordable option. A $75,000 income in Cincinnati has equivalent purchasing power to $69,231 in Winston-Salem.

Category-by-Category Breakdown

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

Housing
76
Cincinnati
63
Winston-Salem
Groceries
99
Cincinnati
97
Winston-Salem
Utilities
93
Cincinnati
99
Winston-Salem
Transportation
101
Cincinnati
94
Winston-Salem
Healthcare
96
Cincinnati
103
Winston-Salem

Salary Equivalence

A $75,000 salary in Cincinnati has the same purchasing power as $69,231 in Winston-Salem.

Conversely, $75,000 in Winston-Salem equals $81,250 in Cincinnati.

Living in Cincinnati vs Winston-Salem

Housing Costs

Cincinnati's housing index of 76 is higher Winston-Salem's 63, translating to median home prices of $195,000 vs $250,000. The $55,000 difference in home prices means roughly $3,576 per year in additional mortgage costs at current rates. Renters face a similar gap: $1,100/mo in Cincinnati compared to $1,050/mo in Winston-Salem, a monthly difference of $50.

Grocery & Food Costs

Grocery expenses index at 99 in Cincinnati and 97 in Winston-Salem. A household spending the national average of $475/month on groceries would pay approximately $470/month in Cincinnati vs $461/month in Winston-Salem. The difference in grocery costs between these cities is relatively minor and unlikely to be a deciding factor in relocation.

Utility Expenses

Utility costs — electricity, gas, water, internet — index at 93 in Cincinnati and 99 in Winston-Salem. Monthly utility bills average approximately $372 in Cincinnati vs $396 in Winston-Salem. Utility costs are relatively comparable between these two cities.

Healthcare

Healthcare costs index at 96 in Cincinnati 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 $44,003 in Cincinnati and $52,600 in Winston-Salem. After adjusting for local costs, purchasing-power-equivalent incomes are approximately $48,355 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 $1,027/month to housing in Cincinnati vs $1,227/month in Winston-Salem. In Cincinnati, median rent of $1,100/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 13 index points — focus your budget analysis there.

Frequently Asked Questions

Winston-Salem is 8.3% more affordable overall with an index of 84 vs 91.
A $75,000 salary in Cincinnati has equivalent purchasing power to approximately $69,231 in Winston-Salem, based on the cost of living difference.
Cincinnati's housing index is 76 with median homes at $195,000, while Winston-Salem's is 63 with median homes at $250,000.

Moving & Relocation Resources

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