City Comparison

Des Moines vs Winston-Salem

Cost of Living Comparison · 2026

Des Moines

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

Winston-Salem

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

The Verdict

6.0%

Living in Winston-Salem costs 6.0% less than Des Moines. To match the purchasing power of a $75,000 salary in Des Moines, you would need $70,787 in Winston-Salem.

Category-by-Category Breakdown

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

Housing
74
Des Moines
63
Winston-Salem
Groceries
96
Des Moines
97
Winston-Salem
Utilities
93
Des Moines
99
Winston-Salem
Transportation
100
Des Moines
94
Winston-Salem
Healthcare
97
Des Moines
103
Winston-Salem

Salary Equivalence

A $75,000 salary in Des Moines has the same purchasing power as $70,787 in Winston-Salem.

Conversely, $75,000 in Winston-Salem equals $79,464 in Des Moines.

Living in Des Moines vs Winston-Salem

Housing Costs

Des Moines's housing index of 74 is higher Winston-Salem's 63, translating to median home prices of $210,000 vs $250,000. The $40,000 difference in home prices means roughly $2,604 per year in additional mortgage costs at current rates. Renters face a similar gap: $1,100/mo in Des Moines compared to $1,050/mo in Winston-Salem, a monthly difference of $50.

Grocery & Food Costs

Grocery expenses index at 96 in Des Moines and 97 in Winston-Salem. A household spending the national average of $475/month on groceries would pay approximately $456/month in Des Moines 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 Des Moines and 99 in Winston-Salem. Monthly utility bills average approximately $372 in Des Moines vs $396 in Winston-Salem. Utility costs are relatively comparable between these two cities.

Healthcare

Healthcare costs index at 97 in Des Moines 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 $55,958 in Des Moines and $52,600 in Winston-Salem. After adjusting for local costs, purchasing-power-equivalent incomes are approximately $62,874 and $62,619 respectively. Des Moines residents enjoy stronger real purchasing power despite higher nominal wages.

Relocation Considerations

Under the standard 28% rule, a median-income household can allocate $1,306/month to housing in Des Moines vs $1,227/month in Winston-Salem. In Des Moines, median rent of $1,100/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 11 index points — focus your budget analysis there.

Frequently Asked Questions

Winston-Salem is 6.0% more affordable overall with an index of 84 vs 89.
A $75,000 salary in Des Moines has equivalent purchasing power to approximately $70,787 in Winston-Salem, based on the cost of living difference.
Des Moines's housing index is 74 with median homes at $210,000, while Winston-Salem's is 63 with median homes at $250,000.

Moving & Relocation Resources

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