City Comparison

Knoxville vs Winston-Salem

Cost of Living Comparison · 2026

Knoxville

Tennessee
88
Below Average
$240,000
Median Home
$1,100/mo
Median Rent
$42,898
Median Income

Winston-Salem

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

The Verdict

4.8%

Living in Winston-Salem costs 4.8% less than Knoxville. To match the purchasing power of a $75,000 salary in Knoxville, you would need $71,591 in Winston-Salem.

Category-by-Category Breakdown

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

Housing
73
Knoxville
63
Winston-Salem
Groceries
94
Knoxville
97
Winston-Salem
Utilities
90
Knoxville
99
Winston-Salem
Transportation
97
Knoxville
94
Winston-Salem
Healthcare
93
Knoxville
103
Winston-Salem

Salary Equivalence

A $75,000 salary in Knoxville has the same purchasing power as $71,591 in Winston-Salem.

Conversely, $75,000 in Winston-Salem equals $78,571 in Knoxville.

Living in Knoxville vs Winston-Salem

Housing Costs

Knoxville's housing index of 73 is higher Winston-Salem's 63, translating to median home prices of $240,000 vs $250,000. The $10,000 difference in home prices means roughly $648 per year in additional mortgage costs at current rates. Renters face a similar gap: $1,100/mo in Knoxville compared to $1,050/mo in Winston-Salem, a monthly difference of $50.

Grocery & Food Costs

Grocery expenses index at 94 in Knoxville and 97 in Winston-Salem. A household spending the national average of $475/month on groceries would pay approximately $447/month in Knoxville 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 90 in Knoxville and 99 in Winston-Salem. Monthly utility bills average approximately $360 in Knoxville vs $396 in Winston-Salem. Utility costs are relatively comparable between these two cities.

Healthcare

Healthcare costs index at 93 in Knoxville and 103 in Winston-Salem. This encompasses insurance premiums, doctor visit copays, dental care, and prescription costs. The 10-point gap reflects real differences in provider costs, insurance market competition, and regional healthcare infrastructure.

Income & Purchasing Power

Median household income is $42,898 in Knoxville and $52,600 in Winston-Salem. After adjusting for local costs, purchasing-power-equivalent incomes are approximately $48,748 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 $1,001/month to housing in Knoxville vs $1,227/month in Winston-Salem. In Knoxville, 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 10 index points — focus your budget analysis there.

Frequently Asked Questions

Winston-Salem is 4.8% more affordable overall with an index of 84 vs 88.
A $75,000 salary in Knoxville has equivalent purchasing power to approximately $71,591 in Winston-Salem, based on the cost of living difference.
Knoxville's housing index is 73 with median homes at $240,000, while Winston-Salem's is 63 with median homes at $250,000.

Moving & Relocation Resources

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