City Comparison

Manhattan vs Winston-Salem

Cost of Living Comparison · 2026

Manhattan

New York
235
Very Expensive
$1.1M
Median Home
$4,200/mo
Median Rent
$93,651
Median Income

Winston-Salem

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

The Verdict

179.8%

Winston-Salem is 179.8% less expensive than Manhattan overall. A household earning $75,000 in Manhattan would need approximately $26,809 in Winston-Salem to maintain the same standard of living.

Category-by-Category Breakdown

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

Housing
421
Manhattan
63
Winston-Salem
Groceries
115
Manhattan
97
Winston-Salem
Utilities
142
Manhattan
99
Winston-Salem
Transportation
94
Manhattan
94
Winston-Salem
Healthcare
112
Manhattan
103
Winston-Salem

Salary Equivalence

A $75,000 salary in Manhattan has the same purchasing power as $26,809 in Winston-Salem.

Conversely, $75,000 in Winston-Salem equals $209,821 in Manhattan.

Living in Manhattan vs Winston-Salem

Housing Costs

Manhattan's housing index of 421 is higher Winston-Salem's 63, translating to median home prices of $1.1M vs $250,000. The $900,000 difference in home prices means roughly $58,500 per year in additional mortgage costs at current rates. Renters face a similar gap: $4,200/mo in Manhattan compared to $1,050/mo in Winston-Salem, a monthly difference of $3,150.

Grocery & Food Costs

Grocery expenses index at 115 in Manhattan and 97 in Winston-Salem. A household spending the national average of $475/month on groceries would pay approximately $546/month in Manhattan vs $461/month in Winston-Salem. Winston-Salem offers a meaningful advantage on everyday food costs, saving roughly $1020/year.

Utility Expenses

Utility costs — electricity, gas, water, internet — index at 142 in Manhattan and 99 in Winston-Salem. Monthly utility bills average approximately $568 in Manhattan 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 112 in Manhattan and 103 in Winston-Salem. This encompasses insurance premiums, doctor visit copays, dental care, and prescription costs. The 9-point gap reflects real differences in provider costs, insurance market competition, and regional healthcare infrastructure.

Income & Purchasing Power

Median household income is $93,651 in Manhattan and $52,600 in Winston-Salem. After adjusting for local costs, purchasing-power-equivalent incomes are approximately $39,851 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 $2,185/month to housing in Manhattan vs $1,227/month in Winston-Salem. In Manhattan, median rent of $4,200/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 358 index points — focus your budget analysis there.

Frequently Asked Questions

Winston-Salem is 179.8% more affordable overall with an index of 84 vs 235.
A $75,000 salary in Manhattan has equivalent purchasing power to approximately $26,809 in Winston-Salem, based on the cost of living difference.
Manhattan's housing index is 421 with median homes at $1.1M, while Winston-Salem's is 63 with median homes at $250,000.

Moving & Relocation Resources

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