Salem vs Winston-Salem
Cost of Living Comparison · 2026
Salem
Winston-Salem
The Verdict
Winston-Salem is 23.8% less expensive than Salem overall. A household earning $75,000 in Salem would need approximately $60,577 in Winston-Salem to maintain the same standard of living.
Category-by-Category Breakdown
Index values · National average = 100 · Lower is more affordable
Salary Equivalence
A $75,000 salary in Salem has the same purchasing power as $60,577 in Winston-Salem.
Conversely, $75,000 in Winston-Salem equals $92,857 in Salem.
Living in Salem vs Winston-Salem
Housing Costs
Salem's housing index of 118 is higher Winston-Salem's 63, translating to median home prices of $400,000 vs $250,000. The $150,000 difference in home prices means roughly $9,756 per year in additional mortgage costs at current rates. Renters face a similar gap: $1,275/mo in Salem compared to $1,050/mo in Winston-Salem, a monthly difference of $225.
Grocery & Food Costs
Grocery expenses index at 100 in Salem and 97 in Winston-Salem. A household spending the national average of $475/month on groceries would pay approximately $475/month in Salem 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 97 in Salem and 99 in Winston-Salem. Monthly utility bills average approximately $388 in Salem vs $396 in Winston-Salem. Utility costs are relatively comparable between these two cities.
Healthcare
Healthcare costs index at 100 in Salem 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 $66,400 in Salem and $52,600 in Winston-Salem. After adjusting for local costs, purchasing-power-equivalent incomes are approximately $63,846 and $62,619 respectively. Salem residents enjoy stronger real purchasing power despite higher nominal wages.
Relocation Considerations
Under the standard 28% rule, a median-income household can allocate $1,549/month to housing in Salem vs $1,227/month in Winston-Salem. In Salem, median rent of $1,275/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 55 index points — focus your budget analysis there.
Frequently Asked Questions
Moving & Relocation Resources
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