City Comparison

Sioux City vs Winston-Salem

Cost of Living Comparison · 2026

Sioux City

Iowa
86
Below Average
$182,000
Median Home
$875/mo
Median Rent
$65,500
Median Income

Winston-Salem

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

The Verdict

2.4%

Winston-Salem is 2.4% less expensive than Sioux City overall. A household earning $75,000 in Sioux City would need approximately $73,256 in Winston-Salem to maintain the same standard of living.

Category-by-Category Breakdown

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

Housing
74
Sioux City
63
Winston-Salem
Groceries
97
Sioux City
97
Winston-Salem
Utilities
89
Sioux City
99
Winston-Salem
Transportation
92
Sioux City
94
Winston-Salem
Healthcare
101
Sioux City
103
Winston-Salem

Salary Equivalence

A $75,000 salary in Sioux City has the same purchasing power as $73,256 in Winston-Salem.

Conversely, $75,000 in Winston-Salem equals $76,786 in Sioux City.

Living in Sioux City vs Winston-Salem

Housing Costs

Sioux City's housing index of 74 is higher Winston-Salem's 63, translating to median home prices of $182,000 vs $250,000. The $68,000 difference in home prices means roughly $4,416 per year in additional mortgage costs at current rates. Renters face a similar gap: $875/mo in Sioux City compared to $1,050/mo in Winston-Salem, a monthly difference of $175.

Grocery & Food Costs

Grocery expenses index at 97 in Sioux City and 97 in Winston-Salem. A household spending the national average of $475/month on groceries would pay approximately $461/month in Sioux City 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 89 in Sioux City and 99 in Winston-Salem. Monthly utility bills average approximately $356 in Sioux City vs $396 in Winston-Salem. Utility costs are relatively comparable between these two cities.

Healthcare

Healthcare costs index at 101 in Sioux City 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 $65,500 in Sioux City and $52,600 in Winston-Salem. After adjusting for local costs, purchasing-power-equivalent incomes are approximately $76,163 and $62,619 respectively. Sioux City residents enjoy stronger real purchasing power despite higher nominal wages.

Relocation Considerations

Under the standard 28% rule, a median-income household can allocate $1,528/month to housing in Sioux City vs $1,227/month in Winston-Salem. In Sioux City, median rent of $875/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 2.4% more affordable overall with an index of 84 vs 86.
A $75,000 salary in Sioux City has equivalent purchasing power to approximately $73,256 in Winston-Salem, based on the cost of living difference.
Sioux City's housing index is 74 with median homes at $182,000, while Winston-Salem's is 63 with median homes at $250,000.

Moving & Relocation Resources

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