Columbia vs St. Louis for Retirees (2026)

Better for retirees: St. Louis
Median Home Price
$260K
Columbia
$230K
St. Louis
State Income Tax
6.2%
Columbia
4.7%
St. Louis
Est. Healthcare / month
$435
Columbia
$435
St. Louis
Walk Score (0–100)
30
Columbia
61
St. Louis

Scroll down for retirement income tax breakdown, healthcare estimates, and FAQ.

Full retirement cost breakdown

Metric
Columbia
South Carolina
St. Louis
Missouri
1BR rent / month$1,250Better$1,300
Median home price$260K$230KBetter
State income tax6.2%4.7%Better
Sales tax (combined)7.5%Better8.6%
Monthly utilities$152Better$162
Groceries index (US = 100)95Better97
Est. healthcare / month$435Better$435
Walk score (0–100)30 / 10061 / 100Better
Overall COL index (100 = US avg)87Better87

Frequently asked questions

Which city is better for retirement — Columbia or St. Louis?

Based on home prices, taxes on retirement income, walkability, and overall cost of living, St. Louis scores better for retirees. Median home prices are $260K in Columbia vs $230K in St. Louis. The best choice still depends on climate, healthcare access, and proximity to family.

Is retirement income taxed in Columbia or St. Louis?

St. Louis has the lower state income tax rate (4.7% vs 6.2%). Note that many states exempt Social Security income and some pension income from state taxes even when other income is taxed — check your specific state's retirement tax rules.

What is the estimated monthly healthcare cost in Columbia vs St. Louis?

Based on national average retiree healthcare spending (~$500/month) scaled by each city's cost-of-living index, estimated monthly healthcare costs are approximately $435 in Columbia and $435 in St. Louis. That's a difference of ~$0/month, or ~$0/year. Actual costs vary based on your Medicare plan, supplements, and health needs.

Can I afford to retire in Columbia on a $50,000 annual income?

On a $50,000/year ($4,167/month) retirement income in Columbia, rent alone would consume approximately 30% of your budget (1BR rent ~$1,250/mo) and healthcare another ~10%. That leaves roughly 60% (~$2,500/mo) for groceries, transportation, and other expenses. This is tight — a studio apartment or lower-cost neighborhood would help.

Which city is more walkable for retirees?

St. Louis has a higher walk score (61 vs 30 out of 100). Walkability is increasingly important for retirees who want to reduce car dependence — a score above 70 means most daily errands can be done on foot. St. Louis offers more independence without a car, which also reduces transportation costs.

Retirement purchasing power

$50K/year in Columbia has the same purchasing power as $50K/year in St. Louis

Related comparisons

Healthcare estimates based on national avg retiree spending (~$500/mo) scaled by COL index · State income tax rates from Tax Foundation · Data: Zillow, BLS, Numbeo · Q1 2026