Des Moines vs Scottsdale for Retirees (2026)
Scroll down for retirement income tax breakdown, healthcare estimates, and FAQ.
Full retirement cost breakdown
| Metric | Des Moines Iowa | Scottsdale Arizona |
|---|---|---|
| 1BR rent / month | $1,200Better | $2,000 |
| Median home price | $255KBetter | $650K |
| State income tax | 5.7% | 2.5%Better |
| Sales tax (combined) | 6.9%Better | 8.6% |
| Monthly utilities | $155Better | $215 |
| Groceries index (US = 100) | 96Better | 104 |
| Est. healthcare / month | $435Better | $585 |
| Walk score (0–100) | 36 / 100 | 40 / 100Better |
| Overall COL index (100 = US avg) | 87Better | 117 |
Frequently asked questions
Which city is better for retirement — Des Moines or Scottsdale?
Des Moines and Scottsdale are closely matched for retirees. Housing costs, tax burden, and overall affordability are similar. Your specific priorities — climate, walkability, family proximity — should guide the decision.
Is retirement income taxed in Des Moines or Scottsdale?
Scottsdale has the lower state income tax rate (2.5% vs 5.7%). 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 Des Moines vs Scottsdale?
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 Des Moines and $585 in Scottsdale. That's a difference of ~$150/month, or ~$1,800/year. Actual costs vary based on your Medicare plan, supplements, and health needs.
Can I afford to retire in Des Moines on a $50,000 annual income?
On a $50,000/year ($4,167/month) retirement income in Des Moines, rent alone would consume approximately 29% of your budget (1BR rent ~$1,200/mo) and healthcare another ~10%. That leaves roughly 61% (~$2,542/mo) for groceries, transportation, and other expenses. This is generally considered manageable.
Which city is more walkable for retirees?
Scottsdale has a higher walk score (40 vs 36 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. Scottsdale offers more independence without a car, which also reduces transportation costs.
$50K/year in Des Moines has the same purchasing power as $67K/year in Scottsdale
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