Des Moines vs Spokane for Retirees (2026)
Scroll down for retirement income tax breakdown, healthcare estimates, and FAQ.
Full retirement cost breakdown
| Metric | Des Moines Iowa | Spokane Washington |
|---|---|---|
| 1BR rent / month | $1,200Better | $1,400 |
| Median home price | $255KBetter | $330K |
| State income tax | 5.7% | NoneBetter |
| Sales tax (combined) | 6.9%Better | 9% |
| Monthly utilities | $155 | $115Better |
| Groceries index (US = 100) | 96Better | 98 |
| Est. healthcare / month | $435Better | $455 |
| Walk score (0–100) | 36 / 100 | 46 / 100Better |
| Overall COL index (100 = US avg) | 87Better | 91 |
Frequently asked questions
Which city is better for retirement — Des Moines or Spokane?
Des Moines and Spokane 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 Spokane?
Washington has no state income tax, meaning Social Security, pension, and retirement account withdrawals are not subject to state tax. Iowa has a 5.7% state income tax rate. For retirees, this difference can save thousands annually.
What is the estimated monthly healthcare cost in Des Moines vs Spokane?
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 $455 in Spokane. That's a difference of ~$20/month, or ~$240/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?
Spokane has a higher walk score (46 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. Spokane offers more independence without a car, which also reduces transportation costs.
$50K/year in Des Moines has the same purchasing power as $52K/year in Spokane
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