Los Angeles vs St. Louis for Retirees (2026)

Better for retirees: St. Louis~50% cheaper overall
Median Home Price
$850K
Los Angeles
$230K
St. Louis
State Income Tax
9.3%
Los Angeles
4.7%
St. Louis
Est. Healthcare / month
$865
Los Angeles
$435
St. Louis
Walk Score (0–100)
68
Los Angeles
61
St. Louis

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

Full retirement cost breakdown

Metric
Los Angeles
California
St. Louis
Missouri
1BR rent / month$2,800$1,300Better
Median home price$850K$230KBetter
State income tax9.3%4.7%Better
Sales tax (combined)10.3%8.6%Better
Monthly utilities$145Better$162
Groceries index (US = 100)10897Better
Est. healthcare / month$865$435Better
Walk score (0–100)68 / 100Better61 / 100
Overall COL index (100 = US avg)17387Better

Frequently asked questions

Which city is better for retirement — Los Angeles 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 $850K in Los Angeles vs $230K in St. Louis. St. Louis is approximately 50% cheaper overall. The best choice still depends on climate, healthcare access, and proximity to family.

Is retirement income taxed in Los Angeles or St. Louis?

St. Louis has the lower state income tax rate (4.7% vs 9.3%). 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 Los Angeles 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 $865 in Los Angeles and $435 in St. Louis. That's a difference of ~$430/month, or ~$5,160/year. Actual costs vary based on your Medicare plan, supplements, and health needs.

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

On a $50,000/year ($4,167/month) retirement income in Los Angeles, rent alone would consume approximately 67% of your budget (1BR rent ~$2,800/mo) and healthcare another ~21%. That leaves roughly 12% (~$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?

Los Angeles has a higher walk score (68 vs 61 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. Los Angeles offers more independence without a car, which also reduces transportation costs.

Retirement purchasing power

$50K/year in Los Angeles has the same purchasing power as $25K/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