Nashville vs Billings for Retirees (2026)

Median Home Price
$420K
Nashville
$320K
Billings
State Income Tax
None
Nashville
6.8%
Billings
Est. Healthcare / month
$560
Nashville
$445
Billings
Walk Score (0–100)
29
Nashville
26
Billings

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

Full retirement cost breakdown

Metric
Nashville
Tennessee
Billings
Montana
1BR rent / month$1,800$1,200Better
Median home price$420K$320KBetter
State income taxNoneBetter6.8%
Sales tax (combined)9.8%0%Better
Monthly utilities$170$148Better
Groceries index (US = 100)96Better97
Est. healthcare / month$560$445Better
Walk score (0–100)29 / 100Better26 / 100
Overall COL index (100 = US avg)11289Better

Frequently asked questions

Which city is better for retirement — Nashville or Billings?

Nashville and Billings 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 Nashville or Billings?

Tennessee has no state income tax, meaning Social Security, pension, and retirement account withdrawals are not subject to state tax. Montana has a 6.8% state income tax rate. For retirees, this difference can save thousands annually.

What is the estimated monthly healthcare cost in Nashville vs Billings?

Based on national average retiree healthcare spending (~$500/month) scaled by each city's cost-of-living index, estimated monthly healthcare costs are approximately $560 in Nashville and $445 in Billings. That's a difference of ~$115/month, or ~$1,380/year. Actual costs vary based on your Medicare plan, supplements, and health needs.

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

On a $50,000/year ($4,167/month) retirement income in Nashville, rent alone would consume approximately 43% of your budget (1BR rent ~$1,800/mo) and healthcare another ~13%. That leaves roughly 44% (~$1,833/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?

Nashville has a higher walk score (29 vs 26 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. Nashville offers more independence without a car, which also reduces transportation costs.

Retirement purchasing power

$50K/year in Nashville has the same purchasing power as $40K/year in Billings

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