Nashville vs St. Louis for Retirees (2026)
Scroll down for retirement income tax breakdown, healthcare estimates, and FAQ.
Full retirement cost breakdown
| Metric | Nashville Tennessee | St. Louis Missouri |
|---|---|---|
| 1BR rent / month | $1,800 | $1,300Better |
| Median home price | $420K | $230KBetter |
| State income tax | NoneBetter | 4.7% |
| Sales tax (combined) | 9.8% | 8.6%Better |
| Monthly utilities | $170 | $162Better |
| Groceries index (US = 100) | 96Better | 97 |
| Est. healthcare / month | $560 | $435Better |
| Walk score (0–100) | 29 / 100 | 61 / 100Better |
| Overall COL index (100 = US avg) | 112 | 87Better |
Frequently asked questions
Which city is better for retirement — Nashville 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 $420K in Nashville vs $230K in St. Louis. St. Louis is approximately 22% cheaper overall. The best choice still depends on climate, healthcare access, and proximity to family.
Is retirement income taxed in Nashville or St. Louis?
Tennessee has no state income tax, meaning Social Security, pension, and retirement account withdrawals are not subject to state tax. Missouri has a 4.7% state income tax rate. For retirees, this difference can save thousands annually.
What is the estimated monthly healthcare cost in Nashville 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 $560 in Nashville and $435 in St. Louis. That's a difference of ~$125/month, or ~$1,500/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?
St. Louis has a higher walk score (61 vs 29 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.
$50K/year in Nashville has the same purchasing power as $39K/year in St. Louis
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