San Antonio vs Knoxville for Retirees (2026)

Better for retirees: San Antonio
Median Home Price
$260K
San Antonio
$290K
Knoxville
State Income Tax
None
San Antonio
None
Knoxville
Est. Healthcare / month
$435
San Antonio
$435
Knoxville
Walk Score (0–100)
36
San Antonio
26
Knoxville

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

Full retirement cost breakdown

Metric
San Antonio
Texas
Knoxville
Tennessee
1BR rent / month$1,100Better$1,300
Median home price$260KBetter$290K
State income taxNoneBetterNone
Sales tax (combined)8.3%Better9.5%
Monthly utilities$175$168Better
Groceries index (US = 100)93Better95
Est. healthcare / month$435Better$435
Walk score (0–100)36 / 100Better26 / 100
Overall COL index (100 = US avg)87Better87

Frequently asked questions

Which city is better for retirement — San Antonio or Knoxville?

Based on home prices, taxes on retirement income, walkability, and overall cost of living, San Antonio scores better for retirees. Median home prices are $260K in San Antonio vs $290K in Knoxville. The best choice still depends on climate, healthcare access, and proximity to family.

Is retirement income taxed in San Antonio or Knoxville?

Neither San Antonio nor Knoxville has a state income tax, which is excellent for retirees relying on Social Security, pensions, or 401(k) withdrawals. Your retirement income is only subject to federal taxes.

What is the estimated monthly healthcare cost in San Antonio vs Knoxville?

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 San Antonio and $435 in Knoxville. That's a difference of ~$0/month, or ~$0/year. Actual costs vary based on your Medicare plan, supplements, and health needs.

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

On a $50,000/year ($4,167/month) retirement income in San Antonio, rent alone would consume approximately 26% of your budget (1BR rent ~$1,100/mo) and healthcare another ~10%. That leaves roughly 64% (~$2,667/mo) for groceries, transportation, and other expenses. This is generally considered manageable.

Which city is more walkable for retirees?

San Antonio has a higher walk score (36 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. San Antonio offers more independence without a car, which also reduces transportation costs.

Retirement purchasing power

$50K/year in San Antonio has the same purchasing power as $50K/year in Knoxville

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