Sioux Falls vs Midland for Retirees (2026)

Better for retirees: Sioux Falls~5% cheaper overall
Median Home Price
$265K
Sioux Falls
$290K
Midland
State Income Tax
None
Sioux Falls
None
Midland
Est. Healthcare / month
$440
Sioux Falls
$465
Midland
Walk Score (0–100)
26
Sioux Falls
18
Midland

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

Full retirement cost breakdown

Metric
Sioux Falls
South Dakota
Midland
Texas
1BR rent / month$1,250$1,200Better
Median home price$265KBetter$290K
State income taxNoneBetterNone
Sales tax (combined)6.4%Better8.3%
Monthly utilities$155Better$178
Groceries index (US = 100)96Better96
Est. healthcare / month$440Better$465
Walk score (0–100)26 / 100Better18 / 100
Overall COL index (100 = US avg)88Better93

Frequently asked questions

Which city is better for retirement — Sioux Falls or Midland?

Based on home prices, taxes on retirement income, walkability, and overall cost of living, Sioux Falls scores better for retirees. Median home prices are $265K in Sioux Falls vs $290K in Midland. Sioux Falls is approximately 5% cheaper overall. The best choice still depends on climate, healthcare access, and proximity to family.

Is retirement income taxed in Sioux Falls or Midland?

Neither Sioux Falls nor Midland 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 Sioux Falls vs Midland?

Based on national average retiree healthcare spending (~$500/month) scaled by each city's cost-of-living index, estimated monthly healthcare costs are approximately $440 in Sioux Falls and $465 in Midland. That's a difference of ~$25/month, or ~$300/year. Actual costs vary based on your Medicare plan, supplements, and health needs.

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

On a $50,000/year ($4,167/month) retirement income in Sioux Falls, rent alone would consume approximately 30% of your budget (1BR rent ~$1,250/mo) and healthcare another ~11%. That leaves roughly 59% (~$2,458/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?

Sioux Falls has a higher walk score (26 vs 18 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. Sioux Falls offers more independence without a car, which also reduces transportation costs.

Retirement purchasing power

$50K/year in Sioux Falls has the same purchasing power as $53K/year in Midland

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