West Virginia and Kansas had the lowest cost of living across all U.S. states, with composite costs being half of those found in Hawaii. This was according to a composite index that compares prices for various goods and services on a state-by-state basis. In West Virginia, the cost of living index amounted to **** — well below the national benchmark of 100. Virginia— which had an index value of ***** — was only slightly above that benchmark. Expensive places to live included Hawaii, Massachusetts, and California. Housing costs in the U.S. Housing is usually the highest expense in a household’s budget. In 2023, the average house sold for approximately ******* U.S. dollars, but house prices in the Northeast and West regions were significantly higher. Conversely, the South had some of the least expensive housing. In West Virginia, Mississippi, and Louisiana, the median price of the typical single-family home was less than ******* U.S. dollars. That makes living expenses in these states significantly lower than in states such as Hawaii and California, where housing is much pricier. What other expenses affect the cost of living? Utility costs such as electricity, natural gas, water, and internet also influence the cost of living. In Alaska, Hawaii, and Connecticut, the average monthly utility cost exceeded *** U.S. dollars. That was because of the significantly higher prices for electricity and natural gas in these states.

In 2024, the annual cost for a private room in an assisted living facility in the U.S. amounted to ****** U.S. dollars. However, costs varied greatly from one state to another. The most expensive states for a private room in assisted living was found in Hawaii, followed by Alaska and DC.

Quality of life is a measure of comfort, health, and happiness by a person or a group of people. Quality of life is determined by both material factors, such as income and housing, and broader considerations like health, education, and freedom. Each year, US & World News releases its “Best States to Live in” report, which ranks states on the quality of life each state provides its residents. In order to determine rankings, U.S. News & World Report considers a wide range of factors, including healthcare, education, economy, infrastructure, opportunity, fiscal stability, crime and corrections, and the natural environment. More information on these categories and what is measured in each can be found below:

Healthcare includes access, quality, and affordability of healthcare, as well as health measurements, such as obesity rates and rates of smoking. Education measures how well public schools perform in terms of testing and graduation rates, as well as tuition costs associated with higher education and college debt load. Economy looks at GDP growth, migration to the state, and new business. Infrastructure includes transportation availability, road quality, communications, and internet access. Opportunity includes poverty rates, cost of living, housing costs and gender and racial equality. Fiscal Stability considers the health of the government's finances, including how well the state balances its budget. Crime and Corrections ranks a state’s public safety and measures prison systems and their populations. Natural Environment looks at the quality of air and water and exposure to pollution.

Of the most populous cities in the U.S., San Jose, California had the highest annual income requirement at ******* U.S. dollars annually for homeowners to have an affordable and comfortable life in 2024. This can be compared to Houston, Texas, where homeowners needed an annual income of ****** U.S. dollars in 2024.

In the United States, Hawaii was the state with the most expensive housing, with the typical value of single-family homes in the 35th to 65th percentile range exceeding ******* U.S. dollars. Unsurprisingly, Hawaii also ranked top as the state with the highest cost of living. Meanwhile, a property was the least expensive in West Virginia, where it cost under ******* U.S. dollars to buy the typical single-family home. Single-family home prices increased across most states in the United States between December 2023 and December 2024, except in Louisiana, Florida, and the District of Colombia. According to the Federal Housing Association, house appreciation in 13 states exceeded **** percent in 2023.

VITAL SIGNS INDICATOR Poverty (EQ5)

FULL MEASURE NAME The share of the population living in households that earn less than 200 percent of the federal poverty limit

LAST UPDATED December 2018

DESCRIPTION Poverty refers to the share of the population living in households that earn less than 200 percent of the federal poverty limit, which varies based on the number of individuals in a given household. It reflects the number of individuals who are economically struggling due to low household income levels.

DATA SOURCE U.S Census Bureau: Decennial Census http://www.nhgis.org (1980-1990) http://factfinder2.census.gov (2000)

U.S. Census Bureau: American Community Survey Form C17002 (2006-2017) http://api.census.gov

METHODOLOGY NOTES (across all datasets for this indicator) The U.S. Census Bureau defines a national poverty level (or household income) that varies by household size, number of children in a household, and age of householder. The national poverty level does not vary geographically even though cost of living is different across the United States. For the Bay Area, where cost of living is high and incomes are correspondingly high, an appropriate poverty level is 200% of poverty or twice the national poverty level, consistent with what was used for past equity work at MTC and ABAG. For comparison, however, both the national and 200% poverty levels are presented.

For Vital Signs, the poverty rate is defined as the number of people (including children) living below twice the poverty level divided by the number of people for whom poverty status is determined. Poverty rates do not include unrelated individuals below 15 years old or people who live in the following: institutionalized group quarters, college dormitories, military barracks, and situations without conventional housing. The household income definitions for poverty change each year to reflect inflation. The official poverty definition uses money income before taxes and does not include capital gains or noncash benefits (such as public housing, Medicaid, and food stamps). For the national poverty level definitions by year, see: https://www.census.gov/hhes/www/poverty/data/threshld/index.html For an explanation on how the Census Bureau measures poverty, see: https://www.census.gov/hhes/www/poverty/about/overview/measure.html

For the American Community Survey datasets, 1-year data was used for region, county, and metro areas whereas 5-year rolling average data was used for city and census tract.

To be consistent across metropolitan areas, the poverty definition for non-Bay Area metros is twice the national poverty level. Data were not adjusted for varying income and cost of living levels across the metropolitan areas.

The US Family Budget Dataset provides insights into the cost of living in different US counties based on the Family Budget Calculator by the Economic Policy Institute (EPI).

This dataset offers community-specific estimates for ten family types, including one or two adults with zero to four children, in all 1877 counties and metro areas across the United States.

Interesting Task Ideas:

1. See how family budgets compare to the federal poverty line and the Supplemental Poverty Measure in different counties.
2. Look into the money challenges faced by different types of families using the budgets provided.
3. Find out which counties have the most affordable places to live, food, transportation, healthcare, childcare, and other things people need.
4. Explore how the average income of families relates to the overall cost of living in different counties.
5. Investigate how family size affects the estimated budget and find counties where bigger families have higher costs.
6. Create visuals showing how the cost of living varies across different states and big cities.
7. Check whether specific counties are affordable for families of different sizes and types.
8. Use the dataset to compare living standards and economic security in different US counties.

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In 2024, the annual cost for a private room in an assisted living facility in the U.S. amounted to 70,800 U.S. dollars - the national median price. However, cost varied greatly from one state to another. The least expensive states for a private room in assisted living were South Dakota, and Mississippi. While the most expensive states for assisted living were Hawaii and Alaska.

VITAL SIGNS INDICATOR
Poverty (EQ5)

FULL MEASURE NAME
The share of the population living in households that earn less than 200 percent of the federal poverty limit

LAST UPDATED
January 2023

DESCRIPTION
Poverty refers to the share of the population living in households that earn less than 200 percent of the federal poverty limit, which varies based on the number of individuals in a given household. It reflects the number of individuals who are economically struggling due to low household income levels.

DATA SOURCE
U.S Census Bureau: Decennial Census - http://www.nhgis.org
1980-2000

U.S. Census Bureau: American Community Survey - https://data.census.gov/
2007-2021
Form C17002

CONTACT INFORMATION
vitalsigns.info@mtc.ca.gov

METHODOLOGY NOTES (across all datasets for this indicator)
The U.S. Census Bureau defines a national poverty level (or household income) that varies by household size, number of children in a household, and age of householder. The national poverty level does not vary geographically even though cost of living is different across the United States. For the Bay Area, where cost of living is high and incomes are correspondingly high, an appropriate poverty level is 200% of poverty or twice the national poverty level, consistent with what was used for past equity work at MTC and ABAG. For comparison, however, both the national and 200% poverty levels are presented.

For Vital Signs, the poverty rate is defined as the number of people (including children) living below twice the poverty level divided by the number of people for whom poverty status is determined. The household income definitions for poverty change each year to reflect inflation. The official poverty definition uses money income before taxes and does not include capital gains or non-cash benefits (such as public housing, Medicaid and food stamps).

For the national poverty level definitions by year, see: US Census Bureau Poverty Thresholds - https://www.census.gov/data/tables/time-series/demo/income-poverty/historical-poverty-thresholds.html.

For an explanation on how the Census Bureau measures poverty, see: How the Census Bureau Measures Poverty - https://www.census.gov/topics/income-poverty/poverty/guidance/poverty-measures.html.

American Community Survey (ACS) 1-year data is used for larger geographies – Bay counties and most metropolitan area counties – while smaller geographies rely upon 5-year rolling average data due to their smaller sample sizes. Note that 2020 data uses the 5-year estimates because the ACS did not collect 1-year data for 2020.

To be consistent across metropolitan areas, the poverty definition for non-Bay Area metros is twice the national poverty level. Data were not adjusted for varying income and cost of living levels across the metropolitan areas.

Consumer Price Index CPI in the United States increased to 321.47 points in May from 320.80 points in April of 2025. This dataset provides the latest reported value for - United States Consumer Price Index (CPI) - plus previous releases, historical high and low, short-term forecast and long-term prediction, economic calendar, survey consensus and news.

This map shows how expensive an area is based on a score determined by education, healthcare, housing, food, and transportation spending. A higher score means more is spent on living expenses. Areas in orange-red are more expensive while areas in yellow-blue are less expensive. Data is available from state to tract level from Esri's updated demographics.

This table contains data on the percent of households paying more than 30% (or 50%) of monthly household income towards housing costs for California, its regions, counties, cities/towns, and census tracts. Data is from the U.S. Department of Housing and Urban Development (HUD), Consolidated Planning Comprehensive Housing Affordability Strategy (CHAS) and the U.S. Census Bureau, American Community Survey (ACS). The table is part of a series of indicators in the [Healthy Communities Data and Indicators Project of the Office of Health Equity] Affordable, quality housing is central to health, conferring protection from the environment and supporting family life. Housing costs—typically the largest, single expense in a family's budget—also impact decisions that affect health. As housing consumes larger proportions of household income, families have less income for nutrition, health care, transportation, education, etc. Severe cost burdens may induce poverty—which is associated with developmental and behavioral problems in children and accelerated cognitive and physical decline in adults. Low-income families and minority communities are disproportionately affected by the lack of affordable, quality housing. More information about the data table and a data dictionary can be found in the Attachments.

Find out how Australians feel about the increasing cost of living in our latest survey, as well as the latest data from the Cost of Living Index in 2024.

This map shows how expensive an area is based on a score determined by education, healthcare, housing, food, and transportation spending. A higher score means more is spent on living expenses. Areas in orange-red are more expensive while areas in yellow-blue are less expensive. Data is available from state to tract level from Esri's updated demographics.

As of September 2024, Mumbai had the highest cost of living among other cities in the country, with an index value of ****. Gurgaon, a satellite city of Delhi and part of the National Capital Region (NCR) followed it with an index value of ****.  What is cost of living? The cost of living varies depending on geographical regions and factors that affect the cost of living in an area include housing, food, utilities, clothing, childcare, and fuel among others. The cost of living is calculated based on different measures such as the consumer price index (CPI), living cost indexes, and wage price index. CPI refers to the change in the value of consumer goods and services. The wage price index, on the other hand, measures the change in labor services prices due to market pressures. Lastly, the living cost indexes calculate the impact of changing costs on different households. The relationship between wages and costs determines affordability and shifts in the cost of living. Mumbai tops the list Mumbai usually tops the list of most expensive cities in India. As the financial and entertainment hub of the country, Mumbai offers wide opportunities and attracts talent from all over the country. It is the second-largest city in India and has one of the most expensive real estates in the world.

In 2024, the average daily cost for adult day health care services in the U.S. stood at 100 U.S. dollars. However, such costs varied greatly from one state to another. In that year, the most expensive state for adult day health care services was by far Oregon, amounting to 284 U.S. dollars a day, while in Delaware daily rates were just 35 U.S. dollars. In the most expensive states, the daily cost of adult day care actually exceeded that of assisted living facilities and sometimes even home health care. The large variation may be in part due to the source using community subsidy rates where available, thus lower rates were reported, while states with higher rates may capture the full private pay rates.

Graph and download economic data for Inflation, consumer prices for the United States (FPCPITOTLZGUSA) from 1960 to 2024 about consumer, CPI, inflation, price index, indexes, price, and USA.

Living Cost: Average per Month: NC: Republic of Ingushetia data was reported at 10,353.000 RUB in Dec 2020. This records an increase from the previous number of 10,336.000 RUB for Sep 2020. Living Cost: Average per Month: NC: Republic of Ingushetia data is updated quarterly, averaging 4,872.500 RUB from Mar 2001 (Median) to Dec 2020, with 80 observations. The data reached an all-time high of 10,571.000 RUB in Jun 2020 and a record low of 1,121.000 RUB in Mar 2001. Living Cost: Average per Month: NC: Republic of Ingushetia data remains active status in CEIC and is reported by Federal State Statistics Service. The data is categorized under Russia Premium Database’s Household Survey – Table RU.HF001: Living Cost.

The United States senior living market, valued at $112.93 billion in 2025, is experiencing robust growth, projected to expand at a Compound Annual Growth Rate (CAGR) of 5.86% from 2025 to 2033. This expansion is fueled by several key drivers. The aging population, particularly the baby boomer generation, is a significant factor, creating an increasing demand for assisted living, independent living, memory care, and nursing care facilities. Furthermore, rising disposable incomes and increasing awareness of the benefits of senior living communities contribute to market growth. Technological advancements in senior care, such as telehealth and remote monitoring, are also enhancing the quality of life for residents and boosting market appeal. However, the market faces some restraints, including the rising costs of healthcare and senior care services, potentially limiting accessibility for some segments of the population. Furthermore, staffing shortages within the industry represent a significant challenge. The market is segmented by property type, with assisted living, independent living, and memory care facilities representing the largest segments. Key states driving market growth include New York, Illinois, California, North Carolina, and Washington, reflecting higher concentrations of the senior population and higher disposable incomes. Major players in the market such as Ensign Group Inc, Sunrise Senior Living, Brookdale Senior Living Inc, and Atria Senior Living Inc, compete fiercely, driving innovation and service improvements. The forecast period (2025-2033) anticipates continued growth, driven by the ongoing demographic shifts and increased demand for high-quality senior care options. Strategic partnerships, acquisitions, and investments in technology are likely to shape the competitive landscape in the coming years. The industry will continue to adapt to meet the evolving needs of the aging population, focusing on personalized care, innovative technologies, and cost-effective solutions. This comprehensive report provides an in-depth analysis of the booming United States senior living market, covering the period from 2019 to 2033. With a base year of 2025 and a forecast period spanning 2025-2033, this report is an invaluable resource for investors, industry professionals, and anyone seeking to understand the dynamics of this rapidly evolving sector. The report leverages extensive data analysis to provide insightful projections and uncover key trends shaping the future of senior care in the US. Expect detailed breakdowns of key segments, including assisted living, independent living, memory care, and nursing care, across major states like California, New York, Illinois, North Carolina, and Washington. Recent developments include: July 2023: Spring Cypress senior living site expansion is set to open at the end of 2024 and will consist of three phases. The first phase of the expansion will include 19 independent-living, two-bedroom cottages. The second phase will include 24 townhomes. The third phase will feature 95 apartments. The final phase will feature a resort with several luxury amenities., Apr 2023: For seniors looking for innovative, high-quality care, Avista Senior Living is transitioning away from its SafelyYou partnership to empower safer, more personalized dementia care with real-time, AI video and remote clinical experts 24/7.. Key drivers for this market are: 4., Increase in Aging Population Driving the Market4.; Healthcare and Long-term Care Needs Driving the Market. Potential restraints include: 4., High Affordability and Cost of Care Affecting the Market4.; Staffing and Workforce Challenges Affecting the Market. Notable trends are: Senior Housing Witnessing Increased Demand.

This map shows how expensive an area is based on a score determined by education, healthcare, housing, food, and transportation spending. A higher score means more is spent on living expenses. Areas in orange-red are more expensive while areas in yellow-blue are less expensive. Data is available from state to tract level from Esri's updated demographics.