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 70,800 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.

Of the most populous cities in the U.S., San Jose, California had the highest annual income requirement at 288,953 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 87,991 U.S. dollars in 2024.

Cost of living index of California increased by 1.19% from 143.0 index, higher means higher cost of living in 2024Q2 to 144.7 index, higher means higher cost of living in 2024Q3. Since the 2.36% fall in 2023Q3, cost of living index surged by 6.09% in 2024Q3.

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 981,000 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 167,000 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 nine percent in 2023.

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.

144,7 (Index, higher means higher cost of living) in 2024Q3.

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.

97,6 (Index, higher means higher cost of living) in 2024Q3.

112,8 (Index, higher means higher cost of living) in 2024Q3.

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.

Grocery cost index of New York fell by 0.76% from 104.6 index, higher means higher cost of living in 2024Q2 to 103.8 index, higher means higher cost of living in 2024Q3. Since the 1.65% upward trend in 2023Q2, grocery cost index slipped by 0.86% in 2024Q3.

YouTube and TikTok are the most popular social networks among Generation X for finding helpful content on the cost of living crisis in the United States in 2023. While 56 percent of YouTube users state they find helpful content there, it's 47 percent among TikTok users respectively.

In 2024, the annual median cost for long-term care in the United States ranged from 26,000 to 127,750 U.S. dollars, depending on the type of service. This significant financial burden highlights the importance of planning for future healthcare needs, as many older adults may face substantial out-of-pocket costs for extended care services. Nursing homes and assisted living facilities Nursing homes represent the most expensive long-term care option, with private rooms costing an estimated 10,646 U.S. dollars per month in 2024. Semi-private rooms are slightly more affordable at 9,277 U.S. dollars monthly. Assisted living facilities offer a less costly alternative, with annual expenses for a private room averaging 70,800 U.S. dollars. However, these costs can vary dramatically by location, with states like Hawaii, Alaska, and Washington D.C. commanding the highest prices for assisted living accommodations. Home care services and future projections For those preferring to receive care at home, the hourly rates for long-term home care services in 2024 were 33 U.S. dollars for homemaker services and 34 U.S. dollars for home health aide services. These costs are expected to rise significantly in the coming decades, with projections suggesting home health aide services could approach 100 U.S. dollars per hour by 2060. The increasing expense of long-term care is evident across all service types, with assisted living facilities experiencing a 10 percent cost increase from 2023 to 2024, while nursing home rates for semi-private and private rooms rose by 7 and 9 percent, respectively.

87,9 (Index, higher means higher cost of living) in 2024Q3.

95,5 (Index, higher means higher cost of living) in 2024Q3.

Consumer Price Index CPI in the United States increased to 320.80 points in April from 319.80 points in March 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.

88,8 (Index, higher means higher cost of living) in 2024Q3.

89,0 (Index, higher means higher cost of living) in 2024Q3.

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.