Cost of living by state
Weighing a move? Compare any two states side by side — cost of living, taxes, and demographics — and see what a physician, NP, or PA salary is really worth once it's adjusted for local prices. Green means cheaper or better; red means pricier or worse.
Overall cost of living
Washington is 19.6% more expensive overall than West Virginia.
What a physician's take-home is really worth
Median pay → estimated after-tax take-home → adjusted for each state's cost of living.
West Virginia
- Median pay
- $228,870
- After tax
- $158,679
$177,295worth here
Washington
- Median pay
- $293,760
- After tax
- $210,625
$196,846worth here
Take-home is an estimate for a single filer taking the standard deduction (federal + FICA + state income tax, wages only) — not tax advice.
| Metric | West Virginia | Washington |
|---|---|---|
| Cost of living (US avg = 100) | ||
| Overall cost of living | 89.5 | 107.0 |
| Housing (rent) | 54.2 | 126.0 |
| Utilities | 92.2 | 92.9 |
| Goods | 96.5 | 104.4 |
| Other services | 99.9 | 103.9 |
| Taxes | ||
| Top income tax rate | 4.82% | 0% |
| Sales tax (avg) | 6.57% | 9.43% |
| Property tax (effective) | 0.48% | 0.75% |
| About the state | ||
| Population | 1,784,462 | 7,740,984 |
| Median household income | $57,917 | $94,952 |
| Median age | 42.7 | 38.2 |
| Homeownership rate | 74.30% | 63.90% |
| Median home value | $155,600 | $519,800 |
Sources: U.S. Bureau of Economic Analysis, Regional Price Parities (2024) · U.S. Census Bureau QuickFacts · Tax Foundation. Figures are the latest published; cost-of-living is a price-level index, not tax-adjusted take-home pay.
Browse all state profiles
VitalPost shows sourced, public data for context only — it isn't financial or tax advice. Cost-of-living is a price-level index (US average = 100); taxes shown are statewide/averaged and don't capture local income or the specifics of your situation.