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Retiring in the US

Missouri

For Americans thinking of retiring to Missouri from another state, or comparing it with a move abroad. Prices in Missouri run at 90.8 against a US average of 100, with housing at 69.9. We cover Missouri's 115 counties on the map below, each with a page of its own, and no town in depth yet.

Sources: BEA Regional Price Parities by state, 2024 (SARPP, line codes 1-5), 2024-12-31

Where Missouri stands Tier 9 of 16
Cost of living 90.8
Taxes on a retired couple USD $3,140
Healthcare access 62 % of residents 65+
Safety 11.1 per 100,000 a year
Climate 4.8 months a year
Natural-hazard risk USD $1.46 per USD $1,000 of buildings

The six figures, with sources and dates · how tiers are set

Missouri is not compared with a town — compare two towns instead. Why?

Missouri, a state of the United States, is not the same kind of thing as a town: it spans many counties and very different places. Putting a state-wide average beside one town's own figures produces a number that looks like an answer and describes nothing a person would experience — so the engine refuses that pairing rather than rendering it thinly. A town against another town, here or abroad, is like-for-like. Build a comparison →

Research in progress. Our quality assessment of the official sources for the United States is not finished yet. Every figure published here is sourced and dated.

Missouri's 115 counties

Every county in Missouri on its own figures, against every US county that has the same figure. Pick a county on the map or in the list.

Texas County Shannon County Franklin County Howell County Nodaway County Bates County Callaway County Vernon County Johnson County Stoddard County Douglas County Reynolds County Macon County Oregon County Barry County Wayne County Laclede County Saline County Chariton County Washington County Ozark County Dent County Benton County Crawford County Henry County Harrison County Camden County Cass County St. Clair County Carroll County Butler County New Madrid County Audrain County Boone County Pettis County Pike County Wright County Greene County Phelps County Monroe County Jefferson County Taney County Sullivan County Polk County Jasper County Lincoln County Lafayette County Ripley County Newton County Bollinger County Linn County Jackson County Morgan County Lawrence County Osage County Miller County Barton County Webster County St. Charles County Cape Girardeau County Ray County Adair County Cooper County Daviess County Christian County Iron County Pulaski County Atchison County Dunklin County Dallas County Montgomery County McDonald County Livingston County Maries County Gasconade County St. Louis County Putnam County Pemiscot County Clark County Stone County Lewis County Carter County Ste. Genevieve County Knox County Dade County Shelby County Cedar County Madison County Gentry County Randolph County Perry County Ralls County Howard County Holt County Mercer County St. Francois County Marion County Scotland County Grundy County Warren County Andrew County Caldwell County Mississippi County Platte County Scott County DeKalb County Clinton County Moniteau County Buchanan County Hickory County Clay County Cole County Schuyler County Worth County St. Louis city
  • Lowest fifth of US counties
  • Middle fifth
  • Highest fifth (darker = a larger share 65+)
  • No figure

Outlines: US Census Bureau, cartographic boundary files (2024). A fifth is among every US county holding the figure, so a color means the same thing in every state.

All 115 counties, with their figures
  • Adair County

    25,684 residents, 4,337 aged 65 or older (16.9 %)

    Cost of living
    83.9 Cheaper than 89 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Missouri nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $2,875 Lower than 57 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Adair County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    3.0 months a year More than 2 % of the other 3,143 US counties
    Natural-hazard risk
    USD $1.13 per USD $1,000 of buildings Lower than 66 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Kirksville, Novinger, Brashear (Census, 1 July 2024).

    Adair County page →

    Sources and dates: under the list

  • Andrew County

    18,241 residents, 4,072 aged 65 or older (22.3 %)

    Cost of living
    86.4 Cheaper than 72 % of the other 3,142 US counties Its area's figure: every county in the area shares it. St. Joseph, MO-KS metropolitan area, US = 100
    Taxes on a retired couple
    USD $2,728 Lower than 61 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Andrew County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    5.0 months a year More than 39 % of the other 3,143 US counties
    Natural-hazard risk
    USD $1.33 per USD $1,000 of buildings Lower than 49 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Savannah, Country Club, Amazonia (Census, 1 July 2024).

    Andrew County page →

    Sources and dates: under the list

  • Atchison County

    5,175 residents, 1,319 aged 65 or older (25.5 %)

    Cost of living
    83.9 Cheaper than 89 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Missouri nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $4,247 Lower than 28 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Atchison County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    5.0 months a year More than 39 % of the other 3,143 US counties
    Natural-hazard risk
    USD $1.96 per USD $1,000 of buildings Lower than 20 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Tarkio, Rock Port, Fairfax (Census, 1 July 2024).

    Atchison County page →

    Sources and dates: under the list

  • Audrain County

    24,528 residents, 5,306 aged 65 or older (21.6 %)

    Cost of living
    83.9 Cheaper than 89 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Missouri nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $2,946 Lower than 55 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Audrain County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    5.0 months a year More than 39 % of the other 3,143 US counties
    Natural-hazard risk
    USD $1.21 per USD $1,000 of buildings Lower than 59 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Mexico, Vandalia, Laddonia (Census, 1 July 2024).

    Audrain County page →

    Sources and dates: under the list

  • Barry County

    36,200 residents, 8,133 aged 65 or older (22.5 %)

    Cost of living
    83.9 Cheaper than 89 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Missouri nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $2,021 Lower than 82 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Barry County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    5.0 months a year More than 39 % of the other 3,143 US counties
    Natural-hazard risk
    USD $1.95 per USD $1,000 of buildings Lower than 20 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Monett, Cassville, Purdy (Census, 1 July 2024).

    Barry County page →

    Sources and dates: under the list

  • Barton County

    11,795 residents, 2,580 aged 65 or older (21.9 %)

    Cost of living
    83.9 Cheaper than 89 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Missouri nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $2,649 Lower than 63 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Barton County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    4.0 months a year More than 7 % of the other 3,143 US counties
    Natural-hazard risk
    USD $1.66 per USD $1,000 of buildings Lower than 30 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Lamar, Golden City, Liberal (Census, 1 July 2024).

    Barton County page →

    Sources and dates: under the list

  • Bates County

    16,512 residents, 3,576 aged 65 or older (21.7 %)

    Cost of living
    92.5 Cheaper than 30 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Kansas City, MO-KS metropolitan area, US = 100
    Taxes on a retired couple
    USD $2,309 Lower than 74 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Bates County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    5.0 months a year More than 39 % of the other 3,143 US counties
    Natural-hazard risk
    USD $1.44 per USD $1,000 of buildings Lower than 42 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Butler, Adrian, Rich Hill (Census, 1 July 2024).

    Bates County page →

    Sources and dates: under the list

  • Benton County

    20,536 residents, 6,559 aged 65 or older (31.9 %)

    Cost of living
    83.9 Cheaper than 89 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Missouri nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $2,023 Lower than 82 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Benton County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    5.0 months a year More than 39 % of the other 3,143 US counties
    Natural-hazard risk
    USD $1.75 per USD $1,000 of buildings Lower than 27 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Warsaw, Lincoln, Cole Camp (Census, 1 July 2024).

    Benton County page →

    Sources and dates: under the list

  • Bollinger County

    10,646 residents, 2,428 aged 65 or older (22.8 %)

    Cost of living
    86.1 Cheaper than 76 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Cape Girardeau, MO-IL metropolitan area, US = 100
    Taxes on a retired couple
    USD $2,193 Lower than 77 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Bollinger County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    4.0 months a year More than 7 % of the other 3,143 US counties
    Natural-hazard risk
    USD $2.48 per USD $1,000 of buildings Lower than 11 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Marble Hill, Sedgewickville, Glen Allen (Census, 1 July 2024).

    Bollinger County page →

    Sources and dates: under the list

  • Boone County

    191,746 residents, 29,567 aged 65 or older (15.4 %)

    Cost of living
    89.4 Cheaper than 44 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Columbia, MO metropolitan area, US = 100
    Taxes on a retired couple
    USD $3,167 Lower than 50 % of the other 3,110 US counties
    Healthcare access
    2 hospitals in the county rated 4 or 5 stars by CMS
    Safety
    6.5 per 100,000 a year Lower than 57 % of the other 767 US counties
    Climate
    5.0 months a year More than 39 % of the other 3,143 US counties
    Natural-hazard risk
    USD $1.13 per USD $1,000 of buildings Lower than 66 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Columbia, Ashland, Centralia (Census, 1 July 2024).

    Boone County page →

    Sources and dates: under the list

  • Buchanan County

    83,540 residents, 16,280 aged 65 or older (19.5 %)

    Cost of living
    86.4 Cheaper than 72 % of the other 3,142 US counties Its area's figure: every county in the area shares it. St. Joseph, MO-KS metropolitan area, US = 100
    Taxes on a retired couple
    USD $2,876 Lower than 57 % of the other 3,110 US counties
    Healthcare access
    1 hospital in the county rated 4 or 5 stars by CMS
    Safety
    6.4 per 100,000 a year Lower than 57 % of the other 767 US counties
    Climate
    5.0 months a year More than 39 % of the other 3,143 US counties
    Natural-hazard risk
    USD $0.91 per USD $1,000 of buildings Lower than 85 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $5,326 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: St. Joseph, Agency, De Kalb (Census, 1 July 2024).

    Buchanan County page →

    Sources and dates: under the list

  • Butler County

    41,904 residents, 8,570 aged 65 or older (20.5 %)

    Cost of living
    83.9 Cheaper than 89 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Missouri nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $2,513 Lower than 67 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    10.0 per 100,000 a year Lower than 34 % of the other 767 US counties
    Climate
    4.0 months a year More than 7 % of the other 3,143 US counties
    Natural-hazard risk
    USD $2.64 per USD $1,000 of buildings Lower than 10 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Poplar Bluff, Qulin, Neelyville (Census, 1 July 2024).

    Butler County page →

    Sources and dates: under the list

  • Caldwell County

    9,012 residents, 1,986 aged 65 or older (22.0 %)

    Cost of living
    92.5 Cheaper than 30 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Kansas City, MO-KS metropolitan area, US = 100
    Taxes on a retired couple
    USD $2,993 Lower than 54 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Caldwell County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    5.0 months a year More than 39 % of the other 3,143 US counties
    Natural-hazard risk
    USD $1.22 per USD $1,000 of buildings Lower than 58 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Hamilton, Braymer, Polo (Census, 1 July 2024).

    Caldwell County page →

    Sources and dates: under the list

  • Callaway County

    45,765 residents, 8,758 aged 65 or older (19.1 %)

    Cost of living
    88.0 Cheaper than 56 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Jefferson City, MO metropolitan area, US = 100
    Taxes on a retired couple
    USD $2,868 Lower than 57 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Callaway County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    5.0 months a year More than 39 % of the other 3,143 US counties
    Natural-hazard risk
    USD $1.28 per USD $1,000 of buildings Lower than 53 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Fulton, Holts Summit, Auxvasse (Census, 1 July 2024).

    Callaway County page →

    Sources and dates: under the list

  • Camden County

    44,047 residents, 13,523 aged 65 or older (30.7 %)

    Cost of living
    83.9 Cheaper than 89 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Missouri nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $1,814 Lower than 87 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Camden County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    5.0 months a year More than 39 % of the other 3,143 US counties
    Natural-hazard risk
    USD $2.26 per USD $1,000 of buildings Lower than 14 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Osage Beach, Camdenton, Village of Four Seasons (Census, 1 July 2024).

    Camden County page →

    Sources and dates: under the list

  • Cape Girardeau County

    83,999 residents, 16,567 aged 65 or older (19.7 %)

    Cost of living
    86.1 Cheaper than 76 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Cape Girardeau, MO-IL metropolitan area, US = 100
    Taxes on a retired couple
    USD $2,434 Lower than 70 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Cape Girardeau County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    4.0 months a year More than 7 % of the other 3,143 US counties
    Natural-hazard risk
    USD $2.19 per USD $1,000 of buildings Lower than 15 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Cape Girardeau, Jackson, Gordonville (Census, 1 July 2024).

    Cape Girardeau County page →

    Sources and dates: under the list

  • Carroll County

    8,417 residents, 2,123 aged 65 or older (25.2 %)

    Cost of living
    83.9 Cheaper than 89 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Missouri nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $2,932 Lower than 56 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Carroll County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    5.0 months a year More than 39 % of the other 3,143 US counties
    Natural-hazard risk
    USD $1.19 per USD $1,000 of buildings Lower than 60 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Carrollton, Norborne, Hale (Census, 1 July 2024).

    Carroll County page →

    Sources and dates: under the list

  • Carter County

    5,418 residents, 1,288 aged 65 or older (23.8 %)

    Cost of living
    83.9 Cheaper than 89 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Missouri nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $1,667 Lower than 90 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Carter County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    4.0 months a year More than 7 % of the other 3,143 US counties
    Natural-hazard risk
    USD $3.51 per USD $1,000 of buildings Lower than 4 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Van Buren, Ellsinore, Grandin (Census, 1 July 2024).

    Carter County page →

    Sources and dates: under the list

  • Cass County

    115,859 residents, 22,957 aged 65 or older (19.8 %)

    Cost of living
    92.5 Cheaper than 30 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Kansas City, MO-KS metropolitan area, US = 100
    Taxes on a retired couple
    USD $3,177 Lower than 50 % of the other 3,110 US counties
    Healthcare access
    1 hospital in the county rated 4 or 5 stars by CMS
    Safety
    5.2 per 100,000 a year Lower than 69 % of the other 767 US counties
    Climate
    5.0 months a year More than 39 % of the other 3,143 US counties
    Natural-hazard risk
    USD $1.13 per USD $1,000 of buildings Lower than 66 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Raymore, Belton, Harrisonville (Census, 1 July 2024).

    Cass County page →

    Sources and dates: under the list

  • Cedar County

    14,888 residents, 3,592 aged 65 or older (24.1 %)

    Cost of living
    83.9 Cheaper than 89 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Missouri nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $2,354 Lower than 72 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Cedar County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    4.0 months a year More than 7 % of the other 3,143 US counties
    Natural-hazard risk
    USD $1.27 per USD $1,000 of buildings Lower than 55 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: El Dorado Springs, Stockton, Jerico Springs (Census, 1 July 2024).

    Cedar County page →

    Sources and dates: under the list

  • Chariton County

    7,377 residents, 1,974 aged 65 or older (26.8 %)

    Cost of living
    83.9 Cheaper than 89 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Missouri nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $2,425 Lower than 70 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Chariton County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    5.0 months a year More than 39 % of the other 3,143 US counties
    Natural-hazard risk
    USD $1.81 per USD $1,000 of buildings Lower than 24 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Salisbury, Brunswick, Keytesville (Census, 1 July 2024).

    Chariton County page →

    Sources and dates: under the list

  • Christian County

    96,725 residents, 17,810 aged 65 or older (18.4 %)

    Cost of living
    88.6 Cheaper than 49 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Springfield, MO metropolitan area, US = 100
    Taxes on a retired couple
    USD $2,647 Lower than 63 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Christian County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    5.0 months a year More than 39 % of the other 3,143 US counties
    Natural-hazard risk
    USD $1.30 per USD $1,000 of buildings Lower than 52 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Nixa, Ozark, Clever (Census, 1 July 2024).

    Christian County page →

    Sources and dates: under the list

  • Clark County

    6,475 residents, 1,545 aged 65 or older (23.9 %)

    Cost of living
    83.9 Cheaper than 89 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Missouri nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $3,217 Lower than 49 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Clark County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    4.0 months a year More than 7 % of the other 3,143 US counties
    Natural-hazard risk
    USD $1.59 per USD $1,000 of buildings Lower than 33 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $6,310 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Kahoka, Wayland, Wyaconda (Census, 1 July 2024).

    Clark County page →

    Sources and dates: under the list

  • Clay County

    265,032 residents, 44,525 aged 65 or older (16.8 %)

    Cost of living
    92.5 Cheaper than 30 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Kansas City, MO-KS metropolitan area, US = 100
    Taxes on a retired couple
    USD $3,915 Lower than 35 % of the other 3,110 US counties
    Healthcare access
    1 hospital in the county rated 4 or 5 stars by CMS
    Safety
    4.1 per 100,000 a year Lower than 80 % of the other 767 US counties
    Climate
    5.0 months a year More than 39 % of the other 3,143 US counties
    Natural-hazard risk
    USD $1.01 per USD $1,000 of buildings Lower than 78 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Kansas City, Liberty, Gladstone (Census, 1 July 2024).

    Clay County page →

    Sources and dates: under the list

  • Clinton County

    21,661 residents, 4,619 aged 65 or older (21.3 %)

    Cost of living
    92.5 Cheaper than 30 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Kansas City, MO-KS metropolitan area, US = 100
    Taxes on a retired couple
    USD $3,027 Lower than 53 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Clinton County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    5.0 months a year More than 39 % of the other 3,143 US counties
    Natural-hazard risk
    USD $1.26 per USD $1,000 of buildings Lower than 55 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Cameron, Lathrop, Plattsburg (Census, 1 July 2024).

    Clinton County page →

    Sources and dates: under the list

  • Cole County

    77,908 residents, 15,682 aged 65 or older (20.1 %)

    Cost of living
    88.0 Cheaper than 56 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Jefferson City, MO metropolitan area, US = 100
    Taxes on a retired couple
    USD $2,877 Lower than 57 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    5.5 per 100,000 a year Lower than 66 % of the other 767 US counties
    Climate
    5.0 months a year More than 39 % of the other 3,143 US counties
    Natural-hazard risk
    USD $1.29 per USD $1,000 of buildings Lower than 52 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Jefferson City, Wardsville, St. Martins (Census, 1 July 2024).

    Cole County page →

    Sources and dates: under the list

  • Cooper County

    17,136 residents, 3,722 aged 65 or older (21.7 %)

    Cost of living
    89.4 Cheaper than 44 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Columbia, MO metropolitan area, US = 100
    Taxes on a retired couple
    USD $2,474 Lower than 68 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Cooper County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    5.0 months a year More than 39 % of the other 3,143 US counties
    Natural-hazard risk
    USD $1.23 per USD $1,000 of buildings Lower than 57 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Boonville, Pilot Grove, Otterville (Census, 1 July 2024).

    Cooper County page →

    Sources and dates: under the list

  • Crawford County

    22,929 residents, 5,368 aged 65 or older (23.4 %)

    Cost of living
    83.9 Cheaper than 89 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Missouri nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $2,151 Lower than 78 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Crawford County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    5.0 months a year More than 39 % of the other 3,143 US counties
    Natural-hazard risk
    USD $1.52 per USD $1,000 of buildings Lower than 37 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Cuba, Bourbon, Sullivan (Census, 1 July 2024).

    Crawford County page →

    Sources and dates: under the list

  • Dade County

    7,804 residents, 2,001 aged 65 or older (25.6 %)

    Cost of living
    83.9 Cheaper than 89 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Missouri nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $2,344 Lower than 72 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Dade County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    4.0 months a year More than 7 % of the other 3,143 US counties
    Natural-hazard risk
    USD $1.54 per USD $1,000 of buildings Lower than 36 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Greenfield, Lockwood, Everton (Census, 1 July 2024).

    Dade County page →

    Sources and dates: under the list

  • Dallas County

    18,025 residents, 4,026 aged 65 or older (22.3 %)

    Cost of living
    88.6 Cheaper than 49 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Springfield, MO metropolitan area, US = 100
    Taxes on a retired couple
    USD $1,570 Lower than 92 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Dallas County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    5.0 months a year More than 39 % of the other 3,143 US counties
    Natural-hazard risk
    USD $1.91 per USD $1,000 of buildings Lower than 21 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Buffalo, Urbana, Louisburg (Census, 1 July 2024).

    Dallas County page →

    Sources and dates: under the list

  • Daviess County

    8,558 residents, 1,945 aged 65 or older (22.7 %)

    Cost of living
    83.9 Cheaper than 89 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Missouri nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $2,488 Lower than 68 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Daviess County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    5.0 months a year More than 39 % of the other 3,143 US counties
    Natural-hazard risk
    USD $1.50 per USD $1,000 of buildings Lower than 38 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Gallatin, Jamesport, Pattonsburg (Census, 1 July 2024).

    Daviess County page →

    Sources and dates: under the list

  • DeKalb County

    9,795 residents, 2,217 aged 65 or older (22.6 %)

    Cost of living
    86.4 Cheaper than 72 % of the other 3,142 US counties Its area's figure: every county in the area shares it. St. Joseph, MO-KS metropolitan area, US = 100
    Taxes on a retired couple
    USD $2,838 Lower than 58 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    DeKalb County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    5.0 months a year More than 39 % of the other 3,143 US counties
    Natural-hazard risk
    USD $1.30 per USD $1,000 of buildings Lower than 52 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Cameron, Maysville, Stewartsville (Census, 1 July 2024).

    DeKalb County page →

    Sources and dates: under the list

  • Dent County

    14,584 residents, 3,454 aged 65 or older (23.7 %)

    Cost of living
    83.9 Cheaper than 89 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Missouri nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $2,015 Lower than 82 % of the other 3,110 US counties
    Healthcare access
    1 hospital in the county rated 4 or 5 stars by CMS
    Safety
    Dent County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    5.0 months a year More than 39 % of the other 3,143 US counties
    Natural-hazard risk
    USD $1.52 per USD $1,000 of buildings Lower than 37 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Salem, Bunker (Census, 1 July 2024).

    Dent County page →

    Sources and dates: under the list

  • Douglas County

    12,342 residents, 3,167 aged 65 or older (25.7 %)

    Cost of living
    83.9 Cheaper than 89 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Missouri nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $1,720 Lower than 89 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Douglas County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    5.0 months a year More than 39 % of the other 3,143 US counties
    Natural-hazard risk
    USD $1.70 per USD $1,000 of buildings Lower than 28 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest place: Ava (Census, 1 July 2024).

    Douglas County page →

    Sources and dates: under the list

  • Dunklin County

    26,855 residents, 5,340 aged 65 or older (19.9 %)

    Cost of living
    83.9 Cheaper than 89 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Missouri nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $2,647 Lower than 63 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Dunklin County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    4.0 months a year More than 7 % of the other 3,143 US counties
    Natural-hazard risk
    USD $2.47 per USD $1,000 of buildings Lower than 11 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Kennett, Malden, Senath (Census, 1 July 2024).

    Dunklin County page →

    Sources and dates: under the list

  • Franklin County

    108,090 residents, 23,599 aged 65 or older (21.8 %)

    Cost of living
    95.1 Cheaper than 22 % of the other 3,142 US counties Its area's figure: every county in the area shares it. St. Louis, MO-IL metropolitan area, US = 100
    Taxes on a retired couple
    USD $2,968 Lower than 55 % of the other 3,110 US counties
    Healthcare access
    1 hospital in the county rated 4 or 5 stars by CMS
    Safety
    4.7 per 100,000 a year Lower than 73 % of the other 767 US counties
    Climate
    5.0 months a year More than 39 % of the other 3,143 US counties
    Natural-hazard risk
    USD $1.64 per USD $1,000 of buildings Lower than 31 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Washington, Union, Pacific (Census, 1 July 2024).

    Franklin County page →

    Sources and dates: under the list

  • Gasconade County

    14,784 residents, 3,870 aged 65 or older (26.2 %)

    Cost of living
    83.9 Cheaper than 89 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Missouri nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $2,738 Lower than 60 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Gasconade County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    5.0 months a year More than 39 % of the other 3,143 US counties
    Natural-hazard risk
    USD $2.14 per USD $1,000 of buildings Lower than 16 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Owensville, Hermann, Bland (Census, 1 July 2024).

    Gasconade County page →

    Sources and dates: under the list

  • Gentry County

    6,384 residents, 1,376 aged 65 or older (21.6 %)

    Cost of living
    83.9 Cheaper than 89 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Missouri nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $3,442 Lower than 44 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Gentry County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    4.0 months a year More than 7 % of the other 3,143 US counties
    Natural-hazard risk
    USD $1.48 per USD $1,000 of buildings Lower than 39 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Albany, Stanberry, King City (Census, 1 July 2024).

    Gentry County page →

    Sources and dates: under the list

  • Greene County

    309,286 residents, 58,011 aged 65 or older (18.8 %)

    Cost of living
    88.6 Cheaper than 49 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Springfield, MO metropolitan area, US = 100
    Taxes on a retired couple
    USD $2,666 Lower than 62 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    6.9 per 100,000 a year Lower than 54 % of the other 767 US counties
    Climate
    5.0 months a year More than 39 % of the other 3,143 US counties
    Natural-hazard risk
    USD $0.93 per USD $1,000 of buildings Lower than 83 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Springfield, Republic, Willard (Census, 1 July 2024).

    Greene County page →

    Sources and dates: under the list

  • Grundy County

    9,744 residents, 2,251 aged 65 or older (23.1 %)

    Cost of living
    83.9 Cheaper than 89 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Missouri nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $3,680 Lower than 39 % of the other 3,110 US counties
    Healthcare access
    1 hospital in the county rated 4 or 5 stars by CMS
    Safety
    Grundy County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    4.0 months a year More than 7 % of the other 3,143 US counties
    Natural-hazard risk
    USD $1.26 per USD $1,000 of buildings Lower than 55 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Trenton, Spickard, Galt (Census, 1 July 2024).

    Grundy County page →

    Sources and dates: under the list

  • Harrison County

    8,281 residents, 2,067 aged 65 or older (25.0 %)

    Cost of living
    83.9 Cheaper than 89 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Missouri nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $3,290 Lower than 47 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Harrison County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    3.0 months a year More than 2 % of the other 3,143 US counties
    Natural-hazard risk
    USD $1.22 per USD $1,000 of buildings Lower than 58 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Bethany, Ridgeway, Gilman City (Census, 1 July 2024).

    Harrison County page →

    Sources and dates: under the list

  • Henry County

    22,671 residents, 5,560 aged 65 or older (24.5 %)

    Cost of living
    83.9 Cheaper than 89 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Missouri nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $3,004 Lower than 54 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Henry County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    5.0 months a year More than 39 % of the other 3,143 US counties
    Natural-hazard risk
    USD $1.28 per USD $1,000 of buildings Lower than 54 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Clinton, Windsor, Urich (Census, 1 July 2024).

    Henry County page →

    Sources and dates: under the list

  • Hickory County

    9,044 residents, 3,026 aged 65 or older (33.5 %)

    Cost of living
    83.9 Cheaper than 89 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Missouri nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $1,615 Lower than 91 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Hickory County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    5.0 months a year More than 39 % of the other 3,143 US counties
    Natural-hazard risk
    USD $1.60 per USD $1,000 of buildings Lower than 32 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Hermitage, Weaubleau, Wheatland (Census, 1 July 2024).

    Hickory County page →

    Sources and dates: under the list

  • Holt County

    4,200 residents, 1,086 aged 65 or older (25.9 %)

    Cost of living
    83.9 Cheaper than 89 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Missouri nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $2,629 Lower than 63 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Holt County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    5.0 months a year More than 39 % of the other 3,143 US counties
    Natural-hazard risk
    USD $1.65 per USD $1,000 of buildings Lower than 30 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Mound City, Oregon, Maitland (Census, 1 July 2024).

    Holt County page →

    Sources and dates: under the list

  • Howard County

    10,180 residents, 2,176 aged 65 or older (21.4 %)

    Cost of living
    89.4 Cheaper than 44 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Columbia, MO metropolitan area, US = 100
    Taxes on a retired couple
    USD $2,874 Lower than 57 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Howard County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    5.0 months a year More than 39 % of the other 3,143 US counties
    Natural-hazard risk
    USD $1.24 per USD $1,000 of buildings Lower than 56 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Fayette, Glasgow, New Franklin (Census, 1 July 2024).

    Howard County page →

    Sources and dates: under the list

  • Howell County

    40,798 residents, 8,996 aged 65 or older (22.1 %)

    Cost of living
    83.9 Cheaper than 89 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Missouri nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $1,944 Lower than 84 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Howell County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    5.0 months a year More than 39 % of the other 3,143 US counties
    Natural-hazard risk
    USD $1.50 per USD $1,000 of buildings Lower than 38 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: West Plains, Mountain View, Willow Springs (Census, 1 July 2024).

    Howell County page →

    Sources and dates: under the list

  • Iron County

    9,318 residents, 2,137 aged 65 or older (22.9 %)

    Cost of living
    83.9 Cheaper than 89 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Missouri nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $2,556 Lower than 66 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Iron County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    5.0 months a year More than 39 % of the other 3,143 US counties
    Natural-hazard risk
    USD $3.37 per USD $1,000 of buildings Lower than 5 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Ironton, Pilot Knob, Viburnum (Census, 1 July 2024).

    Iron County page →

    Sources and dates: under the list

  • Jackson County

    732,994 residents, 125,992 aged 65 or older (17.2 %)

    Cost of living
    92.5 Cheaper than 30 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Kansas City, MO-KS metropolitan area, US = 100
    Taxes on a retired couple
    USD $4,090 Lower than 31 % of the other 3,110 US counties
    Healthcare access
    4 hospitals in the county rated 4 or 5 stars by CMS
    Safety
    24.6 per 100,000 a year Lower than 7 % of the other 767 US counties
    Climate
    5.0 months a year More than 39 % of the other 3,143 US counties
    Natural-hazard risk
    USD $1.02 per USD $1,000 of buildings Lower than 77 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Kansas City, Independence, Lee's Summit (Census, 1 July 2024).

    Jackson County page →

    Sources and dates: under the list

  • Jasper County

    127,428 residents, 22,089 aged 65 or older (17.3 %)

    Cost of living
    85.7 Cheaper than 82 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Joplin, MO-KS metropolitan area, US = 100
    Taxes on a retired couple
    USD $2,688 Lower than 62 % of the other 3,110 US counties
    Healthcare access
    1 hospital in the county rated 4 or 5 stars by CMS
    Safety
    5.6 per 100,000 a year Lower than 64 % of the other 767 US counties
    Climate
    4.0 months a year More than 7 % of the other 3,143 US counties
    Natural-hazard risk
    USD $1.32 per USD $1,000 of buildings Lower than 51 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Joplin, Carthage, Webb City (Census, 1 July 2024).

    Jasper County page →

    Sources and dates: under the list

  • Jefferson County

    233,132 residents, 44,534 aged 65 or older (19.1 %)

    Cost of living
    95.1 Cheaper than 22 % of the other 3,142 US counties Its area's figure: every county in the area shares it. St. Louis, MO-IL metropolitan area, US = 100
    Taxes on a retired couple
    USD $2,992 Lower than 54 % of the other 3,110 US counties
    Healthcare access
    2 hospitals in the county rated 4 or 5 stars by CMS
    Safety
    3.9 per 100,000 a year Lower than 81 % of the other 767 US counties
    Climate
    5.0 months a year More than 39 % of the other 3,143 US counties
    Natural-hazard risk
    USD $1.94 per USD $1,000 of buildings Lower than 20 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Arnold, Festus, De Soto (Census, 1 July 2024).

    Jefferson County page →

    Sources and dates: under the list

  • Johnson County

    56,670 residents, 8,794 aged 65 or older (15.5 %)

    Cost of living
    83.9 Cheaper than 89 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Missouri nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $2,504 Lower than 67 % of the other 3,110 US counties
    Healthcare access
    1 hospital in the county rated 4 or 5 stars by CMS
    Safety
    Johnson County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    5.0 months a year More than 39 % of the other 3,143 US counties
    Natural-hazard risk
    USD $0.95 per USD $1,000 of buildings Lower than 82 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Warrensburg, Knob Noster, Holden (Census, 1 July 2024).

    Johnson County page →

    Sources and dates: under the list

  • Knox County

    3,728 residents, 895 aged 65 or older (24.0 %)

    Cost of living
    83.9 Cheaper than 89 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Missouri nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $3,086 Lower than 52 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Knox County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    4.0 months a year More than 7 % of the other 3,143 US counties
    Natural-hazard risk
    USD $1.59 per USD $1,000 of buildings Lower than 33 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Edina, Knox City, Hurdland (Census, 1 July 2024).

    Knox County page →

    Sources and dates: under the list

  • Laclede County

    36,943 residents, 7,319 aged 65 or older (19.8 %)

    Cost of living
    83.9 Cheaper than 89 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Missouri nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $2,281 Lower than 75 % of the other 3,110 US counties
    Healthcare access
    1 hospital in the county rated 4 or 5 stars by CMS
    Safety
    Laclede County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    5.0 months a year More than 39 % of the other 3,143 US counties
    Natural-hazard risk
    USD $1.41 per USD $1,000 of buildings Lower than 44 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Lebanon, Conway, Phillipsburg (Census, 1 July 2024).

    Laclede County page →

    Sources and dates: under the list

  • Lafayette County

    33,531 residents, 6,971 aged 65 or older (20.8 %)

    Cost of living
    92.5 Cheaper than 30 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Kansas City, MO-KS metropolitan area, US = 100
    Taxes on a retired couple
    USD $2,736 Lower than 60 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Lafayette County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    5.0 months a year More than 39 % of the other 3,143 US counties
    Natural-hazard risk
    USD $0.97 per USD $1,000 of buildings Lower than 80 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Odessa, Higginsville, Lexington (Census, 1 July 2024).

    Lafayette County page →

    Sources and dates: under the list

  • Lawrence County

    39,401 residents, 7,733 aged 65 or older (19.6 %)

    Cost of living
    83.9 Cheaper than 89 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Missouri nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $2,243 Lower than 76 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Lawrence County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    5.0 months a year More than 39 % of the other 3,143 US counties
    Natural-hazard risk
    USD $1.31 per USD $1,000 of buildings Lower than 51 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Aurora, Mount Vernon, Monett (Census, 1 July 2024).

    Lawrence County page →

    Sources and dates: under the list

  • Lewis County

    9,879 residents, 2,069 aged 65 or older (20.9 %)

    Cost of living
    83.9 Cheaper than 89 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Missouri nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $2,650 Lower than 63 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Lewis County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    5.0 months a year More than 39 % of the other 3,143 US counties
    Natural-hazard risk
    USD $1.52 per USD $1,000 of buildings Lower than 37 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Canton, La Grange, La Belle (Census, 1 July 2024).

    Lewis County page →

    Sources and dates: under the list

  • Lincoln County

    66,676 residents, 11,062 aged 65 or older (16.6 %)

    Cost of living
    95.1 Cheaper than 22 % of the other 3,142 US counties Its area's figure: every county in the area shares it. St. Louis, MO-IL metropolitan area, US = 100
    Taxes on a retired couple
    USD $2,775 Lower than 60 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Lincoln County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    5.0 months a year More than 39 % of the other 3,143 US counties
    Natural-hazard risk
    USD $1.65 per USD $1,000 of buildings Lower than 30 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Troy, Moscow Mills, Elsberry (Census, 1 July 2024).

    Lincoln County page →

    Sources and dates: under the list

  • Linn County

    11,815 residents, 2,756 aged 65 or older (23.3 %)

    Cost of living
    83.9 Cheaper than 89 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Missouri nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $2,701 Lower than 61 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Linn County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    5.0 months a year More than 39 % of the other 3,143 US counties
    Natural-hazard risk
    USD $1.34 per USD $1,000 of buildings Lower than 49 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Brookfield, Marceline, Meadville (Census, 1 July 2024).

    Linn County page →

    Sources and dates: under the list

  • Livingston County

    14,708 residents, 3,293 aged 65 or older (22.4 %)

    Cost of living
    83.9 Cheaper than 89 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Missouri nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $3,028 Lower than 53 % of the other 3,110 US counties
    Healthcare access
    1 hospital in the county rated 4 or 5 stars by CMS
    Safety
    Livingston County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    5.0 months a year More than 39 % of the other 3,143 US counties
    Natural-hazard risk
    USD $1.18 per USD $1,000 of buildings Lower than 62 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Chillicothe, Wheeling, Utica (Census, 1 July 2024).

    Livingston County page →

    Sources and dates: under the list

  • McDonald County

    23,992 residents, 3,943 aged 65 or older (16.4 %)

    Cost of living
    83.9 Cheaper than 89 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Missouri nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $1,791 Lower than 87 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    McDonald County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    5.0 months a year More than 39 % of the other 3,143 US counties
    Natural-hazard risk
    USD $2.82 per USD $1,000 of buildings Lower than 8 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Noel, Anderson, Goodman (Census, 1 July 2024).

    McDonald County page →

    Sources and dates: under the list

  • Macon County

    15,190 residents, 3,651 aged 65 or older (24.0 %)

    Cost of living
    83.9 Cheaper than 89 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Missouri nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $2,610 Lower than 64 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Macon County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    5.0 months a year More than 39 % of the other 3,143 US counties
    Natural-hazard risk
    USD $1.23 per USD $1,000 of buildings Lower than 58 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Macon, La Plata, Bevier (Census, 1 July 2024).

    Macon County page →

    Sources and dates: under the list

  • Madison County

    12,858 residents, 2,778 aged 65 or older (21.6 %)

    Cost of living
    83.9 Cheaper than 89 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Missouri nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $2,667 Lower than 62 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Madison County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    5.0 months a year More than 39 % of the other 3,143 US counties
    Natural-hazard risk
    USD $2.89 per USD $1,000 of buildings Lower than 8 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Fredericktown, Junction City, Cobalt (Census, 1 July 2024).

    Madison County page →

    Sources and dates: under the list

  • Maries County

    8,397 residents, 1,993 aged 65 or older (23.7 %)

    Cost of living
    83.9 Cheaper than 89 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Missouri nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $1,961 Lower than 83 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Maries County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    5.0 months a year More than 39 % of the other 3,143 US counties
    Natural-hazard risk
    USD $1.73 per USD $1,000 of buildings Lower than 27 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Belle, Vienna, Argyle (Census, 1 July 2024).

    Maries County page →

    Sources and dates: under the list

  • Marion County

    28,525 residents, 5,893 aged 65 or older (20.7 %)

    Cost of living
    83.9 Cheaper than 89 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Missouri nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $3,064 Lower than 52 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Marion County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    5.0 months a year More than 39 % of the other 3,143 US counties
    Natural-hazard risk
    USD $1.63 per USD $1,000 of buildings Lower than 31 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Hannibal, Palmyra, Monroe City (Census, 1 July 2024).

    Marion County page →

    Sources and dates: under the list

  • Mercer County

    3,404 residents, 868 aged 65 or older (25.5 %)

    Cost of living
    83.9 Cheaper than 89 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Missouri nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $3,537 Lower than 42 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Mercer County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    4.0 months a year More than 7 % of the other 3,143 US counties
    Natural-hazard risk
    USD $1.37 per USD $1,000 of buildings Lower than 47 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Princeton, Mercer, South Lineville (Census, 1 July 2024).

    Mercer County page →

    Sources and dates: under the list

  • Miller County

    25,817 residents, 5,553 aged 65 or older (21.5 %)

    Cost of living
    83.9 Cheaper than 89 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Missouri nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $2,183 Lower than 77 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Miller County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    5.0 months a year More than 39 % of the other 3,143 US counties
    Natural-hazard risk
    USD $1.40 per USD $1,000 of buildings Lower than 44 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Eldon, Lake Ozark, Iberia (Census, 1 July 2024).

    Miller County page →

    Sources and dates: under the list

  • Mississippi County

    12,003 residents, 2,506 aged 65 or older (20.9 %)

    Cost of living
    83.9 Cheaper than 89 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Missouri nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $3,006 Lower than 54 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Mississippi County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    4.0 months a year More than 7 % of the other 3,143 US counties
    Natural-hazard risk
    USD $2.88 per USD $1,000 of buildings Lower than 8 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Charleston, East Prairie, Bertrand (Census, 1 July 2024).

    Mississippi County page →

    Sources and dates: under the list

  • Moniteau County

    15,428 residents, 2,944 aged 65 or older (19.1 %)

    Cost of living
    88.0 Cheaper than 56 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Jefferson City, MO metropolitan area, US = 100
    Taxes on a retired couple
    USD $2,576 Lower than 65 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Moniteau County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    5.0 months a year More than 39 % of the other 3,143 US counties
    Natural-hazard risk
    USD $1.08 per USD $1,000 of buildings Lower than 71 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: California, Tipton, Jamestown (Census, 1 July 2024).

    Moniteau County page →

    Sources and dates: under the list

  • Monroe County

    8,959 residents, 2,383 aged 65 or older (26.6 %)

    Cost of living
    83.9 Cheaper than 89 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Missouri nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $2,974 Lower than 55 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Monroe County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    5.0 months a year More than 39 % of the other 3,143 US counties
    Natural-hazard risk
    USD $1.27 per USD $1,000 of buildings Lower than 54 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Monroe City, Paris, Madison (Census, 1 July 2024).

    Monroe County page →

    Sources and dates: under the list

  • Montgomery County

    11,590 residents, 2,760 aged 65 or older (23.8 %)

    Cost of living
    83.9 Cheaper than 89 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Missouri nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $2,826 Lower than 58 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Montgomery County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    5.0 months a year More than 39 % of the other 3,143 US counties
    Natural-hazard risk
    USD $1.24 per USD $1,000 of buildings Lower than 56 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Montgomery City, Wellsville, Jonesburg (Census, 1 July 2024).

    Montgomery County page →

    Sources and dates: under the list

  • Morgan County

    22,418 residents, 5,705 aged 65 or older (25.4 %)

    Cost of living
    83.9 Cheaper than 89 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Missouri nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $2,128 Lower than 79 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Morgan County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    5.0 months a year More than 39 % of the other 3,143 US counties
    Natural-hazard risk
    USD $1.90 per USD $1,000 of buildings Lower than 21 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Versailles, Stover, Laurie (Census, 1 July 2024).

    Morgan County page →

    Sources and dates: under the list

  • New Madrid County

    15,086 residents, 3,290 aged 65 or older (21.8 %)

    Cost of living
    83.9 Cheaper than 89 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Missouri nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $2,728 Lower than 61 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    New Madrid County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    4.0 months a year More than 7 % of the other 3,143 US counties
    Natural-hazard risk
    USD $3.27 per USD $1,000 of buildings Lower than 5 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Portageville, New Madrid, Sikeston (Census, 1 July 2024).

    New Madrid County page →

    Sources and dates: under the list

  • Newton County

    62,263 residents, 12,642 aged 65 or older (20.3 %)

    Cost of living
    85.7 Cheaper than 82 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Joplin, MO-KS metropolitan area, US = 100
    Taxes on a retired couple
    USD $2,395 Lower than 71 % of the other 3,110 US counties
    Healthcare access
    1 hospital in the county rated 4 or 5 stars by CMS
    Safety
    Newton County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    5.0 months a year More than 39 % of the other 3,143 US counties
    Natural-hazard risk
    USD $1.54 per USD $1,000 of buildings Lower than 35 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Neosho, Joplin, Seneca (Census, 1 July 2024).

    Newton County page →

    Sources and dates: under the list

  • Nodaway County

    20,174 residents, 3,977 aged 65 or older (19.7 %)

    Cost of living
    83.9 Cheaper than 89 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Missouri nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $2,877 Lower than 57 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Nodaway County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    4.0 months a year More than 7 % of the other 3,143 US counties
    Natural-hazard risk
    USD $1.49 per USD $1,000 of buildings Lower than 39 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Maryville, Burlington Junction, Hopkins (Census, 1 July 2024).

    Nodaway County page →

    Sources and dates: under the list

  • Oregon County

    8,709 residents, 2,207 aged 65 or older (25.3 %)

    Cost of living
    83.9 Cheaper than 89 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Missouri nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $2,117 Lower than 79 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Oregon County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    4.0 months a year More than 7 % of the other 3,143 US counties
    Natural-hazard risk
    USD $2.25 per USD $1,000 of buildings Lower than 14 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Thayer, Alton, Koshkonong (Census, 1 July 2024).

    Oregon County page →

    Sources and dates: under the list

  • Osage County

    13,611 residents, 2,796 aged 65 or older (20.5 %)

    Cost of living
    88.0 Cheaper than 56 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Jefferson City, MO metropolitan area, US = 100
    Taxes on a retired couple
    USD $2,229 Lower than 76 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Osage County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    5.0 months a year More than 39 % of the other 3,143 US counties
    Natural-hazard risk
    USD $2.10 per USD $1,000 of buildings Lower than 17 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Linn, Freeburg, Westphalia (Census, 1 July 2024).

    Osage County page →

    Sources and dates: under the list

  • Ozark County

    9,172 residents, 2,565 aged 65 or older (28.0 %)

    Cost of living
    83.9 Cheaper than 89 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Missouri nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $1,710 Lower than 89 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Ozark County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    4.0 months a year More than 7 % of the other 3,143 US counties
    Natural-hazard risk
    USD $2.00 per USD $1,000 of buildings Lower than 19 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Gainesville, Theodosia, Bakersfield (Census, 1 July 2024).

    Ozark County page →

    Sources and dates: under the list

  • Pemiscot County

    14,465 residents, 2,923 aged 65 or older (20.2 %)

    Cost of living
    83.9 Cheaper than 89 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Missouri nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $3,518 Lower than 43 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Pemiscot County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    4.0 months a year More than 7 % of the other 3,143 US counties
    Natural-hazard risk
    USD $3.63 per USD $1,000 of buildings Lower than 4 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Caruthersville, Hayti, Steele (Census, 1 July 2024).

    Pemiscot County page →

    Sources and dates: under the list

  • Perry County

    19,093 residents, 4,266 aged 65 or older (22.3 %)

    Cost of living
    83.9 Cheaper than 89 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Missouri nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $2,774 Lower than 60 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Perry County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    4.0 months a year More than 7 % of the other 3,143 US counties
    Natural-hazard risk
    USD $2.40 per USD $1,000 of buildings Lower than 12 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Perryville, Altenburg, Frohna (Census, 1 July 2024).

    Perry County page →

    Sources and dates: under the list

  • Pettis County

    44,254 residents, 8,305 aged 65 or older (18.8 %)

    Cost of living
    83.9 Cheaper than 89 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Missouri nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $2,893 Lower than 57 % of the other 3,110 US counties
    Healthcare access
    1 hospital in the county rated 4 or 5 stars by CMS
    Safety
    Pettis County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    5.0 months a year More than 39 % of the other 3,143 US counties
    Natural-hazard risk
    USD $1.13 per USD $1,000 of buildings Lower than 66 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Sedalia, La Monte, Green Ridge (Census, 1 July 2024).

    Pettis County page →

    Sources and dates: under the list

  • Phelps County

    45,247 residents, 8,354 aged 65 or older (18.5 %)

    Cost of living
    83.9 Cheaper than 89 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Missouri nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $2,404 Lower than 70 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Phelps County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    5.0 months a year More than 39 % of the other 3,143 US counties
    Natural-hazard risk
    USD $1.03 per USD $1,000 of buildings Lower than 76 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Rolla, St. James, Doolittle (Census, 1 July 2024).

    Phelps County page →

    Sources and dates: under the list

  • Pike County

    17,955 residents, 3,796 aged 65 or older (21.1 %)

    Cost of living
    83.9 Cheaper than 89 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Missouri nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $2,527 Lower than 66 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Pike County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    5.0 months a year More than 39 % of the other 3,143 US counties
    Natural-hazard risk
    USD $1.43 per USD $1,000 of buildings Lower than 43 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Bowling Green, Louisiana, Eolia (Census, 1 July 2024).

    Pike County page →

    Sources and dates: under the list

  • Platte County

    114,400 residents, 19,711 aged 65 or older (17.2 %)

    Cost of living
    92.5 Cheaper than 30 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Kansas City, MO-KS metropolitan area, US = 100
    Taxes on a retired couple
    USD $3,844 Lower than 36 % of the other 3,110 US counties
    Healthcare access
    1 hospital in the county rated 4 or 5 stars by CMS
    Safety
    4.7 per 100,000 a year Lower than 73 % of the other 767 US counties
    Climate
    5.0 months a year More than 39 % of the other 3,143 US counties
    Natural-hazard risk
    USD $1.03 per USD $1,000 of buildings Lower than 76 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Kansas City, Parkville, Platte City (Census, 1 July 2024).

    Platte County page →

    Sources and dates: under the list

  • Polk County

    33,604 residents, 6,909 aged 65 or older (20.6 %)

    Cost of living
    88.6 Cheaper than 49 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Springfield, MO metropolitan area, US = 100
    Taxes on a retired couple
    USD $2,114 Lower than 79 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Polk County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    5.0 months a year More than 39 % of the other 3,143 US counties
    Natural-hazard risk
    USD $1.46 per USD $1,000 of buildings Lower than 40 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Bolivar, Humansville, Pleasant Hope (Census, 1 July 2024).

    Polk County page →

    Sources and dates: under the list

  • Pulaski County

    54,442 residents, 5,968 aged 65 or older (11.0 %)

    Cost of living
    83.9 Cheaper than 89 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Missouri nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $2,317 Lower than 73 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Pulaski County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    5.0 months a year More than 39 % of the other 3,143 US counties
    Natural-hazard risk
    USD $1.23 per USD $1,000 of buildings Lower than 57 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: St. Robert, Waynesville, Richland (Census, 1 July 2024).

    Pulaski County page →

    Sources and dates: under the list

  • Putnam County

    4,546 residents, 1,198 aged 65 or older (26.4 %)

    Cost of living
    83.9 Cheaper than 89 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Missouri nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $3,727 Lower than 39 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Putnam County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    4.0 months a year More than 7 % of the other 3,143 US counties
    Natural-hazard risk
    USD $1.15 per USD $1,000 of buildings Lower than 65 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Unionville, Worthington, Lucerne (Census, 1 July 2024).

    Putnam County page →

    Sources and dates: under the list

  • Ralls County

    10,444 residents, 2,556 aged 65 or older (24.5 %)

    Cost of living
    83.9 Cheaper than 89 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Missouri nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $2,737 Lower than 60 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Ralls County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    5.0 months a year More than 39 % of the other 3,143 US counties
    Natural-hazard risk
    USD $1.71 per USD $1,000 of buildings Lower than 28 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: New London, Perry, Center (Census, 1 July 2024).

    Ralls County page →

    Sources and dates: under the list

  • Randolph County

    24,513 residents, 4,669 aged 65 or older (19.0 %)

    Cost of living
    83.9 Cheaper than 89 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Missouri nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $2,893 Lower than 57 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Randolph County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    5.0 months a year More than 39 % of the other 3,143 US counties
    Natural-hazard risk
    USD $1.03 per USD $1,000 of buildings Lower than 76 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Moberly, Huntsville, Higbee (Census, 1 July 2024).

    Randolph County page →

    Sources and dates: under the list

  • Ray County

    23,398 residents, 4,866 aged 65 or older (20.8 %)

    Cost of living
    92.5 Cheaper than 30 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Kansas City, MO-KS metropolitan area, US = 100
    Taxes on a retired couple
    USD $2,986 Lower than 55 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Ray County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    5.0 months a year More than 39 % of the other 3,143 US counties
    Natural-hazard risk
    USD $1.13 per USD $1,000 of buildings Lower than 66 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Richmond, Lawson, Wood Heights (Census, 1 July 2024).

    Ray County page →

    Sources and dates: under the list

  • Reynolds County

    5,992 residents, 1,519 aged 65 or older (25.4 %)

    Cost of living
    83.9 Cheaper than 89 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Missouri nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $1,472 Lower than 93 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Reynolds County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    5.0 months a year More than 39 % of the other 3,143 US counties
    Natural-hazard risk
    USD $3.94 per USD $1,000 of buildings Lower than 3 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Ellington, Bunker, Centerville (Census, 1 July 2024).

    Reynolds County page →

    Sources and dates: under the list

  • Ripley County

    10,717 residents, 2,361 aged 65 or older (22.0 %)

    Cost of living
    83.9 Cheaper than 89 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Missouri nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $1,790 Lower than 88 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Ripley County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    4.0 months a year More than 7 % of the other 3,143 US counties
    Natural-hazard risk
    USD $2.98 per USD $1,000 of buildings Lower than 7 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Doniphan, Naylor (Census, 1 July 2024).

    Ripley County page →

    Sources and dates: under the list

  • St. Charles County

    426,499 residents, 81,176 aged 65 or older (19.0 %)

    Cost of living
    95.1 Cheaper than 22 % of the other 3,142 US counties Its area's figure: every county in the area shares it. St. Louis, MO-IL metropolitan area, US = 100
    Taxes on a retired couple
    USD $3,977 Lower than 33 % of the other 3,110 US counties
    Healthcare access
    1 hospital in the county rated 4 or 5 stars by CMS
    Safety
    2.8 per 100,000 a year Lower than 90 % of the other 767 US counties
    Climate
    5.0 months a year More than 39 % of the other 3,143 US counties
    Natural-hazard risk
    USD $1.68 per USD $1,000 of buildings Lower than 29 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: O'Fallon, St. Charles, St. Peters (Census, 1 July 2024).

    St. Charles County page →

    Sources and dates: under the list

  • St. Clair County

    9,976 residents, 2,533 aged 65 or older (25.4 %)

    Cost of living
    83.9 Cheaper than 89 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Missouri nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $2,332 Lower than 73 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    St. Clair County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    4.0 months a year More than 7 % of the other 3,143 US counties
    Natural-hazard risk
    USD $1.57 per USD $1,000 of buildings Lower than 34 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Appleton City, Osceola, Lowry City (Census, 1 July 2024).

    St. Clair County page →

    Sources and dates: under the list

  • Ste. Genevieve County

    18,689 residents, 4,442 aged 65 or older (23.8 %)

    Cost of living
    83.9 Cheaper than 89 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Missouri nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $2,377 Lower than 71 % of the other 3,110 US counties
    Healthcare access
    1 hospital in the county rated 4 or 5 stars by CMS
    Safety
    Ste. Genevieve County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    5.0 months a year More than 39 % of the other 3,143 US counties
    Natural-hazard risk
    USD $2.14 per USD $1,000 of buildings Lower than 16 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Ste. Genevieve, Bloomsdale, St. Mary (Census, 1 July 2024).

    Ste. Genevieve County page →

    Sources and dates: under the list

  • St. Francois County

    67,809 residents, 13,103 aged 65 or older (19.3 %)

    Cost of living
    83.9 Cheaper than 89 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Missouri nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $2,636 Lower than 63 % of the other 3,110 US counties
    Healthcare access
    1 hospital in the county rated 4 or 5 stars by CMS
    Safety
    St. Francois County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    5.0 months a year More than 39 % of the other 3,143 US counties
    Natural-hazard risk
    USD $1.51 per USD $1,000 of buildings Lower than 38 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Farmington, Park Hills, Bonne Terre (Census, 1 July 2024).

    St. Francois County page →

    Sources and dates: under the list

  • St. Louis County

    990,911 residents, 212,135 aged 65 or older (21.4 %)

    Cost of living
    95.1 Cheaper than 22 % of the other 3,142 US counties Its area's figure: every county in the area shares it. St. Louis, MO-IL metropolitan area, US = 100
    Taxes on a retired couple
    USD $4,397 Lower than 25 % of the other 3,110 US counties
    Healthcare access
    7 hospitals in the county rated 4 or 5 stars by CMS
    Safety
    17.0 per 100,000 a year Lower than 16 % of the other 767 US counties
    Climate
    5.0 months a year More than 39 % of the other 3,143 US counties
    Natural-hazard risk
    USD $1.42 per USD $1,000 of buildings Lower than 44 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Florissant, Chesterfield, Wildwood (Census, 1 July 2024).

    St. Louis County page →

    Sources and dates: under the list

  • Saline County

    23,265 residents, 4,378 aged 65 or older (18.8 %)

    Cost of living
    83.9 Cheaper than 89 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Missouri nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $2,917 Lower than 56 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Saline County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    5.0 months a year More than 39 % of the other 3,143 US counties
    Natural-hazard risk
    USD $1.04 per USD $1,000 of buildings Lower than 75 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Marshall, Slater, Sweet Springs (Census, 1 July 2024).

    Saline County page →

    Sources and dates: under the list

  • Schuyler County

    4,140 residents, 920 aged 65 or older (22.2 %)

    Cost of living
    83.9 Cheaper than 89 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Missouri nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $2,937 Lower than 55 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Schuyler County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    4.0 months a year More than 7 % of the other 3,143 US counties
    Natural-hazard risk
    USD $1.13 per USD $1,000 of buildings Lower than 67 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Lancaster, Queen City, Downing (Census, 1 July 2024).

    Schuyler County page →

    Sources and dates: under the list

  • Scotland County

    4,796 residents, 952 aged 65 or older (19.8 %)

    Cost of living
    83.9 Cheaper than 89 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Missouri nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $2,931 Lower than 56 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Scotland County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    3.0 months a year More than 2 % of the other 3,143 US counties
    Natural-hazard risk
    USD $1.23 per USD $1,000 of buildings Lower than 57 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $6,310 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Memphis, Rutledge, South Gorin (Census, 1 July 2024).

    Scotland County page →

    Sources and dates: under the list

  • Scott County

    37,975 residents, 7,689 aged 65 or older (20.2 %)

    Cost of living
    83.9 Cheaper than 89 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Missouri nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $2,349 Lower than 72 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Scott County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    4.0 months a year More than 7 % of the other 3,143 US counties
    Natural-hazard risk
    USD $2.34 per USD $1,000 of buildings Lower than 13 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Sikeston, Scott City, Chaffee (Census, 1 July 2024).

    Scott County page →

    Sources and dates: under the list

  • Shannon County

    7,285 residents, 1,793 aged 65 or older (24.6 %)

    Cost of living
    83.9 Cheaper than 89 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Missouri nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $1,682 Lower than 89 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Shannon County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    5.0 months a year More than 39 % of the other 3,143 US counties
    Natural-hazard risk
    USD $2.33 per USD $1,000 of buildings Lower than 13 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Winona, Birch Tree, Eminence (Census, 1 July 2024).

    Shannon County page →

    Sources and dates: under the list

  • Shelby County

    5,870 residents, 1,437 aged 65 or older (24.5 %)

    Cost of living
    83.9 Cheaper than 89 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Missouri nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $3,193 Lower than 49 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Shelby County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    5.0 months a year More than 39 % of the other 3,143 US counties
    Natural-hazard risk
    USD $1.14 per USD $1,000 of buildings Lower than 65 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Shelbina, Clarence, Shelbyville (Census, 1 July 2024).

    Shelby County page →

    Sources and dates: under the list

  • Stoddard County

    28,284 residents, 6,095 aged 65 or older (21.5 %)

    Cost of living
    83.9 Cheaper than 89 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Missouri nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $2,473 Lower than 68 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Stoddard County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    4.0 months a year More than 7 % of the other 3,143 US counties
    Natural-hazard risk
    USD $2.30 per USD $1,000 of buildings Lower than 14 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Dexter, Bernie, Bloomfield (Census, 1 July 2024).

    Stoddard County page →

    Sources and dates: under the list

  • Stone County

    32,503 residents, 10,822 aged 65 or older (33.3 %)

    Cost of living
    83.9 Cheaper than 89 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Missouri nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $1,822 Lower than 87 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Stone County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    5.0 months a year More than 39 % of the other 3,143 US counties
    Natural-hazard risk
    USD $1.94 per USD $1,000 of buildings Lower than 20 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Kimberling City, Crane, Reeds Spring (Census, 1 July 2024).

    Stone County page →

    Sources and dates: under the list

  • Sullivan County

    5,738 residents, 1,251 aged 65 or older (21.8 %)

    Cost of living
    83.9 Cheaper than 89 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Missouri nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $2,587 Lower than 64 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Sullivan County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    3.0 months a year More than 2 % of the other 3,143 US counties
    Natural-hazard risk
    USD $1.17 per USD $1,000 of buildings Lower than 63 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Milan, Green City, Green Castle (Census, 1 July 2024).

    Sullivan County page →

    Sources and dates: under the list

  • Taney County

    57,001 residents, 13,725 aged 65 or older (24.1 %)

    Cost of living
    83.9 Cheaper than 89 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Missouri nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $2,093 Lower than 80 % of the other 3,110 US counties
    Healthcare access
    1 hospital in the county rated 4 or 5 stars by CMS
    Safety
    Taney County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    4.0 months a year More than 7 % of the other 3,143 US counties
    Natural-hazard risk
    USD $1.85 per USD $1,000 of buildings Lower than 23 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Branson, Hollister, Forsyth (Census, 1 July 2024).

    Taney County page →

    Sources and dates: under the list

  • Texas County

    25,994 residents, 5,763 aged 65 or older (22.2 %)

    Cost of living
    83.9 Cheaper than 89 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Missouri nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $1,881 Lower than 85 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Texas County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    5.0 months a year More than 39 % of the other 3,143 US counties
    Natural-hazard risk
    USD $1.54 per USD $1,000 of buildings Lower than 36 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Licking, Houston, Cabool (Census, 1 July 2024).

    Texas County page →

    Sources and dates: under the list

  • Vernon County

    19,946 residents, 4,065 aged 65 or older (20.4 %)

    Cost of living
    83.9 Cheaper than 89 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Missouri nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $2,532 Lower than 66 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Vernon County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    4.0 months a year More than 7 % of the other 3,143 US counties
    Natural-hazard risk
    USD $1.38 per USD $1,000 of buildings Lower than 46 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Nevada, Sheldon, Schell City (Census, 1 July 2024).

    Vernon County page →

    Sources and dates: under the list

  • Warren County

    39,016 residents, 7,992 aged 65 or older (20.5 %)

    Cost of living
    95.1 Cheaper than 22 % of the other 3,142 US counties Its area's figure: every county in the area shares it. St. Louis, MO-IL metropolitan area, US = 100
    Taxes on a retired couple
    USD $2,611 Lower than 64 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Warren County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    5.0 months a year More than 39 % of the other 3,143 US counties
    Natural-hazard risk
    USD $1.37 per USD $1,000 of buildings Lower than 47 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Warrenton, Wright City, Marthasville (Census, 1 July 2024).

    Warren County page →

    Sources and dates: under the list

  • Washington County

    23,810 residents, 4,721 aged 65 or older (19.8 %)

    Cost of living
    83.9 Cheaper than 89 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Missouri nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $2,125 Lower than 79 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Washington County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    5.0 months a year More than 39 % of the other 3,143 US counties
    Natural-hazard risk
    USD $1.92 per USD $1,000 of buildings Lower than 20 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Potosi, Irondale, Mineral Point (Census, 1 July 2024).

    Washington County page →

    Sources and dates: under the list

  • Wayne County

    10,782 residents, 2,980 aged 65 or older (27.6 %)

    Cost of living
    83.9 Cheaper than 89 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Missouri nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $2,015 Lower than 82 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Wayne County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    4.0 months a year More than 7 % of the other 3,143 US counties
    Natural-hazard risk
    USD $3.64 per USD $1,000 of buildings Lower than 4 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Piedmont, Greenville, Williamsville (Census, 1 July 2024).

    Wayne County page →

    Sources and dates: under the list

  • Webster County

    43,054 residents, 7,311 aged 65 or older (17.0 %)

    Cost of living
    88.6 Cheaper than 49 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Springfield, MO metropolitan area, US = 100
    Taxes on a retired couple
    USD $2,010 Lower than 82 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Webster County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    5.0 months a year More than 39 % of the other 3,143 US counties
    Natural-hazard risk
    USD $1.17 per USD $1,000 of buildings Lower than 62 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Marshfield, Rogersville, Seymour (Census, 1 July 2024).

    Webster County page →

    Sources and dates: under the list

  • Worth County

    1,914 residents, 543 aged 65 or older (28.4 %)

    Cost of living
    83.9 Cheaper than 89 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Missouri nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $3,039 Lower than 53 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Worth County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    3.0 months a year More than 2 % of the other 3,143 US counties
    Natural-hazard risk
    USD $1.46 per USD $1,000 of buildings Lower than 40 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Grant City, Sheridan, Worth (Census, 1 July 2024).

    Worth County page →

    Sources and dates: under the list

  • Wright County

    19,671 residents, 4,059 aged 65 or older (20.6 %)

    Cost of living
    83.9 Cheaper than 89 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Missouri nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $1,579 Lower than 91 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Wright County had fewer than 20 homicides in 2020–2024: CDC WONDER publishes no reliable rate below that.
    Climate
    5.0 months a year More than 39 % of the other 3,143 US counties
    Natural-hazard risk
    USD $1.44 per USD $1,000 of buildings Lower than 42 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Mountain Grove, Mansfield, Hartville (Census, 1 July 2024).

    Wright County page →

    Sources and dates: under the list

  • St. Louis city

    278,144 residents, 45,816 aged 65 or older (16.5 %)

    Cost of living
    95.1 Cheaper than 22 % of the other 3,142 US counties Its area's figure: every county in the area shares it. St. Louis, MO-IL metropolitan area, US = 100
    Taxes on a retired couple
    USD $3,783 Lower than 38 % of the other 3,110 US counties
    Healthcare access
    1 hospital in the county rated 4 or 5 stars by CMS
    Safety
    51.1 per 100,000 a year Lower than 1 % of the other 767 US counties
    Climate
    4.0 months a year More than 7 % of the other 3,143 US counties
    Natural-hazard risk
    USD $1.87 per USD $1,000 of buildings Lower than 22 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,912 a year for two Typical plans; premiums only, not the cost of care

    Largest place: St. Louis (Census, 1 July 2024).

    St. Louis city page →

    Sources and dates: under the list

Sources: US Census Bureau, county population estimates by age, 1 July 2025; BEA Regional Price Parities 2024, all items, of each county's metropolitan area or its state's nonmetropolitan portion; The state's published 2025 income-tax rules, the county's own local income tax where one is levied, and the county's Census ACS property-tax ratio, applied to the example household; CMS, Hospital General Information (Care Compare), hospital overall star rating, release of 13 Aug 2026; CHELSA V2.1 monthly maximum temperature, 1981-2010 (~1 km), averaged over the county, Karger et al.; FEMA, National Risk Index v1.20 (December 2025), county expected annual loss to buildings (EAL_VALB); CMS, Medicare Advantage and Part D Landscape, plan year 2027; CMS, 2026 Medicare Parts A & B Premiums and Deductibles (fact sheet, 14 Nov 2025); CDC WONDER, Underlying Cause of Death 2018-2024 (Single Race, final), by county of residence.

Where Missouri stands, on the six criteria

Missouri's six figures are the ones that set its place on the state ranking, where it sits in Tier 9 of 16. Each is measured for the whole of Missouri, not for any single place within it.

CriterionMissouri
Cost of living
BEA price level, all items (US = 100); lower is better
90.8
Cheaper than 76% of the other 50 · housing 69.9 · goods 96.3 · utilities 79.4 · other services 95.2
BEA Regional Price Parities by state, 2024 (SARPP, line codes 1-5) · figure for 2024 · checked 2026-08-28
Taxes on a retired couple
state and local tax on the example retired couple, USD a year; lower is better
USD $3,140 (90% margin USD $3,120–$3,160)
Lower than 48% of the other 50
Each state's published 2025 income-tax rules and the Census ACS property-tax ratio, applied to the example household · figure for 2025
Healthcare access
share of residents 65+ living in a county with a 4- or 5-star CMS hospital; higher is better
62 % of residents 65+
Higher than 46% of the other 50
CMS, Hospital General Information (Care Compare), hospital overall star rating, release of 13 Aug 2026, weighted by each county's population 65+ (US Census Bureau, 1 July 2025) · figure for 2026 · checked 2026-10-27
Safety
homicides per 100,000 a year, 2020–2024, by state of residence; lower is better
11.1 per 100,000 a year (95% interval 10.7–11.5)
Lower than 10% of the other 50
CDC WONDER, Underlying Cause of Death 2018-2024 (Single Race, final), by state of residence · figure for 2024 · checked 2026-10-27
Climate
months a year whose mean daily high is 18–29 °C (64–84 °F), 1981–2010; more is better
4.8 months a year
More than 60% of the other 50
CHELSA V2.1 monthly maximum temperature, 1981-2010 (~1 km), averaged over the county, Karger et al., weighted by each county's population 65+ (US Census Bureau, 1 July 2025) · figure for 2010 · checked 2026-10-27
Natural-hazard risk
expected yearly loss to buildings from natural hazards, per USD $1,000 of buildings; lower is better
USD $1.46 per USD $1,000 of buildings
Lower than 38% of the other 50
FEMA, National Risk Index v1.20 (December 2025), state expected annual loss to buildings (EAL_VALB) · figure for 2025 · checked 2026-10-27

Medicare in Missouri

For the published example couple, both 67 and married: what Medicare premiums cost a year for two in Missouri, and the most a bad year can cost. What care itself costs depends on a person's health, so it is not estimated here.

Medicare Advantage, with drug coverage

USD $4,870 a year for two in premiums (from USD $4,870)

At most USD $15,870 in a bad year (from USD $10,570), with each person's in-network out-of-pocket maximum

The middle of the 28 plans offered here; "from" is the lowest premium among them.

Original Medicare, with a drug plan

USD $6,912 a year for two in premiums (from USD $4,997)

Medigap: no federal price list — not in this total.

No yearly maximum on Original Medicare alone.

Part B for two, plus the middle of the 9 standalone drug plans offered in the state.

The middle of Missouri's 115 counties, weighted by residents 65 or older (US Census Bureau, 1 July 2025).

The 2027 Part B premium is not yet published (CMS usually publishes it in November); 2026's is used.

Source: CMS, Medicare Advantage and Part D Landscape, plan year 2027; CMS, 2026 Medicare Parts A & B Premiums and Deductibles (fact sheet, 14 Nov 2025).

Missouri lets Medigap policyholders switch insurance companies each year from 30 days before to 30 days after their policy's anniversary date, and a new insurer cannot deny coverage or impose a pre-existing condition waiting period for the same lettered plan. Missouri's rule

Free, official Medicare counseling in Missouri: Missouri State Health Insurance Assistance Program (SHIP), 1-800-390-3330 (the State Health Insurance Assistance Program).

Medicare when you retire to another state: choosing a plan

Retiring to Missouri: pros and cons, by the figures

Retiring to Missouri, judged on the six figures above: a pro is a figure in the top fifth of the states, a con one in the bottom fifth. Figures in between get no verdict.

Pros

None of Missouri's six figures is in the top fifth of the states.

Cons

  • Safety: higher than 90% of the other 50 (11.1 per 100,000 a year). CDC WONDER, Underlying Cause of Death 2018-2024 (Single Race, final), by state of residence

Also shown, not scored

Missouri's other state-wide figures: shown for context, not part of its tier. Measured for the whole of Missouri — not for any single place within it.

MeasureValue
Population
Total resident population, US Census Bureau estimate for 1 July 2025.
How this is measured

Total resident population, Census Bureau estimate as of 1 July 2025, as reported in SSA's Table 1. Bigger is not better — this axis exists for context, never for ranking.

6,270,541 people
Population 65 plus
Residents aged 65 or older, US Census Bureau estimate for 1 July 2025.
How this is measured

Resident population aged 65 or older, Census Bureau estimate as of 1 July 2025, as reported in SSA's Table 1.

1,230,134 people
Social security beneficiary share
Everyone receiving Social Security — retired, disabled, survivors and dependants — as a share of the population, 2025.
How this is measured

All OASDI beneficiaries — retired workers, disabled workers, survivors and dependants — as a percentage of the total resident population. SSA Table 1 (2025), population as of 1 July 2025. Not the same measure as the county-level retired-worker share.

22.6 percent

Source for every figure: SSA Table 1 (2025) · Census population as of 1 July 2025 · figure for 2025 · checked 2026-08-28 Official source

Taxes on a retired couple in Missouri

We apply Missouri's published rules for tax year 2025 to one example household and show the sum, line by line. These are rules already in force for 2025, not a projection.

The example household

Filing statusmarried filing jointly, both aged 67
Social SecurityUSD $45,000 a year, combined
Private pensionUSD $25,000 a year
IRA or 401(k) withdrawalUSD $20,000 a year
Home, for property taxUSD $350,000

An illustrative household, the same for every state so states can be compared. Each spouse holds half of each income. Your own figures will differ.

Missouri's rules applied

Social Security taxable federally (IRC §86) IRS Publication 915, Social Security benefits worksheet (IRC §86) USD $25,975
Federal adjusted gross income IRS Publication 915, Social Security benefits worksheet (IRC §86) USD $70,975
Social Security exempt from 62 (Form MO-A, Part 3, Section C) Missouri Department of Revenue, 2025 Form MO-A − USD $25,975
State adjusted gross income Missouri Department of Revenue, 2025 Form MO-1040 Instructions USD $45,000
Standard deduction, married filing combined Missouri Department of Revenue, 2025 Form MO-1040 − USD $31,500
Additional standard deduction, 65 or older (USD $1,600 each) Missouri Department of Revenue, 2025 Form MO-1040 Instructions − USD $3,200
Federal income tax, 2025 IRS, 2025 Instructions for Form 1040 (Tax Table, standard deduction) and Schedule 1-A USD $2,436
Federal income tax deduction: 15 % at Missouri AGI USD $50,001-$100,000, at most USD $10,000 Missouri Department of Revenue, 2025 Form MO-1040 Instructions − USD $365
Taxable income Missouri Department of Revenue, 2025 Form MO-1040 Instructions USD $9,935
Tax at the 2025 rates Missouri Department of Revenue, 2025 Form MO-1040 Instructions USD $180
State income tax Missouri Department of Revenue, 2025 Form MO-1040 Instructions USD $180
Property tax on a USD $350,000 home, at the state's median taxes paid ÷ median home value US Census Bureau, American Community Survey 2020-2024 5-year estimates, table B25103 USD $2,960
State and local tax, a year USD $3,140

Federal income tax is left out: it is the same in every state, so it cannot separate them. Sales tax is left out too: it depends on what a household buys, and no state publishes an average of its local rates. The rate is listed below.

The rules behind the sum

We don't cover a town in Missouri yet. See the towns we cover in the United States.

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