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County · Nevada

Clark County

For Americans thinking of retiring to Clark County, Nevada, from another state or instead of a move abroad. Clark County has 2,407,226 residents, 408,917 of them aged 65 or older (17.0 %) (US Census Bureau, county population estimates by age, 1 July 2025). Largest places: Las Vegas, Henderson, North Las Vegas (Census, 1 July 2024).

Clark County in Nevada. Outlines: US Census Bureau, cartographic boundary files (2024).

Where Clark County stands, on the six criteria

Clark County's own figures, each against every US county that has the same figure. Cost of living is its area's: the Bureau of Economic Analysis publishes no price level for a single county.

CriterionClark County
Cost of living
BEA price level, all items (US = 100); lower is better
100.2
Cheaper than 8% of the other 3,142 US counties
BEA Regional Price Parities 2024, all items, Las Vegas-Henderson-North Las Vegas, NV metropolitan area · figure for 2024 · checked 2026-10-28
Taxes on a retired couple
state and local tax on the example retired couple, USD a year; lower is better
USD $1,670 (90% margin USD $1,645–$1,695)
Lower than 90% of the other 3,110 US counties
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 · figure for 2025
Healthcare access
share of residents 65+ living in a county with a 4- or 5-star CMS hospital; higher is better
4 hospitals in the county rated 4 or 5 stars by CMS
A fact for this county, not a ranking: a county without such a hospital may sit near one next door.
CMS, Hospital General Information (Care Compare), hospital overall star rating, release of 13 Aug 2026 · figure for 2026 · checked 2026-10-27
Safety
homicides per 100,000 a year, 2020–2024, by state of residence; lower is better
8.1 per 100,000 a year (95% interval 7.6–8.7)
Lower than 44% of the other 767 US counties
CDC WONDER, Underlying Cause of Death 2018-2024 (Single Race, final), by county of residence · figure for 2024 · checked 2026-09-24
Climate
months a year whose mean daily high is 18–29 °C (64–84 °F), 1981–2010; more is better
4.0 months a year
More than 7% of the other 3,143 US counties
CHELSA V2.1 monthly maximum temperature, 1981-2010 (~1 km), averaged over the county, Karger et al. · 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 $1.07 per USD $1,000 of buildings
Lower than 72% of the other 3,143 US counties
FEMA, National Risk Index v1.20 (December 2025), county expected annual loss to buildings (EAL_VALB) · figure for 2025 · checked 2026-10-28

Taxes on a retired couple in Clark County, Nevada

The published example couple's state and local tax in Clark County for tax year 2025, in its three parts. Only the income tax is the same across Nevada; the property tax uses Clark County's own Census figures.

State income tax
Nevada's 2025 rules — the same in every Nevada county
USD $0
Local income tax
none in this calculation: a county income tax is held only for Maryland and Indiana
USD $0
Property tax on a USD $350,000 home
Clark County's own median taxes paid ÷ median home value
USD $1,670
State and local tax, a year USD $1,670

Sources: Nevada Department of Taxation: Income Tax in Nevada; US Census Bureau, American Community Survey 2020-2024 5-year estimates, table B25103, county.

How Nevada taxes each kind of retirement income, line by line

What Medicare costs in Clark County, Nevada

For the published example couple, both 67 and married: what Medicare premiums cost a year for two in Clark County, Nevada, 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 $9,370 in a bad year (from USD $6,670), with each person's in-network out-of-pocket maximum

The middle of the 34 plans offered here; "from" is the lowest premium among them.

Original Medicare, with a drug plan

USD $6,948 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 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).

Medicare in Nevada: its Medigap rule and free counseling

Medicare when you retire to another state: choosing a plan

Retiring to Clark County, Nevada: pros and cons, by the figures

Retiring to Clark County, judged on the figures above: a pro is a figure in the top fifth of US counties, a con one in the bottom fifth. Figures in between get no verdict.

Pros

  • Taxes on a retired couple: lower than 90% of the other 3,110 US counties (USD $1,670). 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

Cons

  • Cost of living: dearer than 91% of the other 3,142 US counties (100.2). BEA Regional Price Parities 2024, all items, Las Vegas-Henderson-North Las Vegas, NV metropolitan area
  • Climate: fewer than 61% of the other 3,143 US counties (4.0 months a year). CHELSA V2.1 monthly maximum temperature, 1981-2010 (~1 km), averaged over the county, Karger et al.

The largest places in Clark County

By population in the county; a place split across counties counts only the part in Clark County. We do not cover these places in depth yet.

  • Las Vegas: 678,922 residents
  • Henderson: 350,039 residents
  • North Las Vegas: 294,034 residents

US Census Bureau, Vintage 2024 sub-county population estimates (SUB-EST2024), 1 July 2024.

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