Skip to content
ExpatAlmanac
Menu
Retiring in the US

Pennsylvania

For Americans thinking of retiring to Pennsylvania from another state, or comparing it with a move abroad. Prices in Pennsylvania run at 97.6 against a US average of 100, with housing at 85.1. We cover Pennsylvania's 67 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 Pennsylvania stands Tier 4 of 16
Cost of living 97.6
Taxes on a retired couple USD $4,553
Healthcare access 84 % of residents 65+
Safety 7.4 per 100,000 a year
Climate 4.8 months a year
Natural-hazard risk USD $0.99 per USD $1,000 of buildings

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

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

Pennsylvania, 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.

Pennsylvania's 67 counties

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

  • 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 67 counties, with their figures
  • Adams County

    107,594 residents, 26,536 aged 65 or older (24.7 %)

    Cost of living
    95.4 Cheaper than 22 % of the other 3,142 US counties Gettysburg, PA metropolitan area, US = 100
    Taxes on a retired couple
    USD $4,642 Lower than 21 % of the other 3,110 US counties
    Healthcare access
    1 hospital in the county rated 4 or 5 stars by CMS
    Safety
    Adams 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 $0.89 per USD $1,000 of buildings Lower than 86 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,431 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Gettysburg, Littlestown, Carroll Valley (Census, 1 July 2024).

    Adams County page →

    Sources and dates: under the list

  • Allegheny County

    1,225,035 residents, 268,142 aged 65 or older (21.9 %)

    Cost of living
    94.7 Cheaper than 23 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Pittsburgh, PA metropolitan area, US = 100
    Taxes on a retired couple
    USD $5,307 Lower than 12 % of the other 3,110 US counties
    Healthcare access
    11 hospitals in the county rated 4 or 5 stars by CMS
    Safety
    8.7 per 100,000 a year Lower than 41 % 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 $4,954 · Original + drug plan USD $6,431 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Pittsburgh, Bethel Park, Monroeville (Census, 1 July 2024).

    Allegheny County page →

    Sources and dates: under the list

  • Armstrong County

    63,698 residents, 16,782 aged 65 or older (26.3 %)

    Cost of living
    94.7 Cheaper than 23 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Pittsburgh, PA metropolitan area, US = 100
    Taxes on a retired couple
    USD $4,808 Lower than 18 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Armstrong 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 $5,518 · Original + drug plan USD $6,431 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Kittanning, Ford City, Leechburg (Census, 1 July 2024).

    Armstrong County page →

    Sources and dates: under the list

  • Beaver County

    166,032 residents, 41,201 aged 65 or older (24.8 %)

    Cost of living
    94.7 Cheaper than 23 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Pittsburgh, PA metropolitan area, US = 100
    Taxes on a retired couple
    USD $4,958 Lower than 16 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    4.5 per 100,000 a year Lower than 75 % 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 $0.85 per USD $1,000 of buildings Lower than 89 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $5,254 · Original + drug plan USD $6,431 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Aliquippa, Economy, Beaver Falls (Census, 1 July 2024).

    Beaver County page →

    Sources and dates: under the list

  • Bedford County

    47,480 residents, 12,556 aged 65 or older (26.4 %)

    Cost of living
    90.3 Cheaper than 40 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Pennsylvania nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $2,823 Lower than 58 % of the other 3,110 US counties
    Healthcare access
    1 hospital in the county rated 4 or 5 stars by CMS
    Safety
    Bedford 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 $5,518 · Original + drug plan USD $6,431 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Bedford, Everett, Hyndman (Census, 1 July 2024).

    Bedford County page →

    Sources and dates: under the list

  • Berks County

    440,072 residents, 88,089 aged 65 or older (20.0 %)

    Cost of living
    97.1 Cheaper than 17 % of the other 3,142 US counties Reading, PA metropolitan area, US = 100
    Taxes on a retired couple
    USD $5,766 Lower than 9 % of the other 3,110 US counties
    Healthcare access
    1 hospital in the county rated 4 or 5 stars by CMS
    Safety
    4.5 per 100,000 a year Lower than 76 % 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 $0.89 per USD $1,000 of buildings Lower than 86 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $5,038 · Original + drug plan USD $6,431 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Reading, Wyomissing, Shillington (Census, 1 July 2024).

    Berks County page →

    Sources and dates: under the list

  • Blair County

    119,541 residents, 29,345 aged 65 or older (24.5 %)

    Cost of living
    89.5 Cheaper than 44 % of the other 3,142 US counties Altoona, PA metropolitan area, US = 100
    Taxes on a retired couple
    USD $3,745 Lower than 38 % of the other 3,110 US counties
    Healthcare access
    2 hospitals in the county rated 4 or 5 stars by CMS
    Safety
    Blair 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 $0.93 per USD $1,000 of buildings Lower than 83 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $5,614 · Original + drug plan USD $6,431 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Altoona, Hollidaysburg, Tyrone (Census, 1 July 2024).

    Blair County page →

    Sources and dates: under the list

  • Bradford County

    59,600 residents, 14,108 aged 65 or older (23.7 %)

    Cost of living
    90.3 Cheaper than 40 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Pennsylvania nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $3,815 Lower than 37 % of the other 3,110 US counties
    Healthcare access
    1 hospital in the county rated 4 or 5 stars by CMS
    Safety
    Bradford 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 $1.78 per USD $1,000 of buildings Lower than 25 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,431 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Sayre, Athens, Towanda (Census, 1 July 2024).

    Bradford County page →

    Sources and dates: under the list

  • Bucks County

    647,828 residents, 149,799 aged 65 or older (23.1 %)

    Cost of living
    102.6 Cheaper than 6 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Philadelphia-Camden-Wilmington, PA-NJ-DE-MD metropolitan area, US = 100
    Taxes on a retired couple
    USD $4,575 Lower than 22 % of the other 3,110 US counties
    Healthcare access
    3 hospitals in the county rated 4 or 5 stars by CMS
    Safety
    2.0 per 100,000 a year Lower than 96 % 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 $0.90 per USD $1,000 of buildings Lower than 85 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,431 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Bristol, Morrisville, Perkasie (Census, 1 July 2024).

    Bucks County page →

    Sources and dates: under the list

  • Butler County

    200,169 residents, 46,367 aged 65 or older (23.2 %)

    Cost of living
    94.7 Cheaper than 23 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Pittsburgh, PA metropolitan area, US = 100
    Taxes on a retired couple
    USD $3,533 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
    Butler 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 $0.86 per USD $1,000 of buildings Lower than 88 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,954 · Original + drug plan USD $6,431 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Butler, Zelienople, Slippery Rock (Census, 1 July 2024).

    Butler County page →

    Sources and dates: under the list

  • Cambria County

    128,968 residents, 33,771 aged 65 or older (26.2 %)

    Cost of living
    85.9 Cheaper than 76 % of the other 3,142 US counties Johnstown, PA metropolitan area, US = 100
    Taxes on a retired couple
    USD $4,316 Lower than 27 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    5.8 per 100,000 a year Lower than 63 % 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 $0.72 per USD $1,000 of buildings Lower than 96 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $5,566 · Original + drug plan USD $6,431 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Johnstown, Westmont, Northern Cambria (Census, 1 July 2024).

    Cambria County page →

    Sources and dates: under the list

  • Cameron County

    4,211 residents, 1,316 aged 65 or older (31.3 %)

    Cost of living
    90.3 Cheaper than 40 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Pennsylvania nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $5,567 Lower than 10 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Cameron 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 $2.81 per USD $1,000 of buildings Lower than 8 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $5,218 · Original + drug plan USD $6,431 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Emporium, Driftwood (Census, 1 July 2024).

    Cameron County page →

    Sources and dates: under the list

  • Carbon County

    65,868 residents, 16,022 aged 65 or older (24.3 %)

    Cost of living
    100.0 Cheaper than 10 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Allentown-Bethlehem-Easton, PA-NJ metropolitan area, US = 100
    Taxes on a retired couple
    USD $5,113 Lower than 14 % of the other 3,110 US counties
    Healthcare access
    1 hospital in the county rated 4 or 5 stars by CMS
    Safety
    7.7 per 100,000 a year Lower than 48 % 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 $6,431 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Palmerton, Lehighton, Jim Thorpe (Census, 1 July 2024).

    Carbon County page →

    Sources and dates: under the list

  • Centre County

    157,393 residents, 27,710 aged 65 or older (17.6 %)

    Cost of living
    96.8 Cheaper than 18 % of the other 3,142 US counties State College, PA metropolitan area, US = 100
    Taxes on a retired couple
    USD $3,663 Lower than 40 % of the other 3,110 US counties
    Healthcare access
    1 hospital in the county rated 4 or 5 stars by CMS
    Safety
    Centre 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 $0.63 per USD $1,000 of buildings Lower than 98 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $5,566 · Original + drug plan USD $6,431 a year for two Typical plans; premiums only, not the cost of care

    Largest places: State College, Bellefonte, Philipsburg (Census, 1 July 2024).

    Centre County page →

    Sources and dates: under the list

  • Chester County

    557,116 residents, 110,537 aged 65 or older (19.8 %)

    Cost of living
    102.6 Cheaper than 6 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Philadelphia-Camden-Wilmington, PA-NJ-DE-MD metropolitan area, US = 100
    Taxes on a retired couple
    USD $4,547 Lower than 23 % of the other 3,110 US counties
    Healthcare access
    2 hospitals in the county rated 4 or 5 stars by CMS
    Safety
    1.8 per 100,000 a year Lower than 97 % 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 $0.76 per USD $1,000 of buildings Lower than 94 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,431 a year for two Typical plans; premiums only, not the cost of care

    Largest places: West Chester, Phoenixville, Coatesville (Census, 1 July 2024).

    Chester County page →

    Sources and dates: under the list

  • Clarion County

    36,680 residents, 8,571 aged 65 or older (23.4 %)

    Cost of living
    90.3 Cheaper than 40 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Pennsylvania nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $3,379 Lower than 46 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Clarion 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 $0.75 per USD $1,000 of buildings Lower than 95 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $5,122 · Original + drug plan USD $6,431 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Clarion, Knox, New Bethlehem (Census, 1 July 2024).

    Clarion County page →

    Sources and dates: under the list

  • Clearfield County

    78,100 residents, 19,239 aged 65 or older (24.6 %)

    Cost of living
    90.3 Cheaper than 40 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Pennsylvania nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $3,832 Lower than 37 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Clearfield 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 $1.02 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 $6,431 a year for two Typical plans; premiums only, not the cost of care

    Largest places: DuBois, Clearfield, Curwensville (Census, 1 July 2024).

    Clearfield County page →

    Sources and dates: under the list

  • Clinton County

    37,870 residents, 8,468 aged 65 or older (22.4 %)

    Cost of living
    90.3 Cheaper than 40 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Pennsylvania nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $4,071 Lower than 31 % 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 $1.58 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 $6,431 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Lock Haven, Avis, Mill Hall (Census, 1 July 2024).

    Clinton County page →

    Sources and dates: under the list

  • Columbia County

    66,193 residents, 14,554 aged 65 or older (22.0 %)

    Cost of living
    90.3 Cheaper than 40 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Pennsylvania nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $3,880 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
    Columbia 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 $1.49 per USD $1,000 of buildings Lower than 39 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $5,722 · Original + drug plan USD $6,431 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Bloomsburg, Berwick, Catawissa (Census, 1 July 2024).

    Columbia County page →

    Sources and dates: under the list

  • Crawford County

    81,792 residents, 20,211 aged 65 or older (24.7 %)

    Cost of living
    90.3 Cheaper than 40 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Pennsylvania nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $4,715 Lower than 20 % of the other 3,110 US counties
    Healthcare access
    1 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 $0.88 per USD $1,000 of buildings Lower than 86 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $5,518 · Original + drug plan USD $6,431 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Meadville, Titusville, Cambridge Springs (Census, 1 July 2024).

    Crawford County page →

    Sources and dates: under the list

  • Cumberland County

    277,270 residents, 57,989 aged 65 or older (20.9 %)

    Cost of living
    98.7 Cheaper than 11 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Harrisburg-Carlisle, PA metropolitan area, US = 100
    Taxes on a retired couple
    USD $4,103 Lower than 30 % of the other 3,110 US counties
    Healthcare access
    2 hospitals in the county rated 4 or 5 stars by CMS
    Safety
    2.1 per 100,000 a year Lower than 95 % 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 $5,542 · Original + drug plan USD $6,431 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Carlisle, Mechanicsburg, Camp Hill (Census, 1 July 2024).

    Cumberland County page →

    Sources and dates: under the list

  • Dauphin County

    293,351 residents, 57,771 aged 65 or older (19.7 %)

    Cost of living
    98.7 Cheaper than 11 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Harrisburg-Carlisle, PA metropolitan area, US = 100
    Taxes on a retired couple
    USD $4,735 Lower than 19 % of the other 3,110 US counties
    Healthcare access
    2 hospitals in the county rated 4 or 5 stars by CMS
    Safety
    7.5 per 100,000 a year Lower than 49 % 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 $1.20 per USD $1,000 of buildings Lower than 60 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $5,542 · Original + drug plan USD $6,431 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Harrisburg, Middletown, Steelton (Census, 1 July 2024).

    Dauphin County page →

    Sources and dates: under the list

  • Delaware County

    580,937 residents, 114,138 aged 65 or older (19.6 %)

    Cost of living
    102.6 Cheaper than 6 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Philadelphia-Camden-Wilmington, PA-NJ-DE-MD metropolitan area, US = 100
    Taxes on a retired couple
    USD $6,452 Lower than 5 % of the other 3,110 US counties
    Healthcare access
    1 hospital in the county rated 4 or 5 stars by CMS
    Safety
    9.0 per 100,000 a year Lower than 38 % 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 $0.72 per USD $1,000 of buildings Lower than 96 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,431 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Chester, Yeadon, Lansdowne (Census, 1 July 2024).

    Delaware County page →

    Sources and dates: under the list

  • Elk County

    29,926 residents, 7,924 aged 65 or older (26.5 %)

    Cost of living
    90.3 Cheaper than 40 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Pennsylvania nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $4,446 Lower than 24 % of the other 3,110 US counties
    Healthcare access
    1 hospital in the county rated 4 or 5 stars by CMS
    Safety
    Elk 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 $1.48 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 $6,431 a year for two Typical plans; premiums only, not the cost of care

    Largest places: St. Marys, Ridgway, Johnsonburg (Census, 1 July 2024).

    Elk County page →

    Sources and dates: under the list

  • Erie County

    265,832 residents, 58,245 aged 65 or older (21.9 %)

    Cost of living
    91.0 Cheaper than 39 % of the other 3,142 US counties Erie, PA metropolitan area, US = 100
    Taxes on a retired couple
    USD $5,596 Lower than 10 % of the other 3,110 US counties
    Healthcare access
    1 hospital in the county rated 4 or 5 stars by CMS
    Safety
    4.6 per 100,000 a year Lower than 74 % 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 $0.76 per USD $1,000 of buildings Lower than 94 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,431 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Erie, Corry, Edinboro (Census, 1 July 2024).

    Erie County page →

    Sources and dates: under the list

  • Fayette County

    123,021 residents, 30,850 aged 65 or older (25.1 %)

    Cost of living
    94.7 Cheaper than 23 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Pittsburgh, PA metropolitan area, US = 100
    Taxes on a retired couple
    USD $3,928 Lower than 34 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    6.0 per 100,000 a year Lower than 61 % 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 $1.22 per USD $1,000 of buildings Lower than 58 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $5,614 · Original + drug plan USD $6,431 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Uniontown, Connellsville, Masontown (Census, 1 July 2024).

    Fayette County page →

    Sources and dates: under the list

  • Forest County

    6,614 residents, 1,707 aged 65 or older (25.8 %)

    Cost of living
    90.3 Cheaper than 40 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Pennsylvania nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $3,476 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
    Forest 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 $1.72 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 $6,431 a year for two Typical plans; premiums only, not the cost of care

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

    Forest County page →

    Sources and dates: under the list

  • Franklin County

    160,652 residents, 35,444 aged 65 or older (22.1 %)

    Cost of living
    94.6 Cheaper than 24 % of the other 3,142 US counties Chambersburg, PA metropolitan area, US = 100
    Taxes on a retired couple
    USD $3,839 Lower than 36 % of the other 3,110 US counties
    Healthcare access
    2 hospitals in the county rated 4 or 5 stars by CMS
    Safety
    Franklin 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 $0.86 per USD $1,000 of buildings Lower than 88 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,954 · Original + drug plan USD $6,431 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Chambersburg, Waynesboro, Greencastle (Census, 1 July 2024).

    Franklin County page →

    Sources and dates: under the list

  • Fulton County

    14,483 residents, 3,527 aged 65 or older (24.4 %)

    Cost of living
    90.3 Cheaper than 40 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Pennsylvania nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $3,559 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
    Fulton 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 $0.65 per USD $1,000 of buildings Lower than 98 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $5,554 · Original + drug plan USD $6,431 a year for two Typical plans; premiums only, not the cost of care

    Largest places: McConnellsburg, Valley-Hi (Census, 1 July 2024).

    Fulton County page →

    Sources and dates: under the list

  • Greene County

    33,885 residents, 8,014 aged 65 or older (23.7 %)

    Cost of living
    90.3 Cheaper than 40 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Pennsylvania nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $4,457 Lower than 24 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Greene 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 $1.48 per USD $1,000 of buildings Lower than 40 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $5,470 · Original + drug plan USD $6,431 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Waynesburg, Carmichaels, Rices Landing (Census, 1 July 2024).

    Greene County page →

    Sources and dates: under the list

  • Huntingdon County

    43,001 residents, 10,586 aged 65 or older (24.6 %)

    Cost of living
    90.3 Cheaper than 40 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Pennsylvania nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $3,282 Lower than 48 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Huntingdon 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 50 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $5,170 · Original + drug plan USD $6,431 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Huntingdon, Mount Union, Orbisonia (Census, 1 July 2024).

    Huntingdon County page →

    Sources and dates: under the list

  • Indiana County

    82,878 residents, 18,933 aged 65 or older (22.8 %)

    Cost of living
    90.3 Cheaper than 40 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Pennsylvania nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $5,261 Lower than 13 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Indiana 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 $0.84 per USD $1,000 of buildings Lower than 90 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $5,806 · Original + drug plan USD $6,431 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Indiana, Blairsville, Homer City (Census, 1 July 2024).

    Indiana County page →

    Sources and dates: under the list

  • Jefferson County

    43,255 residents, 10,833 aged 65 or older (25.0 %)

    Cost of living
    90.3 Cheaper than 40 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Pennsylvania nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $3,513 Lower than 43 % of the other 3,110 US counties
    Healthcare access
    1 hospital in the county rated 4 or 5 stars by CMS
    Safety
    Jefferson 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 $5,566 · Original + drug plan USD $6,431 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Punxsutawney, Brookville, Reynoldsville (Census, 1 July 2024).

    Jefferson County page →

    Sources and dates: under the list

  • Juniata County

    23,403 residents, 5,295 aged 65 or older (22.6 %)

    Cost of living
    90.3 Cheaper than 40 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Pennsylvania nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $3,463 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
    Juniata 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 $1.48 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 $6,431 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Mifflintown, Port Royal, Thompsontown (Census, 1 July 2024).

    Juniata County page →

    Sources and dates: under the list

  • Lackawanna County

    216,502 residents, 48,181 aged 65 or older (22.3 %)

    Cost of living
    93.6 Cheaper than 26 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Scranton--Wilkes-Barre, PA metropolitan area, US = 100
    Taxes on a retired couple
    USD $5,224 Lower than 13 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    2.9 per 100,000 a year Lower than 89 % 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 $1.19 per USD $1,000 of buildings Lower than 61 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,431 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Scranton, Dunmore, Carbondale (Census, 1 July 2024).

    Lackawanna County page →

    Sources and dates: under the list

  • Lancaster County

    563,159 residents, 121,899 aged 65 or older (21.6 %)

    Cost of living
    98.3 Cheaper than 12 % of the other 3,142 US counties Lancaster, PA metropolitan area, US = 100
    Taxes on a retired couple
    USD $4,621 Lower than 21 % of the other 3,110 US counties
    Healthcare access
    3 hospitals in the county rated 4 or 5 stars by CMS
    Safety
    2.4 per 100,000 a year Lower than 93 % 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 $1.11 per USD $1,000 of buildings Lower than 68 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,954 · Original + drug plan USD $6,431 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Lancaster, Ephrata, Elizabethtown (Census, 1 July 2024).

    Lancaster County page →

    Sources and dates: under the list

  • Lawrence County

    83,911 residents, 21,279 aged 65 or older (25.4 %)

    Cost of living
    94.7 Cheaper than 23 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Pittsburgh, PA metropolitan area, US = 100
    Taxes on a retired couple
    USD $4,677 Lower than 20 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    6.4 per 100,000 a year Lower than 58 % 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 $1.39 per USD $1,000 of buildings Lower than 45 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $5,254 · Original + drug plan USD $6,431 a year for two Typical plans; premiums only, not the cost of care

    Largest places: New Castle, Ellwood City, New Wilmington (Census, 1 July 2024).

    Lawrence County page →

    Sources and dates: under the list

  • Lebanon County

    146,380 residents, 33,021 aged 65 or older (22.6 %)

    Cost of living
    93.2 Cheaper than 27 % of the other 3,142 US counties Lebanon, PA metropolitan area, US = 100
    Taxes on a retired couple
    USD $4,787 Lower than 19 % of the other 3,110 US counties
    Healthcare access
    2 hospitals in the county rated 4 or 5 stars by CMS
    Safety
    3.6 per 100,000 a year Lower than 84 % 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 $1.00 per USD $1,000 of buildings Lower than 78 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,954 · Original + drug plan USD $6,431 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Lebanon, Palmyra, Cornwall (Census, 1 July 2024).

    Lebanon County page →

    Sources and dates: under the list

  • Lehigh County

    384,383 residents, 75,975 aged 65 or older (19.8 %)

    Cost of living
    100.0 Cheaper than 10 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Allentown-Bethlehem-Easton, PA-NJ metropolitan area, US = 100
    Taxes on a retired couple
    USD $5,419 Lower than 11 % 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 79 % 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 $0.94 per USD $1,000 of buildings Lower than 83 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,978 · Original + drug plan USD $6,431 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Allentown, Bethlehem, Emmaus (Census, 1 July 2024).

    Lehigh County page →

    Sources and dates: under the list

  • Luzerne County

    332,126 residents, 71,930 aged 65 or older (21.7 %)

    Cost of living
    93.6 Cheaper than 26 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Scranton--Wilkes-Barre, PA metropolitan area, US = 100
    Taxes on a retired couple
    USD $5,086 Lower than 15 % of the other 3,110 US counties
    Healthcare access
    2 hospitals in the county rated 4 or 5 stars by CMS
    Safety
    4.2 per 100,000 a year Lower than 78 % 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 $1.07 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 $6,431 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Wilkes-Barre, Hazleton, Kingston (Census, 1 July 2024).

    Luzerne County page →

    Sources and dates: under the list

  • Lycoming County

    112,587 residents, 25,811 aged 65 or older (22.9 %)

    Cost of living
    92.4 Cheaper than 31 % of the other 3,142 US counties Williamsport, PA metropolitan area, US = 100
    Taxes on a retired couple
    USD $4,585 Lower than 22 % of the other 3,110 US counties
    Healthcare access
    1 hospital in the county rated 4 or 5 stars by CMS
    Safety
    7.6 per 100,000 a year Lower than 48 % 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 $1.39 per USD $1,000 of buildings Lower than 45 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $5,566 · Original + drug plan USD $6,431 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Williamsport, South Williamsport, Montoursville (Census, 1 July 2024).

    Lycoming County page →

    Sources and dates: under the list

  • McKean County

    38,984 residents, 9,078 aged 65 or older (23.3 %)

    Cost of living
    90.3 Cheaper than 40 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Pennsylvania nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $5,560 Lower than 10 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    McKean 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 $1.35 per USD $1,000 of buildings Lower than 48 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $5,662 · Original + drug plan USD $6,431 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Bradford, Kane, Port Allegany (Census, 1 July 2024).

    McKean County page →

    Sources and dates: under the list

  • Mercer County

    107,860 residents, 27,286 aged 65 or older (25.3 %)

    Cost of living
    90.3 Cheaper than 40 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Pennsylvania nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $4,132 Lower than 30 % of the other 3,110 US counties
    Healthcare access
    2 hospitals 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
    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 $5,170 · Original + drug plan USD $6,431 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Hermitage, Sharon, Grove City (Census, 1 July 2024).

    Mercer County page →

    Sources and dates: under the list

  • Mifflin County

    46,127 residents, 10,748 aged 65 or older (23.3 %)

    Cost of living
    90.3 Cheaper than 40 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Pennsylvania nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $5,061 Lower than 15 % of the other 3,110 US counties
    Healthcare access
    1 hospital in the county rated 4 or 5 stars by CMS
    Safety
    Mifflin 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 $1.53 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 $6,431 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Lewistown, Burnham, Juniata Terrace (Census, 1 July 2024).

    Mifflin County page →

    Sources and dates: under the list

  • Monroe County

    167,179 residents, 36,336 aged 65 or older (21.7 %)

    Cost of living
    90.3 Cheaper than 40 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Pennsylvania nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $5,816 Lower than 9 % of the other 3,110 US counties
    Healthcare access
    1 hospital in the county rated 4 or 5 stars by CMS
    Safety
    4.5 per 100,000 a year Lower than 75 % 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 $0.88 per USD $1,000 of buildings Lower than 87 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,431 a year for two Typical plans; premiums only, not the cost of care

    Largest places: East Stroudsburg, Stroudsburg, Mount Pocono (Census, 1 July 2024).

    Monroe County page →

    Sources and dates: under the list

  • Montgomery County

    877,643 residents, 186,168 aged 65 or older (21.2 %)

    Cost of living
    102.6 Cheaper than 6 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Philadelphia-Camden-Wilmington, PA-NJ-DE-MD metropolitan area, US = 100
    Taxes on a retired couple
    USD $4,709 Lower than 20 % of the other 3,110 US counties
    Healthcare access
    4 hospitals in the county rated 4 or 5 stars by CMS
    Safety
    2.7 per 100,000 a year Lower than 91 % 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 $0.86 per USD $1,000 of buildings Lower than 88 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,431 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Norristown, Pottstown, Lansdale (Census, 1 July 2024).

    Montgomery County page →

    Sources and dates: under the list

  • Montour County

    17,868 residents, 4,565 aged 65 or older (25.5 %)

    Cost of living
    90.3 Cheaper than 40 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Pennsylvania nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $3,537 Lower than 42 % of the other 3,110 US counties
    Healthcare access
    1 hospital in the county rated 4 or 5 stars by CMS
    Safety
    Montour 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 $5,566 · Original + drug plan USD $6,431 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Danville, Washingtonville (Census, 1 July 2024).

    Montour County page →

    Sources and dates: under the list

  • Northampton County

    324,411 residents, 72,103 aged 65 or older (22.2 %)

    Cost of living
    100.0 Cheaper than 10 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Allentown-Bethlehem-Easton, PA-NJ metropolitan area, US = 100
    Taxes on a retired couple
    USD $5,331 Lower than 12 % of the other 3,110 US counties
    Healthcare access
    2 hospitals in the county rated 4 or 5 stars by CMS
    Safety
    1.6 per 100,000 a year Lower than 98 % 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 $1.12 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 $6,431 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Bethlehem, Easton, Northampton (Census, 1 July 2024).

    Northampton County page →

    Sources and dates: under the list

  • Northumberland County

    89,920 residents, 21,262 aged 65 or older (23.6 %)

    Cost of living
    90.3 Cheaper than 40 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Pennsylvania nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $3,866 Lower than 36 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    6.0 per 100,000 a year Lower than 62 % 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 $1.41 per USD $1,000 of buildings Lower than 44 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $5,758 · Original + drug plan USD $6,431 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Sunbury, Shamokin, Milton (Census, 1 July 2024).

    Northumberland County page →

    Sources and dates: under the list

  • Perry County

    46,806 residents, 10,665 aged 65 or older (22.8 %)

    Cost of living
    98.7 Cheaper than 11 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Harrisburg-Carlisle, PA metropolitan area, US = 100
    Taxes on a retired couple
    USD $4,233 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
    Perry 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 $1.48 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 $6,431 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Marysville, Newport, Duncannon (Census, 1 July 2024).

    Perry County page →

    Sources and dates: under the list

  • Philadelphia County

    1,574,281 residents, 250,073 aged 65 or older (15.9 %)

    Cost of living
    102.6 Cheaper than 6 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Philadelphia-Camden-Wilmington, PA-NJ-DE-MD metropolitan area, US = 100
    Taxes on a retired couple
    USD $2,884 Lower than 57 % of the other 3,110 US counties
    Healthcare access
    5 hospitals in the county rated 4 or 5 stars by CMS
    Safety
    28.8 per 100,000 a year Lower than 5 % 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 $1.07 per USD $1,000 of buildings Lower than 72 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,431 a year for two Typical plans; premiums only, not the cost of care

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

    Philadelphia County page →

    Sources and dates: under the list

  • Pike County

    62,808 residents, 16,370 aged 65 or older (26.1 %)

    Cost of living
    90.3 Cheaper than 40 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Pennsylvania nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $4,548 Lower than 23 % 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 $1.09 per USD $1,000 of buildings Lower than 70 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $5,638 · Original + drug plan USD $6,431 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Matamoras, Milford (Census, 1 July 2024).

    Pike County page →

    Sources and dates: under the list

  • Potter County

    15,897 residents, 4,573 aged 65 or older (28.8 %)

    Cost of living
    90.3 Cheaper than 40 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Pennsylvania nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $4,245 Lower than 28 % of the other 3,110 US counties
    Healthcare access
    1 hospital in the county rated 4 or 5 stars by CMS
    Safety
    Potter 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 $2.09 per USD $1,000 of buildings Lower than 17 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $5,806 · Original + drug plan USD $6,431 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Coudersport, Shinglehouse, Galeton (Census, 1 July 2024).

    Potter County page →

    Sources and dates: under the list

  • Schuylkill County

    145,085 residents, 33,381 aged 65 or older (23.0 %)

    Cost of living
    90.3 Cheaper than 40 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Pennsylvania nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $4,895 Lower than 17 % of the other 3,110 US counties
    Healthcare access
    3 hospitals in the county rated 4 or 5 stars by CMS
    Safety
    30.3 per 100,000 a year Lower than 4 % 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 $1.17 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 $6,431 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Pottsville, Tamaqua, Schuylkill Haven (Census, 1 July 2024).

    Schuylkill County page →

    Sources and dates: under the list

  • Snyder County

    39,655 residents, 8,798 aged 65 or older (22.2 %)

    Cost of living
    90.3 Cheaper than 40 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Pennsylvania nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $3,882 Lower than 36 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Snyder 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 $5,542 · Original + drug plan USD $6,431 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Selinsgrove, Shamokin Dam, Middleburg (Census, 1 July 2024).

    Snyder County page →

    Sources and dates: under the list

  • Somerset County

    72,004 residents, 19,011 aged 65 or older (26.4 %)

    Cost of living
    90.3 Cheaper than 40 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Pennsylvania nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $3,433 Lower than 44 % of the other 3,110 US counties
    Healthcare access
    1 hospital in the county rated 4 or 5 stars by CMS
    Safety
    Somerset 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 $0.76 per USD $1,000 of buildings Lower than 94 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $5,566 · Original + drug plan USD $6,431 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Somerset, Windber, Meyersdale (Census, 1 July 2024).

    Somerset County page →

    Sources and dates: under the list

  • Sullivan County

    5,856 residents, 2,037 aged 65 or older (34.8 %)

    Cost of living
    90.3 Cheaper than 40 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Pennsylvania nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $3,578 Lower than 41 % 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
    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 $6,431 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Dushore, Laporte, Eagles Mere (Census, 1 July 2024).

    Sullivan County page →

    Sources and dates: under the list

  • Susquehanna County

    38,237 residents, 10,235 aged 65 or older (26.8 %)

    Cost of living
    90.3 Cheaper than 40 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Pennsylvania nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $3,825 Lower than 37 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Susquehanna 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 $0.98 per USD $1,000 of buildings Lower than 79 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,431 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Forest City, Susquehanna Depot, Montrose (Census, 1 July 2024).

    Susquehanna County page →

    Sources and dates: under the list

  • Tioga County

    40,502 residents, 10,354 aged 65 or older (25.6 %)

    Cost of living
    90.3 Cheaper than 40 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Pennsylvania nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $4,016 Lower than 33 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Tioga 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 $1.76 per USD $1,000 of buildings Lower than 26 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $5,218 · Original + drug plan USD $6,431 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Wellsboro, Mansfield, Elkland (Census, 1 July 2024).

    Tioga County page →

    Sources and dates: under the list

  • Union County

    42,313 residents, 8,897 aged 65 or older (21.0 %)

    Cost of living
    90.3 Cheaper than 40 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Pennsylvania nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $4,000 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
    Union 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 $1.61 per USD $1,000 of buildings Lower than 32 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $5,566 · Original + drug plan USD $6,431 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Lewisburg, Mifflinburg, New Berlin (Census, 1 July 2024).

    Union County page →

    Sources and dates: under the list

  • Venango County

    49,346 residents, 13,427 aged 65 or older (27.2 %)

    Cost of living
    90.3 Cheaper than 40 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Pennsylvania nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $4,441 Lower than 24 % of the other 3,110 US counties
    Healthcare access
    1 hospital in the county rated 4 or 5 stars by CMS
    Safety
    Venango 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 $5,470 · Original + drug plan USD $6,431 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Oil City, Franklin, Sugarcreek (Census, 1 July 2024).

    Venango County page →

    Sources and dates: under the list

  • Warren County

    37,038 residents, 9,783 aged 65 or older (26.4 %)

    Cost of living
    90.3 Cheaper than 40 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Pennsylvania nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $4,631 Lower than 21 % 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 $2.52 per USD $1,000 of buildings Lower than 11 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $5,566 · Original + drug plan USD $6,431 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Warren, Youngsville, Tidioute (Census, 1 July 2024).

    Warren County page →

    Sources and dates: under the list

  • Washington County

    210,802 residents, 51,393 aged 65 or older (24.4 %)

    Cost of living
    94.7 Cheaper than 23 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Pittsburgh, PA metropolitan area, US = 100
    Taxes on a retired couple
    USD $3,806 Lower than 37 % of the other 3,110 US counties
    Healthcare access
    1 hospital in the county rated 4 or 5 stars by CMS
    Safety
    2.2 per 100,000 a year Lower than 95 % 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 $1.05 per USD $1,000 of buildings Lower than 73 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $5,038 · Original + drug plan USD $6,431 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Washington, Canonsburg, California (Census, 1 July 2024).

    Washington County page →

    Sources and dates: under the list

  • Wayne County

    51,703 residents, 14,076 aged 65 or older (27.2 %)

    Cost of living
    90.3 Cheaper than 40 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Pennsylvania nonmetropolitan portion, US = 100
    Taxes on a retired couple
    USD $4,393 Lower than 25 % 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
    5.0 months a year More than 39 % of the other 3,143 US counties
    Natural-hazard risk
    USD $1.05 per USD $1,000 of buildings Lower than 73 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,431 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Honesdale, Waymart, Hawley (Census, 1 July 2024).

    Wayne County page →

    Sources and dates: under the list

  • Westmoreland County

    349,324 residents, 93,190 aged 65 or older (26.7 %)

    Cost of living
    94.7 Cheaper than 23 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Pittsburgh, PA metropolitan area, US = 100
    Taxes on a retired couple
    USD $4,301 Lower than 27 % of the other 3,110 US counties
    Healthcare access
    1 hospital in the county rated 4 or 5 stars by CMS
    Safety
    2.3 per 100,000 a year Lower than 94 % 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 $0.78 per USD $1,000 of buildings Lower than 93 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,431 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Murrysville, Greensburg, New Kensington (Census, 1 July 2024).

    Westmoreland County page →

    Sources and dates: under the list

  • Wyoming County

    25,790 residents, 6,268 aged 65 or older (24.3 %)

    Cost of living
    93.6 Cheaper than 26 % of the other 3,142 US counties Its area's figure: every county in the area shares it. Scranton--Wilkes-Barre, PA metropolitan area, US = 100
    Taxes on a retired couple
    USD $4,577 Lower than 22 % of the other 3,110 US counties
    Healthcare access
    No hospital in the county rated 4 or 5 stars by CMS
    Safety
    Wyoming 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 $6,431 a year for two Typical plans; premiums only, not the cost of care

    Largest places: Tunkhannock, Factoryville, Nicholson (Census, 1 July 2024).

    Wyoming County page →

    Sources and dates: under the list

  • York County

    473,197 residents, 97,037 aged 65 or older (20.5 %)

    Cost of living
    96.0 Cheaper than 20 % of the other 3,142 US counties York-Hanover, PA metropolitan area, US = 100
    Taxes on a retired couple
    USD $5,640 Lower than 10 % of the other 3,110 US counties
    Healthcare access
    3 hospitals in the county rated 4 or 5 stars by CMS
    Safety
    4.9 per 100,000 a year Lower than 72 % 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 $0.90 per USD $1,000 of buildings Lower than 86 % of the other 3,143 US counties
    Medicare premiums
    Advantage USD $4,870 · Original + drug plan USD $6,431 a year for two Typical plans; premiums only, not the cost of care

    Largest places: York, Hanover, Red Lion (Census, 1 July 2024).

    York County 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 Pennsylvania stands, on the six criteria

Pennsylvania's six figures are the ones that set its place on the state ranking, where it sits in Tier 4 of 16. Each is measured for the whole of Pennsylvania, not for any single place within it.

CriterionPennsylvania
Cost of living
BEA price level, all items (US = 100); lower is better
97.6
Cheaper than 46% of the other 50 · housing 85.1 · goods 99.4 · utilities 109.3 · other services 99.8
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 $4,553 (90% margin USD $4,532–$4,574)
Lower than 28% 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
84 % of residents 65+
Higher than 84% 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
7.4 per 100,000 a year (95% interval 7.1–7.6)
Lower than 40% 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 58% 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 $0.99 per USD $1,000 of buildings
Lower than 80% 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 Pennsylvania

For the published example couple, both 67 and married: what Medicare premiums cost a year for two in Pennsylvania, 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 $19,338 in a bad year (from USD $15,870), with each person's in-network out-of-pocket maximum

The middle of the 49 plans offered here; "from" is the lowest premium among them.

Original Medicare, with a drug plan

USD $6,431 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 8 standalone drug plans offered in the state.

The middle of Pennsylvania's 67 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).

Pennsylvania adds no Medigap enrollment right beyond the federal six-month open enrollment period, which starts the month you are 65 or older and enrolled in Part B. Pennsylvania's rule

Free, official Medicare counseling in Pennsylvania: PA MEDI – Pennsylvania Medicare Education and Decision Insight, 1-800-783-7067 (the State Health Insurance Assistance Program).

Medicare when you retire to another state: choosing a plan

Retiring to Pennsylvania: pros and cons, by the figures

Retiring to Pennsylvania, 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

  • Healthcare access: higher than 84% of the other 50 (84 % of residents 65+). 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)
  • Natural-hazard risk: lower than 80% of the other 50 (USD $0.99 per USD $1,000 of buildings). FEMA, National Risk Index v1.20 (December 2025), state expected annual loss to buildings (EAL_VALB)

Cons

None of Pennsylvania's six figures is in the bottom fifth of the states.

Also shown, not scored

Pennsylvania's other state-wide figures: shown for context, not part of its tier. Measured for the whole of Pennsylvania — 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.

13,059,432 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.

2,799,790 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.

23.2 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 Pennsylvania

We apply Pennsylvania'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.

Pennsylvania's rules applied

Gross income as Pennsylvania defines it Pennsylvania Department of Revenue, 2025 PA-40 Instructions (PA-40 IN) USD $90,000
Social Security benefits are not taxable in Pennsylvania Pennsylvania Department of Revenue, 2025 PA-40 Instructions (PA-40 IN) − USD $45,000
Pension paid after qualifying for retirement and retiring Pennsylvania Department of Revenue, 2025 PA-40 Instructions (PA-40 IN) − USD $25,000
IRA withdrawals at age 59½ or older Pennsylvania Department of Revenue, 2025 PA-40 Instructions (PA-40 IN) − USD $20,000
State adjusted gross income Pennsylvania Department of Revenue, 2025 PA-40 Instructions (PA-40 IN) USD $0
Taxable income Pennsylvania Department of Revenue, 2025 PA-40 Instructions (PA-40 IN) USD $0
Tax at the 2025 rates Pennsylvania Department of Revenue, 2025 PA-40 Instructions (PA-40 IN) USD $0
State income tax Pennsylvania Department of Revenue, 2025 PA-40 Instructions (PA-40 IN) USD $0
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 $4,553
State and local tax, a year USD $4,553

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 Pennsylvania yet. See the towns we cover in the United States.

Personalized reports

Would your money go further somewhere else?

We rank every place we hold against your budget and the life you want — starting from the sourced figures on this page and adding clearly labeled estimates for the costs no official source prices.

Free Create an account to save your comparisons and pick them up later. No credit card, no email needed, and you keep the whole site.

USD $49one time

One personalized report, up to six places — saved in your account and yours to download as a PDF.

Best value USD $5per month. Cancel any time.

Unlimited reports, up to six places each, and it carries into the resident plan when you move.

On sale when billing opens — the prices are set.

Reports open when the site launches.

The report starts from the same sourced figures you see here, then adds clearly labeled estimates for the costs no official source prices for each town.