These Are the 15 Healthiest Cities in the US — How Much Does It Cost To Live in Them?

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Good health is arguably one of the most important aspects of life. Having good health can mean that you can function properly, can effectively work toward achieving your personal and professional goals, and can ensure your financial success. As we head into 2025, there are some cities where you might end up living a healthier life than others.

A recent SmartAsset study ranked 100 of the largest U.S. cities based on 10 health factors, like self-reported physical and mental well-being, air pollution, and more. Median household earnings, including the relative portion of high earners in the area, were also considered.

Here are the top 15 healthiest cities on SmartAsset’s list, as well as how much it costs to live in each, per BestPlaces data.

Also see the 50 safest and most affordable U.S. cities to live in.

San Jose, California

• Physically unhealthy days per 30 days: 2.48
• Mentally unhealthy days per 30 days: 4.00
• Median household income: $136,229
• Percentage of households earning $200,000-plus: 33.4%
• Average monthly cost of living (family): $18,900
• Average monthly cost of living (individual): $8,400

Arlington, Virginia

• Physically unhealthy days per 30 days: 2.59
• Mentally unhealthy days per 30 days: 4.04
• Median household income: $140,219
• Percentage of households earning $200,000-plus: 30.5%
• Average monthly cost of living (family): $11,970
• Average monthly cost of living (individual): $6,867

Seattle

• Physically unhealthy days per 30 days: 2.97
• Mentally unhealthy days per 30 days: 4.88
• Median household income: $120,608
• Percentage of households earning $200,000-plus: 29.2%
• Average monthly cost of living (family): $13,170
• Average monthly cost of living (individual): $6,867

Boise City, Idaho

• Physically unhealthy days per 30 days: 3.00
• Mentally unhealthy days per 30 days: 4.78
• Median household income: $79,977
• Percentage of households earning $200,000-plus: 11.7%
• Average monthly cost of living (family): $7,650
• Average monthly cost of living (individual): $3,733

Aurora, Colorado

• Physically unhealthy days per 30 days: 3.15
• Mentally unhealthy days per 30 days: 4.71
• Median household income: $89,300
• Percentage of households earning $200,000-plus: 12.3%
• Average monthly cost of living (family): $7,320
• Average monthly cost of living (individual): $5,033

Plano, Texas

• Physically unhealthy days per 30 days: 2.84
• Mentally unhealthy days per 30 days: 4.05
• Median household income: $108,594
• Percentage of households earning $200,000-plus: 23.3%
• Average monthly cost of living (family): $7,860
• Average monthly cost of living (individual): $5,467

San Francisco

• Physically unhealthy days per 30 days: 2.84
• Mentally unhealthy days per 30 days: 4.82
• Median household income: $126,730
• Percentage of households earning $200,000-plus: 33.7%
• Average monthly cost of living (family): $19,770 
• Average monthly cost of living (individual): $9,067

Oakland, California

• Physically unhealthy days per 30 days: 2.99
• Mentally unhealthy days per 30 days: 5.07
• Median household income: $96,828
• Percentage of households earning $200,000-plus: 21.8%
• Average monthly cost of living (family): $13,080
• Average monthly cost of living (individual): $6,067

Minneapolis

• Physically unhealthy days per 30 days: 2.70
• Mentally unhealthy days per 30 days: 4.66
• Median household income: $81,001
• Percentage of households earning $200,000-plus: 14.3%
• Average monthly cost of living (family): $4,710
• Average monthly cost of living (individual): $3,900

Anaheim, California

• Physically unhealthy days per 30 days: 3.09
• Mentally unhealthy days per 30 days: 4.47
• Median household income: $84,872
• Percentage of households earning $200,000-plus: 13.8%
• Average monthly cost of living (family): $12,900
• Average monthly cost of living (individual): $6,733

Irvine, California

• Physically unhealthy days per 30 days: 3.09
• Mentally unhealthy days per 30 days: 4.47
• Median household income: $127,989
• Percentage of households earning $200,000-plus: 30.0%
• Average monthly cost of living (family): $18,000
• Average monthly cost of living (individual): $9,167

Santa Ana, California

• Physically unhealthy days per 30 days: 3.09
• Mentally unhealthy days per 30 days: 4.47
• Median household income: $85,914
• Percentage of households earning $200,000-plus: 12.6%
• Average monthly cost of living (family): $11,160
• Average monthly cost of living (individual): $6,333

Honolulu

• Physically unhealthy days per 30 days: 2.60
• Mentally unhealthy days per 30 days: 4.08
• Median household income: $84,907
• Percentage of households earning $200,000-plus: 15.8%
• Average monthly cost of living (family): $11,430
• Average monthly cost of living (individual): $5,200

Raleigh, North Carolina

• Physically unhealthy days per 30 days: 2.70
• Mentally unhealthy days per 30 days: 4.03 
• Median household income: $86,309
• Percentage of households earning $200,000-plus: 15.0%
• Average monthly cost of living (family): $6,810
• Average monthly cost of living (individual): $4,267

Madison, Wisconsin

• Physically unhealthy days per 30 days: 2.73
• Mentally unhealthy days per 30 days: 4.69 
• Median household income: $70,484
• Percentage of households earning $200,000-plus: 9.6%
• Average monthly cost of living (family): $5,400
• Average monthly cost of living (individual): $4,167

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