Middlesex County, MA vs San Francisco County, CA: Cost of Living Difference

Is it cheaper?

San Francisco County, CA is cheaper than Middlesex County, MA.

Moving to San Francisco County, CA is estimated to save $4,452 per year.

Cheaper cost of living

Cheaper County

San Francisco County, CASave about $4,452 per year.

Salary needed

$50,000 in Middlesex County, MA is about $47,170 in San Francisco County, CA.

Biggest drivers

Healthcare increases by $2,282 per year. Transport saves $3,903 per year.

Housing: $1,481 lower in San Francisco County, CA

Taxes: $1,782 lower in San Francisco County, CA

Childcare: about the same in both counties

Healthcare: $2,282 higher in San Francisco County, CA

Food: $681 higher in San Francisco County, CA

Transport: $3,903 lower in San Francisco County, CA

Middlesex County, MASan Francisco County, CA
Equivalent salary in San Francisco County, CA
$47,170
-5.66% lower
Current salary: $50,000
Household: 1 adult · 0 children
Median Income in Middlesex County, MA: $160,640
Median Income in San Francisco County, CA: $165,603
Living Index in Middlesex County, MA 48.98%
Living Index in San Francisco County, CA 44.82%

This estimate matches your purchasing power (equivalent salary) when moving from Middlesex County, MA to San Francisco County, CA.

* Living index is estimated as (estimated total cost / area median income) * 100. A living index above 100% means modeled costs exceed median income.

Cost of Living Breakdown by Category

Summary

Moving from Middlesex County, MA to San Francisco County, CA is estimated to save $4,452 per year. A $50,000 salary in Middlesex County, MA would have similar purchasing power to about $47,170 in San Francisco County, CA. The largest savings come from transport and taxes.

This is a 5.66% decrease in modeled annual costs. Transport is $3,903 per year lower (30.98%); Taxes is $1,782 per year lower (9.25%).

Below we break down the annual categories behind the difference using Economic Policy Institute 2026 Family Budget data.

What changed the most?

The following cards show the annual category differences that most affect the move to San Francisco County, CA.

Biggest Cost
Largest annual cost increase when moving to San Francisco County, CA
Annual Increase:

$2,282 per year

HEALTHCARE has the largest annual increase when moving to San Francisco County, CA.

Biggest Savings
Largest annual savings when moving to San Francisco County, CA
Annual Savings:

$3,903 per year

TRANSPORT has the largest annual savings when moving to San Francisco County, CA.

Breakdown of price percentages per category.

Numbers are average costs per section.

CategoryDifference
Housing-5.51% lower
Food13.47% higher
Transport-30.98% lower
Healthcare46.05% higher
Other Costs-2.51% lower
Childcare0.00% higher
Taxes-9.25% lower

In San Francisco County, CA, modeled annual costs are $74,229 compared with $78,681 in Middlesex County, MA.

Overall, annual costs are lower in San Francisco County, CA. The category breakdown above shows where the move creates the most room in the budget.

In this case San Francisco County, CA and Middlesex County, MA are both metropolitan locations.

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How WatchPennies calculates salary needed
Middlesex, MA vs San Francisco, CA Cost Difference