3. Charlotte
If you're looking for a bigger city in North Carolina to call home, Charlotte is a great option. It has a population of about 943,000, but its cost of living is barely above the national average, and the crime rate is still below both the national and state average.
Charlotte has 27 of the best hospitals in the state within 25 miles (but you'll have to drive 151 miles if you need to visit the Research Triangle). It's also a good choice for those who want to travel during their senior years, thanks to Charlotte Douglas International Airport.
Housing prices are slightly higher than the national average, too, with the median sales price in November 2025 at $420,000.
4. Concord
With a population of about 115,000, the city of Concord, North Carolina, is big enough to be interesting but still has small-town vibes. The cost of living is just below the national average, and crime is very low.
The median home sales price in Concord as of November 2025 was $387,500 – significantly below the national average. Fifteen of the best hospitals in North Carolina are within 25 miles of Concord.
5. Greenville
Greenville is another one of those not-too-small-but-not-too-big towns in the state, with a population of just over 90,000.
The cost of living is slightly lower than the national average. The median home sale price was significantly lower than the national average as of October 2025, at roughly $230,000. However, healthcare and grocery costs are higher than the national averages.
The crime rate in Greenville is low, and there are seven of the state's best hospitals within a 25-mile drive.
6. Jacksonville
If the Atlantic coastline calls to you, Jacksonville is the place to be. The medium-sized community of about 70,000 people is not directly on the beach, but it's very close to it. The city also boasts a low crime rate and super-attractive real estate prices.
Although the cost of living is above the national average, the average home price in October 2025 was over $250,000. Healthcare access is a bit more limited compared to other cities on this list, with only three of the best hospitals in North Carolina within a 25-mile drive of Jacksonville.
7. Kannapolis
Kannapolis is one of the smallest towns on this list, with a population of just 60,500. Located about 25 miles outside of Charlotte, Kannapolis is a quiet retreat from the city's hustle and bustle.
The cost of living and crime rate are both well below the national averages. The cost of real estate makes it a great place to retire. The median home price in Kannapolis in October 2025 was less than $315,000, which is substantially below the U.S. average.
Thirteen of the top North Carolina hospitals are within 25 miles of Kannapolis.
8. Raleigh
Although Raleigh isn't the cheapest place to live in North Carolina, you get a lively metro area full of innovation and some of the brightest medical minds in the country, since it's only 16 miles from the famous Research Triangle.
The city boasts a population of over 500,000 and a low crime rate, but the cost of living is above average. In October 2025, the average home sales price was just under $450,000. Raleigh also has 25 of the best hospitals in the state within 25 miles of the city.
9. Wilson
Wilson is the only real town in Wilson County and boasts a population of less than 50,000. If you're looking for the quiet countryside, this could be the place for you. The cost of living is above average, but the crime rate in Wilson is low, as is the cost of real estate.
In October 2025, the average home sale price was less than $215,000. It's just 65 miles from the Research Triangle, but it only has six of the best hospitals in the state within 25 miles.
10. Winston-Salem
A city that's small enough to still feel intimate but large enough to pack in cultural offerings like museums and historic sites, Winston-Salem is home to just around 250,000 people. The cost of living there is low compared to the national average, and the crime rate is very low.
Home sale prices are also low -- the average home sales price in October 2025 was just under $250,000. Eleven of the best hospitals in North Carolina are within a 25-mile drive. If you want a bigger town in North Carolina but don't mind being inland, this is where you'll get your best value for your retirement dollar.
Should you consider these places for retirement?
North Carolina should definitely be on your radar if you're planning on moving to make your retirement dollars stretch even further. Not only is it home to science and technology that can help make your later years more successful, but it's also inexpensive, safe, and incredibly tax-friendly to retirees.
In North Carolina, all Social Security benefits are exempted from income taxes, and other forms of retirement income are taxed at a flat rate of just 3.99% in 2026 (down from 4.25% in 2025).