| | Altoona, IA | Spokane, WA | United States |
| Overall | 86.6 | 103.1 | 100 |
| Food & Groceries | 99.1 | 98.8 | 100 |
| Health | 102.4 | 84.5 | 100 |
| Housing | 89.5 | 114.9 | 100 |
| Median Home Cost | $276,900 | $383,100 | $338,100 |
| Utilities | 9,150.0% | 7,820.0% | 10,000.0% |
| Transportation | 77.6 | 91.1 | 100 |
| Miscellaneous | 112.5 | 127.1 | 100 |
100 = National Average (Below 100 means cheaper than the US average. Above 100 means more expensive.)
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- Grocery prices, detailed for 29 staple items in six categories
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Reviews for Altoona 
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Lived here all of my life. I've visited enough cities to understand that Spokane could be so much better, but it falls short in many ways. Its car-oriented development More
I lived in the Spokane area for 35 years. It has its positives and negatives. Be sure and pick a safe community to live in. Rural areas are rather scary. Too many More
I've lived in Spokane for over 5 years after moving here from the Vancouver area for a job. I miss Western Washington.
Home buying: When I first moved here, you could More
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