American Samoa

Cost of Living in American Samoa

East Asia & Pacific47KHigh incomeRemote-work friendly

Image credit: NPS

Purchasing Power vs. United States

Your money goes 1.0x further

Based on GDP per capita (PPP).

Cities in American Samoa

Income Category

High
World Bank GNI

Population

47K

Child Education

Public-schooling rules are not sourced for American Samoa yet. Country-level enrollment, instruction-language, and homeschool notes will appear here once verified.

Childcare & Domestic Help

Nanny, housekeeper, and driver pricing is not yet sourced for American Samoa. We publish this section only when we can tie it to verified local samples or a clearly marked country fallback.

Healthcare

System strength, outcome signals, facility coverage, and self-pay visibility in American Samoa.

Method: country metrics come from public system indicators, facility coverage reflects mapped providers we can inventory, direct pricing only reflects observed self-pay pages, and relative care cost can fall back to broad cost-of-living healthcare indices. Sparse pricing does not imply sparse healthcare availability.

1 facilities tracked across 1 cities
Facilities updated 2 months ago

Healthcare system

Limited

Low out-of-pocket burden help, but coverage looks thinner and doctor staffing is lighter.

Public care

Limited

Relatively low patient cost-sharing help, but public coverage looks thinner and public funding looks lighter.

Private care

Limited

The tracked private-style network still looks thin and self-pay pricing transparency is still sparse weigh on this rating.

UHC coverage

0/100

2025

Physicians

0.78/1k

1999

Hospital beds

0.00/1k

2025

Out of pocket

0%

2025

Outcome signals

Life expectancy

73.0 yrs

2024

International patient readiness

Limited

Price transparency is still sparse weigh on this rating.

Pricing transparency

Limited

Published self-pay prices are scarce weigh on this rating.

Facility coverage

Hospital: 1

Self-pay pricing visibility

No verified self-pay prices are published for the tracked facilities in American Samoa yet.

This usually reflects low online price transparency rather than a lack of healthcare providers.

Notable facilities

Lyndon Baines Johnson Tropical Medical Center
Hospital · Emergency
Website

System metrics: World Bank WDI · Updated 2026-06-01

Safety & Governance

Street Safety

Safety Index71/100
Crime Index29/100

Source: Numbeo where a city row is matched; otherwise World Bank WGI and country-level safety context.

Political Stability

Political Stability+1.17
Rule of Law+1.30
Gov. Effectiveness+0.50
Control of Corruption+1.78

World Bank WGI scale: -2.5 to +2.5.

Wages by Sector

SectorMedian
Administrative & Support Services
Agriculture & Farming
Arts, Entertainment & Recreation
Construction
Education
Finance & Insurance
Healthcare & Social Work
Hospitality & Food Service
Information & Technology
Manufacturing
Mining & Quarrying
Other Services
Professional & Scientific Services
Real Estate
Retail & Wholesale Trade
Transport & Logistics
Utilities

2024 annual wages in American Samoa · Source: GDP-derived estimate

About American Samoa

American Samoa, situated in the East Asia & Pacific region, presents a unique relocation consideration with its high income classification but also a high cost of living, largely due to its island economy relying on limited imports. While English and Samoan are official languages, the primary relocation hook for U.S. citizens is their automatic visa-free status, though other nationalities generally require sponsorship. Pago Pago, the capital, offers a glimpse into the territory's tropical climate, which includes a hurricane season from November to April, and while generally safe with low violent crime, healthcare facilities are limited, often necessitating travel to Honolulu for serious medical needs. Internet connectivity, averaging 10-15 Mbps and satellite-based, can be unreliable, making robust remote work setups a potential challenge despite the feasibility of the lifestyle.

Official Language: English & SamoanVisa: U.S. citizens visa-free; others typically require sponsorCost Level: High (limited imports, island economy)Safety: Generally safe, low violent crime ratesHealthcare: Limited facilities; serious cases require travel to HonoluluInternet Speed: 10-15 Mbps average (satellite-based, unreliable)Climate: Tropical, hurricane season Nov-AprilRemote Work Friendly: Feasible but connectivity challenges

Common questions about American Samoa

Sourced from SortaRich's public-data ranking engine — every figure links to its institutional source.

How far does $1 go in American Samoa?

$1 in American Samoa is close to purchasing-power parity with the baseline market (current PPP ratio: 1.00). The figure adjusts every year as exchange rates and local prices shift. SortaRich uses World Bank ICP 2021 as the anchor and Penn World Tables 11.0 for cross-validation.

Sources: World Bank ICP 2021, Penn World Tables 11.0

What are the best cities to live in American Samoa?

The best cities to live in American Samoa are Pago Pago — those are the most-searched options among the 1 cities profiled in the SortaRich database. Each city page includes a personalized PPP comparison versus your home city plus subnational price data where available.

Source: SortaRich City Index