Guam

Cost of Living in Guam

East Asia & Pacific168KHigh incomeRemote-work friendly

Image credit: Vyacheslav Argenberg

Purchasing Power vs. United States

Your money goes 1.0x further

Based on GDP per capita (PPP).

Income Category

High
World Bank GNI

Population

168K

Child Education

Public-schooling rules are not sourced for Guam 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 Guam. 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 Guam.

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.

17 facilities tracked across 5 cities
Facilities updated 2 months ago

Healthcare system

Mixed

Deep nursing capacity and low out-of-pocket burden help, but coverage looks thinner and hospital capacity looks tighter.

Public care

Limited

Relatively low patient cost-sharing and a visible public hospital footprint 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

1.08/1k

1999

Hospital beds

0.00/1k

2025

Out of pocket

0%

2025

Outcome signals

Life expectancy

77.4 yrs

2024

International patient readiness

Limited

Multiple facilities have websites help, but price transparency is still sparse.

Pricing transparency

Limited

Multiple facilities have crawlable websites help, but published self-pay prices are scarce.

Facility coverage

Clinic: 9Hospital: 4Dentist: 2Doctor: 1Pharmacy: 1

Self-pay pricing visibility

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

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

Notable facilities

Guam Behavioral Health and Wellness Center
Hospital · Emergency
Website
psychiatry
Naval Hospital Guam
Hospital · Emergency
Website
Guam Memorial Hospital
Hospital · Emergency
Website
emergencygeneral
Guam Regional Medical City
Hospital · Emergency
Website
general
FHP Health Center
Clinic
Website
Guam Seventh-day Adventist Clinic
Clinic
Website

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

Safety & Governance

Street Safety

Safety Index65/100
Crime Index35/100

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

Political Stability

Political Stability+0.70
Rule of Law+1.30
Gov. Effectiveness+0.22
Control of Corruption+1.18

World Bank WGI scale: -2.5 to +2.5.

Wages by Sector

SectorMedian
Agriculture & Farming

2016 annual wages in Guam · Source: ILO ILOSTAT (sector aggregate)

About Guam

Guam is a high-income U.S. territory in the East Asia & Pacific region, with Agana as its capital and a population of 167,777. For relocators, the central tradeoff is clear: English is the official language, U.S. citizens do not need a visa, safety is strong, and infrastructure is stable, but the island is expensive because many goods are imported. SortaRich classifies the cost level as high, roughly 30-40% above the U.S. mainland, so it should not be treated like a budget Pacific move. Healthcare is strong, with Guam Memorial Hospital meeting international standards, and internet is workable for remote life where fiber is available, typically 50-100 Mbps. The tropical climate is warm year-round, but typhoon season from July to November is a real planning factor.

Official Language: EnglishVisa: U.S. territory—no visa needed for U.S. citizens; others typically require visitor permitsCost Level: High—30-40% above U.S. mainland due to importsSafety: Very Safe—low crime rates, stable infrastructureHealthcare: Excellent—Guam Memorial Hospital meets international standardsInternet Speed: Good—fiber available, 50-100 Mbps typicalClimate: Tropical—warm year-round, typhoon season (July-November)

Common questions about Guam

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

How far does $1 go in Guam?

$1 in Guam 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 Guam?

The best cities to live in Guam are Hagåtña — 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