10. Cartagena
IM Score: 10
Cost of Living Index: 39.60
Hospital to Population Ratio: 51,136
Temperature: 87/91°F
Rainy Days: 0/31
Sunny Days: 0/27
Although this cost of living index isn’t really that high, you should know that Cartagena is the most expensive destination on our list. It is a beautiful city located in the Caribbean coast region, and it played a large role as a key port in the Colonial period. Tourism is the biggest contributor to the city’s economy, so you know that there are plenty of amazing things to experience here, from architecture to nature beauties.