Nicaragua A visit to the doctor is $15. Overall health care can cost as much as 60% less than the U.S., while U.S.-trained doctors speak English and will make house calls. A huge expat population in the colonial city of Granada spends about around $1,200 a month to live there, considering a small house can be $500 to $1,000 a month to rent. The best steak dinner in town runs about $13, while regular meals go for half that and "local meals" are $2 to $3. Local beer, meanwhile, runs between 75 cents and $1.50. This makes Florida's cost of living look like Manhattan's.