We're still paddling the Comcast boat. I haven't identified a better overall solution, but this is one of those cases where YMMV a lot depending on what's available. We have HD-DVR TV with two premium channels, first tier internet (which seems hella fast 99.9% of the time) and the home phone service. With all the federal, state, and local taxes and tariffs we're about a Padron 2000 (on sale) short of $200.00 / month.
Comcast's residential phone service, for us Luddites that still have a phone on the wall that works, is a pretty darn good deal once you get the other two (Internet, HD) services. Was paying about $60.00 / mo to Qwest and that went to about 10 bucks a month with Comcast with free long distance nationwide, unlimited. With parents that live a state or two away, it's a pretty good deal. Qualifies you for other discounts on the other services so the adder is almost zero. If you don't have it, give it a go. The audio quality is actually a bit better than we were used to getting and the fancy new modem that came with it (handles Internet and phone) seems pretty cool. It includes battery back up so your phone keeps working in the event of a power outage.
I've got a buddy that's a true bargain hunter who is in the same boat as we are. He's looked at the satellite guys, the DSL guys, the FIOS guys (which we can't get here) and the long and short of it is that while you may save a few bucks here or there you seem to give up something. We're not unhappy with the service we're currently getting other than the price so for the time being, we're staying put.
One guy's opinion - B.B.S.