Salary comparison
Medical and Health Services Managers: San Francisco vs Sacramento
San Francisco, CA pays about 4.4% more for medical and health services managers on paper — $166,310 vs $159,350. But once you factor in what it costs to live there, San Francisco comes out ahead by $6,960 a year in real buying power.
San Francisco, CA
$166,310
$104,010
$224,090
$79.96
100
$166,310/yr
Median adjusted for local cost of living.
Sacramento, CA
$159,350
$101,140
$215,450
$76.61
100
$159,350/yr
Median adjusted for local cost of living.
What the numbers mean in practice
The headline gap is $6,960 a year (4.4%) in favor of San Francisco. That is the raw salary difference before any living costs.
San Francisco runs a cost index of 100 against the national baseline of 100; Sacramento sits at 100. After adjusting the median for those costs, San Francisco is the better deal by $6,960 a year — that is what each paycheck actually buys locally.
If you are weighing a move from Sacramento to San Francisco for this role, the raise needs to beat 4.4% to come out ahead after living costs. Anything below that and you are earning more on paper but keeping less.
Common questions
Where do medical and health services managers earn more, San Francisco or Sacramento?
San Francisco pays $166,310 on median — about 4.4% more than Sacramento ($159,350). Based on BLS Occupational Employment and Wage Statistics.
Which city is the better deal after living costs?
San Francisco. Once you divide each median by the local cost index, San Francisco gives you roughly$166,310 of real buying power versus $159,350 in the other city.