Salary comparison
Medical Assistants: Sacramento vs San Francisco
Sacramento, CA pays about 3.6% more for medical assistants on paper — $61,970 vs $59,790. But once you factor in what it costs to live there, Sacramento comes out ahead by $2,180 a year in real buying power.
Sacramento, CA
$61,970
$48,670
$77,030
$29.79
100
$61,970/yr
Median adjusted for local cost of living.
San Francisco, CA
$59,790
$50,120
$77,260
$28.75
100
$59,790/yr
Median adjusted for local cost of living.
What the numbers mean in practice
The headline gap is $2,180 a year (3.6%) in favor of Sacramento. That is the raw salary difference before any living costs.
Sacramento runs a cost index of 100 against the national baseline of 100; San Francisco sits at 100. After adjusting the median for those costs, Sacramento is the better deal by $2,180 a year — that is what each paycheck actually buys locally.
If you are weighing a move from San Francisco to Sacramento for this role, the raise needs to beat 3.6% 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 assistants earn more, Sacramento or San Francisco?
Sacramento pays $61,970 on median — about 3.6% more than San Francisco ($59,790). Based on BLS Occupational Employment and Wage Statistics.
Which city is the better deal after living costs?
Sacramento. Once you divide each median by the local cost index, Sacramento gives you roughly$61,970 of real buying power versus $59,790 in the other city.