Medical and Health Services Manager Salary in Sacramento, CA
Medical and Health Services Managers in the Sacramento-Roseville-Folsom, CA metro area earn a median $159,350 a year — 29% more than the national median. After 2026 taxes, that is $107,520 take-home, or $8,960 a month.
Take-home pay calculator
Pre-filled with the median medical and health services manager salary in Sacramento, CA. Enter your own offer to see your paycheck.
- Federal income tax$26,978
- Social Security (6.2%)$9,880
- Medicare (1.45%)$2,311
- California income tax$10,590
- CA State Disability Insurance (SDI)$2,072
- Take-home pay$107,520
Marginal rate: 24% federal + 9.30% state
Got an offer somewhere else? Compare it with this one after taxes and rent →
Medical and Health Services Manager pay by experience in Sacramento, CA
| Percentile | Salary | Hourly | Take-home / yr | Per month |
|---|---|---|---|---|
| 10th percentile (entry level) | $74,070 | $35.61 | $57,262 | $4,772 |
| 25th percentile | $101,140 | $48.63 | $73,491 | $6,124 |
| Median (50th) | $159,350 | $76.61 | $107,520 | $8,960 |
| 75th percentile | $215,450 | $103.58 | $141,698 | $11,808 |
| 90th percentile (top earners) | $243,260+ | $116.95 | $157,201 | $13,100 |
Wages: BLS Occupational Employment and Wage Statistics, May 2025. Take-home: single filer, California resident, 2026 tax rules.
What $159,350 buys in Sacramento, CA
Prices in Sacramento, CA are 6.7% higher than the U.S. average (housing costs are 1.30× the national average). Adjusted for local prices, a median medical and health services manager's $107,520 take-home pay has the buying power of $100,797 in a typical American city.
Rents: HUD Fair Market Rents, FY2026 (40th-percentile gross rent incl. utilities). Price levels: BEA Regional Price Parities, 2024.
Medical and Health Services Manager jobs are about as common in Sacramento, CA as in the U.S. overall (location quotient 1.09).
Best-paying cities for medical and health services managers, adjusted for cost of living
Sacramento, CA ranks #4 of 44 metro areas once taxes and local prices are taken into account.
| # | Metro area | Median salary | Take-home | Real value* |
|---|---|---|---|---|
| 1 | Seattle, WA | $160,100 | $120,694 | $108,604 |
| 2 | New York, NY | $167,580 | $116,960 | $103,906 |
| 3 | San Jose, CA | $171,210 | $114,369 | $103,574 |
| 4 | Sacramento, CA | $159,350 | $107,520 | $100,797 |
| 5 | Austin, TX | $126,110 | $97,462 | $99,384 |
| 6 | Kansas City, MO | $124,990 | $91,759 | $99,153 |
| 7 | Cleveland, OH | $122,770 | $92,585 | $98,576 |
| 8 | Atlanta, GA | $137,260 | $98,582 | $98,525 |
*Take-home pay divided by the BEA price level, so every city is measured in U.S.-average dollars. See all 44 metros →
About the job: medical and health services managers
Plan, direct, or coordinate medical and health services in hospitals, clinics, managed care organizations, public health agencies, or similar organizations.
- Typical education
- Bachelor's degree
- Work experience
- Less than 5 years
- On-the-job training
- None
- Job outlook, 2025–35
- +24.2% (much faster than average)
Source: BLS Standard Occupational Classification and Employment Projections, 2025–35.
Medical and Health Services Manager salaries elsewhere in California
- San Jose, CA — $171,210
- San Francisco, CA — $166,310
- Riverside, CA — $135,010
- San Diego, CA — $138,080
- Los Angeles, CA — $134,230
Frequently asked questions
How much does a medical and health services manager make in Sacramento, CA?
The median medical and health services manager salary in the Sacramento-Roseville-Folsom, CA metro area is $159,350 a year, or about $76.61 an hour, according to the Bureau of Labor Statistics (May 2025). The middle half earn between $101,140 and $215,450.
What is a medical and health services manager’s take-home pay in Sacramento, CA?
On the median $159,350 salary, a single filer living in California takes home about $107,520 a year ($8,960 a month) after federal tax, Social Security, Medicare and $12,662 in California taxes in 2026.
Is Sacramento, CA a good place to work as a medical and health services manager?
Pay here is 29% above the national median of $123,860. Local prices are 6.7% above the U.S. average, so the take-home pay buys what $100,797 would in a typical U.S. city. Sacramento, CA ranks #4 of 44 metro areas for cost-of-living-adjusted pay in this job.
Can a medical and health services manager afford rent in Sacramento, CA?
HUD’s fair market rent for a one-bedroom in Sacramento, CA is $1,812 a month ($2,241 for two bedrooms) — 20% of a median medical and health services manager’s monthly take-home pay. Financial planners usually suggest keeping rent under about 30%.
Related jobs in Sacramento, CA
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- General and Operations Manager — $118,460
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- Property, Real Estate, and Community Association Managers — $62,720