Medical and Health Services Manager Salary in San Francisco, CA
Medical and Health Services Managers in the San Francisco-Oakland-Fremont, CA metro area earn a median $166,310 a year — 34% more than the national median. After 2026 taxes, that is $111,540 take-home, or $9,295 a month.
Take-home pay calculator
Pre-filled with the median medical and health services manager salary in San Francisco, CA. Enter your own offer to see your paycheck.
- Federal income tax$28,648
- Social Security (6.2%)$10,311
- Medicare (1.45%)$2,411
- California income tax$11,237
- CA State Disability Insurance (SDI)$2,162
- Take-home pay$111,540
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 San Francisco, CA
| Percentile | Salary | Hourly | Take-home / yr | Per month |
|---|---|---|---|---|
| 10th percentile (entry level) | $67,320 | $32.37 | $53,141 | $4,428 |
| 25th percentile | $104,010 | $50.00 | $75,206 | $6,267 |
| Median (50th) | $166,310 | $79.96 | $111,540 | $9,295 |
| 75th percentile | $224,090 | $107.74 | $146,648 | $12,221 |
| 90th percentile (top earners) | $315,430+ | $151.65 | $195,638 | $16,303 |
Wages: BLS Occupational Employment and Wage Statistics, May 2025. Take-home: single filer, California resident, 2026 tax rules.
What $166,310 buys in San Francisco, CA
Prices in San Francisco, CA are 15.6% higher than the U.S. average (housing costs are 1.95× the national average). Adjusted for local prices, a median medical and health services manager's $111,540 take-home pay has the buying power of $96,477 in a typical American city.
Rents: HUD Fair Market Rents, FY2026 (40th-percentile gross rent incl. utilities). Price levels: BEA Regional Price Parities, 2024.
San Francisco, CA has 1.3× the national concentration of medical and health services manager jobs — a strong local market for this occupation.
Best-paying cities for medical and health services managers, adjusted for cost of living
San Francisco, CA ranks #12 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 |
| 12 | San Francisco, CA | $166,310 | $111,540 | $96,477 |
*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
- Sacramento, CA — $159,350
- 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 San Francisco, CA?
The median medical and health services manager salary in the San Francisco-Oakland-Fremont, CA metro area is $166,310 a year, or about $79.96 an hour, according to the Bureau of Labor Statistics (May 2025). The middle half earn between $104,010 and $224,090.
What is a medical and health services manager’s take-home pay in San Francisco, CA?
On the median $166,310 salary, a single filer living in California takes home about $111,540 a year ($9,295 a month) after federal tax, Social Security, Medicare and $13,399 in California taxes in 2026.
Is San Francisco, CA a good place to work as a medical and health services manager?
Pay here is 34% above the national median of $123,860. Local prices are 15.6% above the U.S. average, so the take-home pay buys what $96,477 would in a typical U.S. city. San Francisco, CA ranks #12 of 44 metro areas for cost-of-living-adjusted pay in this job.
Can a medical and health services manager afford rent in San Francisco, CA?
HUD’s fair market rent for a one-bedroom in San Francisco, CA is $2,620 a month ($3,187 for two bedrooms) — 28% 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 San Francisco, CA
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- Computer and Information Systems Manager — $232,890
- Natural Sciences Manager — $225,230
- Architectural and Engineering Manager — $221,580
- Marketing Manager — $220,480
- Financial Manager — $216,150
- Managers, All Other — $210,080
- Human Resources Manager — $209,340
- Sales Manager — $170,810
- Construction Manager — $166,030
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- Education Administrators, Kindergarten through Secondary — $160,820