Healthcare · 70 Cities Ranked

Highest Paying Cities for Medical and Health Services Manager (2025)

The median Medical and Health Services Manager salary is $171,210 in San Jose, CA, the highest-paying city for this role. After adjusting for cost of living, Buffalo, NY offers the best purchasing power at $143,481 adjusted.

The 70 cities below are ranked by median wage for Medical and Health Services Manager, drawn from BLS OEWS. Top-of-list cities typically combine high local labor demand with above-baseline cost-of-living, so the gross-wage ranking partly reflects COL adjustment. Reading the ranking carefully: gross median wage is the headline number, but the cost-adjusted figure (which divides by the city's cost-of-living index) tells a different story for high-COL cities. The ranking sorts on gross wage; the per-city pages surface the adjusted figure.

For workers evaluating Medical and Health Services Manager relocation, the top of the ranking is the obvious starting point — but the bottom of the list (low gross wage, low COL) is often where cost-adjusted real income is highest. The role-specific pages link to per-city detail.

$124,396

National Median

$171,210

Highest City

$100,500

Lowest City

Cities Ranked

Ranked by Median Salary

Rank	City	Median	Range (10th-90th)	COL Index	COL-Adjusted	Jobs
1	San Jose, CA	$171,210	$88,450, $288,910	195.8	$87,441	4,560
2	New York, NY	$167,580	$102,450, $348,010	187.2	$89,519	35,260
3	San Francisco, CA	$166,310	$67,320, $315,430	179.6	$92,600	11,980
4	Seattle, WA	$160,100	$98,360, $307,930	149.4	$107,162	4,600
5	Sacramento, CA	$159,350	$74,070, $243,260	124.7	$127,787	4,500
6	Portland, OR	$151,260	$93,360, $336,600	130.1	$116,264	3,210
7	Washington, DC	$140,670	$98,220, $242,480	152.8	$92,062	11,730
8	Bridgeport, CT	$138,870	$91,620, $270,010	137.5	$100,996	1,890
9	San Diego, CA	$138,080	$78,210, $290,480	160.2	$86,192	6,980
10	Denver, CO	$137,760	$88,150, $240,740	112.8	$122,128	4,700
11	Atlanta, GA	$137,260	$72,820, $296,530	99.2	$138,367	6,300
12	Boston, MA	$136,760	$89,920, $308,080	152.1	$89,915	12,990
13	Fresno, CA	$136,130	$72,730, $246,820	105.5	$129,033	1,750
14	Riverside-San Bernardino, CA	$135,010	$73,380, $214,740	122.4	$110,302	6,920
15	Los Angeles, CA	$134,230	$68,630, $228,400	166	$80,861	23,740
16	Anchorage, AK	$133,620	$81,630, $308,170	127	$105,213	900
17	Milwaukee, WI	$133,270	$95,170, $332,860	97.4	$136,828	2,320
18	Buffalo, NY	$132,720	$82,010, $287,350	92.5	$143,481	1,380
19	Bakersfield, CA	$132,670	$66,700, $220,480	100.6	$131,879	1,020
20	Madison, WI	$131,640	$96,110, $224,390	103.8	$126,821	1,220
21	Salt Lake City, UT	$130,160	$75,890, $223,630	101.4	$128,363	2,720
22	Phoenix, AZ	$130,070	$78,450, $238,220	100.7	$129,166	8,370
23	Richmond, VA	$129,660	$80,600, $215,320	102.1	$126,993	1,760
24	Hartford, CT	$128,810	$81,230, $206,470	112.6	$114,396	2,980
25	Miami, FL	$128,770	$75,870, $219,200	123.1	$104,606	12,290
26	Minneapolis, MN	$126,880	$80,580, $211,030	106.2	$119,473	7,350
27	Spokane, WA	$126,460	$74,970, $192,650	97.4	$129,836	560
28	Austin, TX	$126,110	$64,210, $269,090	103	$122,437	5,160
29	Albuquerque, NM	$125,470	$82,180, $201,770	94	$133,479	1,550
30	Colorado Springs, CO	$125,210	$80,470, $213,900	104.5	$119,818	1,050
31	Kansas City, MO	$124,990	$74,570, $206,050	95.4	$131,017	3,950
32	Baltimore, MD	$124,990	$69,720, $224,520	114.2	$109,448	8,060
33	Tampa, FL	$124,980	$66,830, $214,610	99.6	$125,482	7,000
34	Houston, TX	$124,400	$73,410, $206,550	96.5	$128,912	12,410
35	Boise, ID	$124,330	$73,420, $195,030	102.1	$121,773	1,930
36	Rochester, NY	$124,260	$77,930, $275,330	92.9	$133,757	1,510
37	Tucson, AZ	$123,760	$72,480, $222,950	95.4	$129,727	1,640
38	Chicago, IL	$123,090	$77,120, $226,080	107.3	$114,716	16,680
39	Philadelphia, PA	$122,920	$72,850, $205,060	118.4	$103,818	14,060
40	Reno, NV	$122,700	$72,910, $171,890	106.5	$115,211	1,080
41	Jacksonville, FL	$121,660	$70,610, $211,130	95.1	$127,928	3,140
42	Dallas, TX	$121,640	$65,520, $204,840	104.1	$116,849	17,140
43	Albany, NY	$121,470	$77,210, $212,020	100.7	$120,626	1,880
44	New Orleans, LA	$120,700	$75,920, $216,550	95.9	$125,860	1,810
45	Las Vegas, NV	$119,990	$76,280, $189,210	109	$110,083	3,750
46	San Antonio, TX	$119,870	$67,700, $192,930	91.5	$131,005	5,060
47	Providence, RI	$119,260	$77,630, $199,430	119.4	$99,883	4,150
48	Nashville, TN	$116,480	$71,980, $221,330	100.3	$116,132	5,510
49	Greensboro, NC	$115,130	$72,330, $205,860	91.3	$126,101	880
50	Detroit, MI	$114,340	$67,590, $206,630	95.1	$120,231	7,110
51	Raleigh, NC	$113,710	$69,670, $248,570	99.8	$113,938	2,070
52	Memphis, TN	$112,800	$72,800, $196,130	84	$134,286	2,310
53	Louisville, KY	$112,070	$58,040, $249,990	90.2	$124,246	3,010
54	Charlotte, NC	$111,080	$71,840, $216,300	96.7	$114,871	3,630
55	Lexington, KY	$109,890	$64,960, $202,250	91.3	$120,361	1,260
56	Orlando, FL	$109,390	$70,760, $200,860	103.1	$106,101	5,180
57	Omaha, NE	$107,810	$78,790, $195,000	91.8	$117,440	1,940
58	Columbus, OH	$107,520	$71,400, $212,620	93.1	$115,489	5,370
59	Cincinnati, OH	$106,540	$71,360, $187,620	91.2	$116,820	4,690
60	St. Louis, MO	$106,200	$67,990, $200,900	90	$118,000	5,000
61	Indianapolis, IN	$106,010	$71,770, $214,950	90.1	$117,658	4,680
62	Tulsa, OK	$104,470	$67,000, $175,810	86.8	$120,357	1,620
63	Wichita, KS	$104,410	$73,990, $181,840	84	$124,298	920
64	Knoxville, TN	$104,250	$67,290, $191,990	90.3	$115,449	1,880
65	Oklahoma City, OK	$102,840	$67,060, $175,760	86.5	$118,890	2,470
66	Pittsburgh, PA	$101,570	$64,270, $169,870	92.3	$110,043	5,990
67	Des Moines, IA	$101,550	$77,210, $179,860	93.3	$108,842	1,330
68	Little Rock, AR	$101,280	$62,910, $163,340	88.2	$114,830	2,630
69	Greenville, SC	$100,740	$66,560, $201,580	90.1	$111,809	1,650
70	Birmingham, AL	$100,500	$67,060, $172,440	90.4	$111,173	3,430

Ranked by Purchasing Power (COL-Adjusted)

Cost-of-living adjusted salaries show where your Medical and Health Services Manager paycheck goes furthest. A lower COL index means your dollars stretch further.

Rank	City	COL-Adjusted	Raw Median	COL Index
1	Buffalo, NY	$143,481	$132,720	92.5
2	Atlanta, GA	$138,367	$137,260	99.2
3	Milwaukee, WI	$136,828	$133,270	97.4
4	Memphis, TN	$134,286	$112,800	84
5	Rochester, NY	$133,757	$124,260	92.9
6	Albuquerque, NM	$133,479	$125,470	94
7	Bakersfield, CA	$131,879	$132,670	100.6
8	Kansas City, MO	$131,017	$124,990	95.4
9	San Antonio, TX	$131,005	$119,870	91.5
10	Spokane, WA	$129,836	$126,460	97.4
11	Tucson, AZ	$129,727	$123,760	95.4
12	Phoenix, AZ	$129,166	$130,070	100.7
13	Fresno, CA	$129,033	$136,130	105.5
14	Houston, TX	$128,912	$124,400	96.5
15	Salt Lake City, UT	$128,363	$130,160	101.4
16	Jacksonville, FL	$127,928	$121,660	95.1
17	Sacramento, CA	$127,787	$159,350	124.7
18	Richmond, VA	$126,993	$129,660	102.1
19	Madison, WI	$126,821	$131,640	103.8
20	Greensboro, NC	$126,101	$115,130	91.3
21	New Orleans, LA	$125,860	$120,700	95.9
22	Tampa, FL	$125,482	$124,980	99.6
23	Wichita, KS	$124,298	$104,410	84
24	Louisville, KY	$124,246	$112,070	90.2
25	Austin, TX	$122,437	$126,110	103
26	Denver, CO	$122,128	$137,760	112.8
27	Boise, ID	$121,773	$124,330	102.1
28	Albany, NY	$120,626	$121,470	100.7
29	Lexington, KY	$120,361	$109,890	91.3
30	Tulsa, OK	$120,357	$104,470	86.8
31	Detroit, MI	$120,231	$114,340	95.1
32	Colorado Springs, CO	$119,818	$125,210	104.5
33	Minneapolis, MN	$119,473	$126,880	106.2
34	Oklahoma City, OK	$118,890	$102,840	86.5
35	St. Louis, MO	$118,000	$106,200	90
36	Indianapolis, IN	$117,658	$106,010	90.1
37	Omaha, NE	$117,440	$107,810	91.8
38	Dallas, TX	$116,849	$121,640	104.1
39	Cincinnati, OH	$116,820	$106,540	91.2
40	Portland, OR	$116,264	$151,260	130.1
41	Nashville, TN	$116,132	$116,480	100.3
42	Columbus, OH	$115,489	$107,520	93.1
43	Knoxville, TN	$115,449	$104,250	90.3
44	Reno, NV	$115,211	$122,700	106.5
45	Charlotte, NC	$114,871	$111,080	96.7
46	Little Rock, AR	$114,830	$101,280	88.2
47	Chicago, IL	$114,716	$123,090	107.3
48	Hartford, CT	$114,396	$128,810	112.6
49	Raleigh, NC	$113,938	$113,710	99.8
50	Greenville, SC	$111,809	$100,740	90.1
51	Birmingham, AL	$111,173	$100,500	90.4
52	Riverside-San Bernardino, CA	$110,302	$135,010	122.4
53	Las Vegas, NV	$110,083	$119,990	109
54	Pittsburgh, PA	$110,043	$101,570	92.3
55	Baltimore, MD	$109,448	$124,990	114.2
56	Des Moines, IA	$108,842	$101,550	93.3
57	Seattle, WA	$107,162	$160,100	149.4
58	Orlando, FL	$106,101	$109,390	103.1
59	Anchorage, AK	$105,213	$133,620	127
60	Miami, FL	$104,606	$128,770	123.1
61	Philadelphia, PA	$103,818	$122,920	118.4
62	Bridgeport, CT	$100,996	$138,870	137.5
63	Providence, RI	$99,883	$119,260	119.4
64	San Francisco, CA	$92,600	$166,310	179.6
65	Washington, DC	$92,062	$140,670	152.8
66	Boston, MA	$89,915	$136,760	152.1
67	New York, NY	$89,519	$167,580	187.2
68	San Jose, CA	$87,441	$171,210	195.8
69	San Diego, CA	$86,192	$138,080	160.2
70	Los Angeles, CA	$80,861	$134,230	166

Frequently Asked Questions

San Jose, CA pays the highest median Medical and Health Services Manager salary at $171,210. However, after cost-of-living adjustment, Buffalo, NY offers the most purchasing power at $143,481 adjusted.

The national median Medical and Health Services Manager salary is $124,396 based on BLS data. Salaries range from $100,500 to $171,210 depending on city.

Not necessarily. A city with higher nominal pay may have a higher cost of living that offsets the salary difference. Compare the "COL-Adjusted" column in both tables above, cities with lower costs of living often offer better real purchasing power.