Medical and Health Services Managers
What the pay figures show
- The pay leader for this job is New York, at $164,120. Tax does not shift it. Prices are the twist. Adjust for what a basket costs and South Dakota comes out ahead, worth $107,483. Worth knowing before anyone packs.
- Nominal and post-tax rankings agree for medical and health services managers: New York leads at $164,120 on both. Applying regional price parities separates them, promoting South Dakota to $107,483 in real terms. Price level, not tax, is the operative variable for this occupation — and it is the one absent from essentially every published wage comparison.
Compare this career across states
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Pay by state · May 2025 wages · tax year 2026
National median
$123,860
People doing it
597,080
Highest paid
$164,120
NY
Best off, really
$107,483
SD, after tax and prices
Lowest tenth
$73,390
Highest tenth
$224,340
Lowest, really
$80,594
PA
States with data
51
National average
$140,970
mean, not median
Prices where it goes furthest
88.09%
SD, against a national 100
Where this job actually pays best
- The state you work in changes what this job pays, but less than you would expect. Level out tax and prices and the whole country sits between $80,594 and $107,483. That is a real difference. It is not usually a moving-house difference.
- Roughly 597,080 people hold this job nationally, earning $123,860 in the middle. A solid, ordinary-sized job.
- No gaps here — all 51 jurisdictions publish a number for this job, which sits at $123,860 in the middle.
- Interstate variation for medical and health services managers is contained relative to other occupations, and narrows further under adjustment: the real range is $80,594 to $107,483. A differential of this magnitude is real but rarely decisive on its own, which is worth stating plainly against wage tables that present nominal gaps without either adjustment.
- 597,080 are employed nationally in medical and health services managers, placing it well inside the reported range without approaching the highest-headcount occupations.
- 51 jurisdictions report medical and health services managers, giving full coverage. The extremes quoted above are therefore the true reported maximum and minimum.
Pay band: Medical and Health Services Managers
The national median for this job
50thpercentile, roughly
| Lowest tenth earn under | $73,390 |
|---|---|
| Half earn under | $123,860 |
| Top tenth earn over | $224,340 |
| This salary | $123,860 |
Positions between the published tenth, quarter, half, three-quarter and ninetieth points are estimated by straight line.
Where these numbers come from
| BLS Occupational Employment and Wage Statistics (OEWS), May 2025 estimates, time-series bulk download (oe.data.0.Current) | as of 2025-05-01 |
|---|
Steps in Medical and Health Services Managers
The national median for this job
$123,860around the 50th percentile
| Lowest tenth | $73,390 |
|---|---|
| Middle | $123,860 |
| Top tenth | $224,340 |
The five points BLS publishes. Nothing between them is invented.
Medical and Health Services Managers, state by state
The national median for this job
51states publish pay for this job
| Lowest | Arkansas · $94,340 |
|---|---|
| Highest | New York · $164,120 |
| Spread | $69,780 |
One dot per state that publishes this job. A missing state means suppressed data, not zero pay.
Best paid, and best off
The national median for this job
| Texas pays | $114,150 |
|---|---|
| Worth, after local prices | $117,468 |
Median pay against the same pay once BEA price parities are applied.
Every state, three ways
Sorted by what the money is actually worth. "Kept" is take-home for a single filer after federal, FICA and state income tax. "Really worth" divides that by the state's own price level, so a dollar in each row buys the same thing. Tap a state to put your own salary into it. States BLS does not publish for this job are absent — that means no published figure, not no work.
| State | Median pay | Kept after tax | Really worth |
|---|---|---|---|
| SD | $122,050 | $94,687 | $107,483 |
| NY | $164,120 | $114,231 | $106,137 |
| WA | $145,290 | $110,572 | $101,851 |
| NM | $124,300 | $91,465 | $101,194 |
| AK | $132,240 | $101,652 | $99,938 |
| WI | $128,320 | $92,810 | $99,692 |
| GA | $131,910 | $95,443 | $98,701 |
| CO | $134,910 | $98,249 | $96,910 |
| DC | $155,140 | $107,086 | $96,644 |
| DE | $134,820 | $95,748 | $96,469 |
| NV | $119,990 | $93,243 | $96,147 |
| VT | $128,690 | $92,829 | $96,062 |
| AZ | $128,850 | $96,516 | $95,461 |
| NH | $130,410 | $100,401 | $95,307 |
| NJ | $145,650 | $103,730 | $95,267 |
| ID | $117,770 | $86,293 | $94,386 |
| HI | $147,630 | $102,340 | $94,228 |
| WY | $108,030 | $84,829 | $93,375 |
| WV | $112,010 | $83,388 | $92,889 |
| ND | $105,170 | $82,025 | $92,609 |
| VA | $129,270 | $92,950 | $92,259 |
| OR | $141,690 | $96,103 | $91,771 |
| TX | $114,150 | $89,135 | $91,726 |
| MD | $131,810 | $95,271 | $91,638 |
| TN | $107,120 | $84,189 | $91,000 |
| CT | $130,790 | $94,064 | $90,717 |
| NC | $114,410 | $85,261 | $90,569 |
| FL | $120,360 | $93,503 | $90,383 |
| LA | $104,550 | $79,631 | $90,136 |
| KS | $111,030 | $81,033 | $90,071 |
| MN | $122,700 | $88,311 | $89,732 |
| MA | $134,360 | $96,703 | $89,343 |
| ME | $120,320 | $86,514 | $89,101 |
| UT | $114,980 | $84,602 | $89,053 |
| NE | $107,700 | $80,400 | $88,962 |
| OH | $106,140 | $81,297 | $88,547 |
| CA | $141,480 | $98,902 | $87,850 |
| RI | $119,260 | $88,417 | $87,186 |
| MT | $105,840 | $78,669 | $87,174 |
| IA | $101,940 | $77,283 | $87,063 |
| IL | $117,850 | $86,049 | $87,045 |
| KY | $103,450 | $78,104 | $86,333 |
| OK | $101,270 | $76,017 | $86,103 |
| IN | $104,140 | $79,050 | $85,752 |
| MO | $104,370 | $78,286 | $85,314 |
| MI | $107,570 | $80,185 | $85,136 |
| MS | $98,160 | $74,051 | $84,832 |
| SC | $105,620 | $78,597 | $84,352 |
| AR | $94,340 | $72,166 | $83,421 |
| AL | $97,790 | $73,535 | $81,733 |
| PA | $103,670 | $78,579 | $80,594 |
Sources and assumptions
- Treat the numbers for this job as a midpoint, not a promise. The national middle is $123,860, which means half of everyone doing this work earns less than that. Where you land depends on how long you have done it, who you do it for, and which city you do it in.
- One filer, no dependants, nothing paid into a pension before tax — that is the household behind every take-home figure for this job. It is the simplest case on purpose, so the states can be compared against each other rather than against each other's family circumstances. City income taxes are not counted. On that household, New York keeps the most at $114,231.
- One price figure per state stands behind the real-terms numbers for this job. Inside any state, a big city costs far more than a small town, so this is a fair way to compare states with each other and a poor way to price a specific move. The wage figures and the price figures are also from different years. At the bottom of the range sits Pennsylvania, on $80,594.
- These are distribution medians for medical and health services managers, with a national value of $123,860. They describe a midpoint rather than an expected offer, and the within-occupation spread — visible in the tenth and ninetieth percentile figures — is wide enough that a state-level median is a weak predictor for any individual worker.
- The household modeled for medical and health services managers is a single filer, standard deduction, no dependants, no pre-tax contributions. Holding the household constant is what makes the interstate comparison meaningful; it also means the absolute figures overstate liability for most real filers. On that basis New York retains the most, $114,231. Municipal and school-district income taxes are not included in any state.
- Real-terms results for medical and health services managers rest on statewide regional price parities, which average over intra-state variation that is itself larger than much of the interstate variation. They support comparison between states and not the pricing of an individual relocation; Pennsylvania anchors the distribution at $80,594. Wage and price series are published on separate cycles and therefore carry different reference periods.