Medical and Health Services Managers in District of Columbia
May 2025 wages · tax year 2026
You keep
$107,086
after federal, FICA and District of Columbia tax
Tax takes
$48,054
31.0% of the whole
Worth, in national money
$96,644
District of Columbia costs more than average
On that salary you would be around the 25th percentile for this work in District of Columbia — roughly, since only five points along the band are published.
One filer, standard deduction, no dependants and nothing paid in before tax — the same household the rest of this page uses, so the comparison holds. City and school-district income taxes are not included.
Median here
$155,140
Kept after tax
$107,086
Worth in national money
$96,644
State rank
2
of 51 states
What this pays, and what it is worth
- This is a good state for the work. District of Columbia pays this job a middle wage of $155,140, ranking 2 of 51 states and sitting about 25.25% above the national middle.
- Locally, this pays well. Among 390 occupations District of Columbia reports, this job comes in at 21 — comfortably in the upper quarter.
- The wage here flatters the reality. From $155,140 the take-home is $107,086. But District of Columbia costs more than the national average, so that money behaves more like $96,644 would elsewhere. Worth knowing before comparing offers across states. The average is higher, $162,210, because the best-paid pull it up.
- District of Columbia's median for medical and health services managers is $155,140, about 25.25% above the national figure and 2 of 51 states reporting. Whether that premium reaches the worker depends on the two adjustments below, which is the part a wage table cannot tell you.
- Medical and health services managers ranks 21 of 390 occupations by median in District of Columbia, in the top quartile. Within-state position is largely independent of national position, so this holds regardless of how the state compares to others for the same work.
- Retained pay after federal, FICA and District of Columbia income tax is $107,086 for medical and health services managers, from $155,140. The state's price level exceeds the national average, so the price-adjusted equivalent is $96,644. ⚠️ This is purchasing power and not a wage; cross-state offer comparisons that stop at the nominal figure systematically overvalue high-cost states. The mean of $162,210 sits above the median, the right skew typical of wage data.
Compare this career across states
Choose your filing status and local taxes, compare pay, and keep a shortlist.Compare wage and personal-pay outcomes by state, with selected resident local taxes and saved career choices.
Pay band: Medical and Health Services Managers
The state median for this job
| Lowest tenth earn under | $95,860 |
|---|---|
| Half earn under | $155,140 |
| Top tenth earn over | $227,270 |
| This salary | $155,140 |
Positions between the published tenth, quarter, half, three-quarter and ninetieth points are estimated by straight line.
The same pay, somewhere else
The state median for this job
| Take-home in District of Columbia | $107,086 |
|---|---|
| Take-home in Texas | $117,304 |
| Once local prices are leveledBEA price parity | +$24,070 |
State income tax and state price levels only. No city income tax, and no housing market.
What you would need there
The state median for this job
| To match take-home only | $140,190 |
|---|---|
| You could take a cut of | −$34,196 |
| Prices in Texas | 97 vs 111 |
State taxes and state price levels only. No city tax, and no housing market.
Sources and assumptions
- Treat $155,140 as a midpoint for District of Columbia, not a promise. The tenth percentile is $95,860 and the ninetieth is $227,270 — a wide band, and where you land in it depends on far more than the state.
- In District of Columbia the take-home figure of $107,086, from $155,140, assumes one filer, no dependants, and nothing paid into a pension before tax. Each of those lowers the bill, so treat it as the plain case. City and school-district income taxes are not included either, and in a few states those are real money. It ranks 21 of 390 occupations here.
- The wage data and the price data come from different years. That is how each is published. The price adjustment behind $96,644 uses one figure for the whole of District of Columbia. A city and a rural county there can differ by more than two states do. Out of 390 occupations the state publishes, this one sits at 21.
- The District of Columbia median of $155,140 describes the midpoint of a distribution spanning $95,860 to $227,270. Because that spread is typically larger than the interstate spread, a state median is a weak predictor for any individual worker in this occupation.
- Take-home for District of Columbia is computed for a single filer taking the standard deduction with no dependants and no pre-tax contributions, giving $107,086 from $155,140. Each omitted item reduces taxable income, so the figure is a lower bound on retained pay for this household shape. Municipal and school-district income taxes are excluded, which understates the burden materially in Ohio, Pennsylvania and Maryland. The occupation ranks 21 of 390 locally.
- Wage and price series carry different reference periods, each published on its own schedule. The real-terms figure of $96,644, worked from $155,140, deflates by a statewide parity that conceals substantial intra-state variation, concentrated in housing — so it supports comparison between states rather than the pricing of a move to a particular District of Columbia address, on work sitting at 21 of 390 locally.
Questions people ask
Is this the average pay for the job?
Half earn more than this and half earn less. The average sits at $162,210 because a long tail of high pay lifts it, so the two answer different questions.
Why is the pay range for this job so wide?
The label is broader than the work. From $95,860 at the bottom tenth to $227,270 at the top, the same title covers roles that share little beyond a name.
Does a bigger number here mean I am better off?
A larger wage in a dearer place is not automatically more. Adjusted for local prices, this pay behaves like $96,644 of national purchasing power.
Where does the difference between the wage and my paycheck go?
Into four separate taxes, not one. Federal income tax, Social Security and Medicare apply everywhere, and District of Columbia adds its own income tax on top — which is why $107,086 of this wage survives to your account.
Can I compare this job across every state?
This occupation is published everywhere — all 51 of them — so comparing states measures real differences rather than gaps in the data.
How does the published median differ from the mean for this occupation?
The median is the midpoint of the distribution; the mean for this occupation in District of Columbia is $162,210. Wage distributions are right-skewed, so the mean exceeds the median wherever a minority earn substantially more. BLS publishes both because substituting one for the other misstates a typical worker's pay.
What drives the percentile dispersion in this occupation?
Dispersion between the tenth percentile ($95,860) and the ninetieth ($227,270) exceeds the family median dispersion. SOC codes aggregate roles differing in seniority, industry and specialisation, and BLS does not disaggregate below the detailed occupation level, so within-title variance is not separable from the published series.
How does the state price level affect real compensation?
District of Columbia's regional price parity sits above the national average, so nominal wages overstate purchasing power. Deflating take-home by the state price level gives $96,644 in national-average terms. ⚠️ RPPs are an all-items index; housing parities vary far more widely than the headline figure.
What accounts for the gap between gross wage and take-home here?
Take-home of $107,086 reflects federal income tax, OASDI, Medicare and District of Columbia income tax for a single filer with no adjustments. The state layer is levied in addition to the federal one; only its rate and base differ between states.
Is this occupation's state coverage complete?
State-level estimates are published for all 51 jurisdictions for this occupation, so cross-state comparison is not confounded by suppression. ⚠️ Estimates remain survey-based and carry sampling error; small differences between adjacent states should not be over-read.