Medical and Health Services Managers in North Carolina
May 2025 wages · tax year 2026
You keep
$85,261
after federal, FICA and North Carolina tax
Tax takes
$29,149
25.5% of the whole
Worth, in national money
$90,569
North Carolina costs less than average
On that salary you would be around the 25th percentile for this work in North Carolina — 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
$114,410
Kept after tax
$85,261
Worth in national money
$90,569
State rank
30
of 51 states
What this pays, and what it is worth
- North Carolina sits in the middle of the pack for this job. The median is $114,410, ranking 30 of 51 states with figures. Close enough to the national middle that where you live matters more than the headline suggests.
- Locally, this pays well. Among 489 occupations North Carolina reports, this job comes in at 37 — comfortably in the upper quarter.
- North Carolina is cheaper than average, and that shows up here. From $114,410 the take-home is $85,261; adjusted for what things actually cost, it goes as far as $90,569 would nationally. The average comes to $135,710, above the middle, thanks to the top of the range.
- North Carolina occupies the middle band for medical and health services managers: a median of $114,410, ranking 30 of 51. Where nominal pay is close to the national figure, the tax and price adjustments below carry proportionally more weight in determining the real outcome.
- Medical and health services managers ranks 37 of 489 occupations by median in North Carolina, 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.
- Post-tax income for medical and health services managers in North Carolina, on $114,410, is $85,261 — equivalent to $90,569 once regional price parity is applied. ⚠️ The adjustment uses a statewide index that describes no particular address; within-state price variation, concentrated in housing, routinely exceeds the difference between two states. At $135,710 the mean overshoots the median — the usual right-skewed shape.
Compare this career across states
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Pay band: Medical and Health Services Managers
The state median for this job
| Lowest tenth earn under | $70,680 |
|---|---|
| Half earn under | $114,410 |
| Top tenth earn over | $217,420 |
| This salary | $114,410 |
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 North Carolina | $85,261 |
|---|---|
| Take-home in Texas | $89,317 |
| Once local prices are leveledBEA price parity | +$1,345 |
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 | $108,644 |
|---|---|
| You could take a cut of | −$1,857 |
| Prices in Texas | 97 vs 94 |
State taxes and state price levels only. No city tax, and no housing market.
Sources and assumptions
- Treat $114,410 as a midpoint for North Carolina, not a promise. The tenth percentile is $70,680 and the ninetieth is $217,420 — a wide band, and where you land in it depends on far more than the state.
- That $85,261 take-home in North Carolina comes from $114,410. It is the no-frills case: single filer, standard deduction, nothing set aside before tax. Real circumstances almost always reduce the tax. City and school-district taxes are not counted at all. Locally the work ranks 37 of 489.
- One number stands for prices across all of North Carolina, which is a simplification — big cities cost far more than small towns. Read $90,569, the adjusted value of that $114,410 median, as a way to compare states fairly, not as a quote for any particular place. The two datasets are also from different years. This job sits at 37 of 489 in the state.
- The North Carolina median of $114,410 describes the midpoint of a distribution spanning $70,680 to $217,420. Because that spread is typically larger than the interstate spread, a state median is a weak predictor for any individual worker in this occupation.
- Retained pay of $85,261, from $114,410, assumes a single North Carolina filer with the standard deduction and no elective deferrals. Pre-tax retirement or HSA contributions, dependants and itemized deductions all reduce it further; local income taxes, excluded here, would increase it in the states that levy them. This occupation ranks 37 of 489 locally, and the state ranks 30 of 51 for it.
- Price deflation uses one statewide parity for North Carolina, so $90,569 — the adjusted value of that $114,410 median — establishes comparability between states rather than accuracy within one. The wage and parity series are dated independently, each following its own publication cycle, and neither is projected forward. This occupation sits at 37 of 489 locally.
Questions people ask
Is this the average pay for the job?
No — it is the middle. Half of these workers earn more and half earn less. The average is $135,710, pulled upward by the top of the range, which is why the middle is the fairer number to plan against.
Why is the pay range for this job so wide?
One title, many jobs. The lowest tenth take $70,680, the highest tenth $217,420, and what separates them is experience, employer and what exactly the role does.
What does this pay actually buy where I live?
A smaller wage in a cheaper place is not automatically less. Adjusted for local prices, this is worth $90,569.
Where does the difference between the wage and my paycheck go?
Four deductions, stacked. The federal layer and the two payroll taxes apply wherever you work; North Carolina then takes its own share, leaving $85,261.
Can I compare this job across every state?
All 51 jurisdictions report this work, which makes the ranking a like-for-like one.
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 North Carolina is $135,710. 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 ($70,680) and the ninetieth ($217,420) 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.
What is this occupation's price-adjusted compensation in this state?
North Carolina's regional price parity is at or below the national average, so nominal wages understate purchasing power. Take-home deflated by the state price level is $90,569 in national-average terms. The adjustment uses an all-items index and does not isolate housing.
What accounts for the gap between gross wage and take-home here?
Take-home of $85,261 reflects federal income tax, OASDI, Medicare and North Carolina 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.