Medical and Health Services Managers in Washington
May 2025 wages · tax year 2026
You keep
$110,572
after federal, FICA and Washington tax
Tax takes
$34,718
23.9% of the whole
Worth, in national money
$101,851
Washington costs more than average
On that salary you would be around the 25th percentile for this work in Washington — 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
$145,290
Kept after tax
$110,572
Worth in national money
$101,851
State rank
5
of 51 states
What this pays, and what it is worth
- Pay for this job is strong here. Washington's middle earner gets $145,290, putting the state 5 of 51 — about 17.3% ahead of the national figure.
- Locally, this pays well. Among 493 occupations Washington reports, this job comes in at 31 — comfortably in the upper quarter.
- Washington is an expensive state, and the adjusted figure shows it. From $145,290 the take-home is $110,572; in national-average money that behaves like $101,851. The average comes to $162,380, above the middle, thanks to the top of the range.
- For medical and health services managers, Washington sits in the upper band nationally: a median of $145,290, ranking 5 of 51 and running about 17.3% above the national midpoint. Nominal advantage of this size is usually, though not always, large enough to survive the state's own tax and price levels.
- Medical and health services managers ranks 31 of 493 occupations by median in Washington, 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.
- Take-home for medical and health services managers in Washington, on $145,290, is $110,572; deflated by the state's price level, $101,851. ⚠️ The deflator is statewide, so it understates the erosion in the state's metropolitan areas and overstates it outside them. At $162,380 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 | $88,970 |
|---|---|
| Half earn under | $145,290 |
| Top tenth earn over | $282,250 |
| This salary | $145,290 |
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 Washington | $110,572 |
|---|---|
| Take-home in Texas | $110,572 |
| Once local prices are leveledBEA price parity | +$11,935 |
The raise and the real gain point in opposite directions here.
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 | $145,290 |
|---|---|
| You could take a cut of | −$16,968 |
| Prices in Texas | 97 vs 109 |
State taxes and state price levels only. No city tax, and no housing market.
Sources and assumptions
- Treat $145,290 as a midpoint for Washington, not a promise. The tenth percentile is $88,970 and the ninetieth is $282,250 — a wide band, and where you land in it depends on far more than the state.
- In Washington the take-home figure of $110,572, from $145,290, 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 31 of 493 occupations here.
- One number stands for prices across all of Washington, which is a simplification — big cities cost far more than small towns. Read $101,851, the adjusted value of that $145,290 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 31 of 493 in the state.
- The Washington median of $145,290 describes the midpoint of a distribution spanning $88,970 to $282,250. 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 Washington is computed for a single filer taking the standard deduction with no dependants and no pre-tax contributions, giving $110,572 from $145,290. 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 31 of 493 locally.
- Price deflation uses one statewide parity for Washington, so $101,851 — the adjusted value of that $145,290 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 31 of 493 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 $162,380, 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?
The label is broader than the work. From $88,970 at the bottom tenth to $282,250 at the top, the same title covers roles that share little beyond a name.
Does a bigger number here mean I am better off?
The number and the value are different things. Washington costs more than the national average, so this take-home stretches like $101,851 rather than its face figure.
Is most of this wage taxed away?
No. $110,572 survives, because Washington levies no wage income tax. The federal share does not change with the state you work in.
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 Washington is $162,380. 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 ($88,970) and the ninetieth ($282,250) 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?
Washington's regional price parity sits above the national average, so nominal wages overstate purchasing power. Deflating take-home by the state price level gives $101,851 in national-average terms. ⚠️ RPPs are an all-items index; housing parities vary far more widely than the headline figure.
Why is the take-home ratio comparatively high in this state?
Washington levies no personal income tax on wages, so take-home of $110,572 reflects the federal layer and FICA alone. Federal income tax and FICA are unchanged; states without a wage income tax generally recover revenue through consumption and property bases instead.
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.