SOC 11-9111

Medical and Health Services Managers Salary in Durham, NC (2026)

Data updated · Sources: BLS OEWS May 2025, HUD FY 2027 Fair Market Rents, EPI 2026 Family Budget, 2026 tax tables · Methodology

Tax Tables: 2026 Fed + NC
COL Index: 135.43 (+35.4% vs US)
Net Compensation Yield 68.8% Realized
$92,210 / net annual direct deposit
Gross Adjusted $133,970 $64.41/hr
Effective Tax Drag 25.17% Combined Jurisdictions
Marginal Top Bracket 24% Federal Statutory
Total Withheld -$33,722 $1,297.01/check
Category 1 of 6

Wage Benchmarking & After-Tax Paycheck Engine

Dynamic statutory tax calculations based on IRS Publication 15-T and state statutory schedules.

$
2,080 annual statutory base hours $64.41 / hour
0 hrs/wk (+$0/yr)
0 hrs (Standard) 10 hrs OT 20 hrs OT 25 hrs Max
6% (-$8,038/yr)
0% Tax Shield: ~$1,929/yr 15% (IRS limit: $24,500)
Itemized Statutory Withholdings Ledger
Federal Income Tax (IRS)
Progressive 10%–37%
-$18,958
Social Security (FICA OASDI)
Statutory 6.20% (Cap $184,500)
-$8,306
Medicare Hospital Insurance
Statutory 1.45%
-$1,943
North Carolina Individual Income Tax
State Marginal Bracket
-$4,516
Net Take-Home Annual Realized
$92,210 ($3,546.52 / check)
Category 2 of 6

Durham-Chapel Hill, NC Medical and Health Services Managers Wage Distribution

Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) Percentiles & Career Ladders

Your Salary: $133,970
MIDDLE 50% (IQR RANGE) 10th $83.6k 25th $109k Median: $133,970 50th (Median) $134k 75th $177k 90th $276k You: $133,970
10th (Entry) $83,590 $40.19/hr
25th (Junior) $109,080 $52.44/hr
50th (Median) $133,970 $64.41/hr
75th (Senior) $177,420 $85.30/hr
90th (Lead/Master) $276,280 $132.83/hr
Career Progression & Licensing Milestones for Medical and Health Services Managers in Durham-Chapel Hill, NC
1
Department SupervisorBachelor's degree (most common O*NET requirement); entry into the field
$79,391$38.17/hr · 0-2 Years
2
Assistant AdministratorDemonstrated results in role; works independently on core responsibilities; FACHE or equivalent
$102,430$49.25/hr · 2-5 Years
3
Medical & Health Services ManagerFull professional competence; leads projects or a small team
$134,013$64.43/hr · 5-9 Years
4
Senior Director of OperationsOwns budget, hiring and outcomes for a department or large program
$179,658$86.37/hr · 9-14 Years
5
Hospital Administrator / COOExecutive or principal scope; sets strategy across the organization or profession
$242,608$116.64/hr · 14+ Years
Adjacent Career Pivots & National Pay Differences
Computer Systems Analysts-$18,010/yr
National median: $105,850
Skill overlap: 88%
Social and Community Service Managers-$43,470/yr
National median: $80,390
Skill overlap: 88%View Salary
Health Education Specialists-$59,790/yr
National median: $64,070
Skill overlap: 85%
Registered Nurses-$26,310/yr
National median: $97,550
Skill overlap: 81%View Salary
Category 3 of 6

HUD Fair Market Rent & EPI Living Wage Affordability Index

Evaluating housing affordability vs. net take-home pay in Durham-Chapel Hill, NC under the HUD 30% housing cost guideline.

Rent-to-Take-Home Ratio (HUD 30% Standard)
20% of Net Income
✓ Passes 30% Housing Affordability Standard
HUD Fair Market Rent (1-Bedroom) $1,554/month Requires minimum annual gross of $62,160
HUD Fair Market Rent (2-Bedroom) $1,745/month Requires minimum annual gross of $69,800
Hourly Living Wage Benchmark (EPI model)
1 Adult Earner: $29.95/hr
Per adult, 2 working adults + 1 child: $24.96/hr
Category 4 of 6

Hourly Wage to Annual & Overtime Matrix

Translating base hourly pay and 1.5× overtime into net take-home pay based on 2,080 annual work hours in Durham-Chapel Hill, NC.

Swipe horizontally to inspect full pay schedule
Schedule Total Hours/Wk Gross Annual Est. Taxes Net Take-Home Bi-Weekly Check
Standard (40 hrs)40 hrs$133,970-$33,722$92,210$3,546.52
+5h Overtime/Wk45 hrs$159,089-$42,253$107,291$4,126.58
+10h Overtime/Wk50 hrs$184,209-$50,784$122,373$4,706.64
+15h Overtime/Wk55 hrs$209,328-$57,859$138,909$5,342.67
+20h Overtime/Wk60 hrs$234,448-$65,259$155,122$5,966.23
Category 5 of 6

Interstate MSA Relocation & State Tax Migration Comparator

Calculate required compensation, cost-of-living differences, and annual state/local tax savings between two metropolitan areas.

Equivalent Salary in Austin, TX $83,505 Cost of Living Ratio: 69.6%
Annual State & Local Tax Delta +$8,331/yr Tax savings in Austin-Round Rock-San Marcos, TX
Annual Rent Difference (1BR) -$17,676/yr Based on HUD Fair Market Rents
Net Discretionary Cash Flow Impact

Combining state tax savings and annual rent variance when relocating from San Francisco-Oakland-Fremont, CA to Austin-Round Rock-San Marcos, TX.

+$26,007/year
Category 6 of 6 · Executive Economic Briefing
2026 Fiscal Intelligence

Medical and Health Services Managers in Durham-Chapel Hill, NC: Compensation & Purchasing Power Briefing (2026)

Estimates compiled from BLS OEWS wages, IRS 2026 withholding rules, HUD Fair Market Rents, and North Carolina tax codes.

Market Baseline
$133,970/yr
$64.41/hr · SOC 11-9111
Statutory Tax Drag
25.17% Effective
-$33,722 in Total Taxes
HUD 1BR Shelter Ratio
20% Net Pay
✓ Passes 30% HUD Rule
Monthly Discretionary
+$6,130/mo
Post-$1,554/mo 1BR Rent

Key Economic & Compensation Takeaways

Statutory Withholding Architecture

Frequently Asked Questions

Verified Government Data Sources & Statutory Attribution

Wages sourced from US Bureau of Labor Statistics (BLS OEWS). Rents calibrated to HUD Fair Market Rents. Tax schedules calibrated to IRS IRC Title 26, IRS Pub 15-T, and state statutory revenue codes.

BLS OEWS May 2025 HUD FY2027 FMR IRS 15-T
Metro Pay Comparison SOC 11-9111
2026 Statutory Thresholds
  • Federal Standard Deduction (Single) $16,100
  • FICA OASDI Wage Base Cap $184,500
  • Pre-Tax 401(k) Elective Deferral $24,500
  • HSA Individual Annual Limit $4,400

Medical and Health Services Managers in Durham-Chapel Hill, NC: Market Snapshot

Medical and Health Services Managers roles in Durham-Chapel Hill, NC report a median annual wage of $133,970, 8.2% above the national median of $123,860. The 10th to 90th percentile band runs from $83,590 to $276,280, and HUD’s $1,554 monthly one-bedroom fair market rent equals 13.9% of that median gross pay. The single-adult living wage benchmark for the area is $29.95 per hour.

Highest-paying metropolitan areas for Medical and Health Services Managers

Metropolitan areaMedian annual wageVs this market
San Jose-Sunnyvale-Santa Clara, CA$171,210+27.8%
Vallejo, CA$170,730+27.4%
New York-Newark-Jersey City, NY-NJ$167,580+25.1%
Napa, CA$167,530+25.1%
San Francisco-Oakland-Fremont, CA$166,310+24.1%
Seattle-Tacoma-Bellevue, WA$160,100+19.5%
Sacramento-Roseville-Folsom, CA$159,350+18.9%
Portland-Vancouver-Hillsboro, OR-WA$151,260+12.9%
Medford, OR$151,250+12.9%
Urban Honolulu, HI$151,180+12.8%

Top-paying occupations benchmarked in Durham-Chapel Hill, NC

OccupationMedian annual wageMedian hourly
Chief Executives$381,330$183.33/hr
Sales Managers$190,370$91.52/hr
Natural Sciences Managers$183,540$88.24/hr
Computer and Information Systems Managers$176,190$84.71/hr
Marketing Managers$175,160$84.21/hr
Architectural and Engineering Managers$172,480$82.92/hr
Financial Manager$165,470$79.55/hr
Human Resources Managers$160,580$77.20/hr
Purchasing Managers$160,370$77.10/hr
Data Engineer$141,770$68.16/hr

Wage data: U.S. Bureau of Labor Statistics OEWS May 2025, 392 metropolitan areas publishing this occupation; HUD FY2027 Fair Market Rents; EPI Family Budget Calculator. Taxes use 2026 federal and state rules. Data last updated .

Regional Labor Market & Career Mobility Network

Explore adjacent occupations and neighboring metropolitan wage benchmarks for peer compensation analysis.

Medical and Health Services Managers Salary in Durham, NC (2026) Overview

Medical & Health Services Managers median pay in Durham-Chapel Hill, NC is $133,970 a year ($64.41/hr). See take-home pay after 2026 taxes, BLS wage. Official 2026 economic data for Medical and Health Services Managers in Durham-Chapel Hill, NC compiled from Bureau of Labor Statistics OEWS surveys, HUD Fair Market Rents, and statutory tax codes.

Quick answers
What is the median salary for a Medical and Health Services Managers in Durham-Chapel Hill, NC?

The median annual wage is $133,970 ($64.41 per hour). The middle 80% of earners make between $83,590 and $276,280. Source: BLS OEWS (May 2025).

What is the take-home pay for a Medical and Health Services Managers in Durham-Chapel Hill, NC after taxes?

On the median wage of $133,970, a single filer with no pre-tax deductions takes home about $97,998 a year ($8,166 a month) after $35,972 in federal, FICA, state and local taxes, an effective rate of 26.85%, using 2026 tax rules.