SOC 11-9111

Medical and Health Services Managers Salary in Lexington-Fayette, KY

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 + KY + Municipal
COL Index: 96.93 (-3.1% vs US)
Net Compensation Yield 67.8% Realized
$74,475 / net annual direct deposit
Gross Adjusted $109,890 $52.83/hr
Effective Tax Drag 26.23% Combined Jurisdictions
Marginal Top Bracket 22% Federal Statutory
Total Withheld -$28,822 $1,108.52/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 $52.83 / hour
0 hrs/wk (+$0/yr)
0 hrs (Standard) 10 hrs OT 20 hrs OT 25 hrs Max
6% (-$6,593/yr)
0% Tax Shield: ~$1,451/yr 15% (IRS limit: $24,500)
Itemized Statutory Withholdings Ledger
Federal Income Tax (IRS)
Progressive 10%–37%
-$13,895
Social Security (FICA OASDI)
Statutory 6.20% (Cap $184,500)
-$6,813
Medicare Hospital Insurance
Statutory 1.45%
-$1,593
Kentucky Individual Income Tax
State Marginal Bracket
-$3,498
Lexington-Fayette occupational and school tax
2.75%
-$3,022
Net Take-Home Annual Realized
$74,475 ($2,864.42 / check)
Category 2 of 6

Lexington-Fayette, KY Medical and Health Services Managers Wage Distribution

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

Your Salary: $109,890
MIDDLE 50% (IQR RANGE) 10th $65.0k 25th $85.8k Median: $109,890 50th (Median) $110k 75th $141k 90th $202k You: $109,890
10th (Entry) $64,960 $31.23/hr
25th (Junior) $85,770 $41.24/hr
50th (Median) $109,890 $52.83/hr
75th (Senior) $140,690 $67.64/hr
90th (Lead/Master) $202,250 $97.24/hr
Career Progression & Licensing Milestones for Medical and Health Services Managers in Lexington-Fayette, KY
1
Department SupervisorBachelor's degree (most common O*NET requirement); entry into the field
$65,121$31.31/hr · 0-2 Years
2
Assistant AdministratorDemonstrated results in role; works independently on core responsibilities; FACHE or equivalent
$84,019$40.39/hr · 2-5 Years
3
Medical & Health Services ManagerFull professional competence; leads projects or a small team
$109,925$52.85/hr · 5-9 Years
4
Senior Director of OperationsOwns budget, hiring and outcomes for a department or large program
$147,366$70.85/hr · 9-14 Years
5
Hospital Administrator / COOExecutive or principal scope; sets strategy across the organization or profession
$199,002$95.67/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 Lexington-Fayette, KY under the HUD 30% housing cost guideline.

Rent-to-Take-Home Ratio (HUD 30% Standard)
19% of Net Income
✓ Passes 30% Housing Affordability Standard
HUD Fair Market Rent (1-Bedroom) $1,205/month Requires minimum annual gross of $48,200
HUD Fair Market Rent (2-Bedroom) $1,416/month Requires minimum annual gross of $56,640
Hourly Living Wage Benchmark (EPI model)
1 Adult Earner: $21.44/hr
Per adult, 2 working adults + 1 child: $20.42/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 Lexington-Fayette, KY.

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$109,890-$28,822$74,475$2,864.42
+5h Overtime/Wk45 hrs$130,494-$35,921$86,744$3,336.31
+10h Overtime/Wk50 hrs$151,099-$43,390$98,643$3,793.97
+15h Overtime/Wk55 hrs$171,703-$50,859$110,542$4,251.62
+20h Overtime/Wk60 hrs$192,308-$57,844$122,925$4,727.89
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 Lexington-Fayette, KY: Compensation & Purchasing Power Briefing (2026)

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

Market Baseline
$109,890/yr
$52.83/hr · SOC 11-9111
Statutory Tax Drag
26.23% Effective
-$28,822 in Total Taxes
HUD 1BR Shelter Ratio
19% Net Pay
✓ Passes 30% HUD Rule
Monthly Discretionary
+$5,001/mo
Post-$1,205/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 Lexington-Fayette, KY: Market Snapshot

Medical and Health Services Managers roles in Lexington-Fayette, KY report a median annual wage of $109,890, 11.3% below the national median of $123,860. The 10th to 90th percentile band runs from $64,960 to $202,250, and HUD’s $1,205 monthly one-bedroom fair market rent equals 13.2% of that median gross pay. The single-adult living wage benchmark for the area is $21.44 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+55.8%
Vallejo, CA$170,730+55.4%
New York-Newark-Jersey City, NY-NJ$167,580+52.5%
Napa, CA$167,530+52.5%
San Francisco-Oakland-Fremont, CA$166,310+51.3%
Seattle-Tacoma-Bellevue, WA$160,100+45.7%
Sacramento-Roseville-Folsom, CA$159,350+45.0%
Portland-Vancouver-Hillsboro, OR-WA$151,260+37.6%
Medford, OR$151,250+37.6%
Urban Honolulu, HI$151,180+37.6%

Top-paying occupations benchmarked in Lexington-Fayette, KY

OccupationMedian annual wageMedian hourly
Chief Executives$179,520$86.31/hr
Natural Sciences Managers$161,450$77.62/hr
Architectural and Engineering Managers$161,170$77.49/hr
Computer and Information Systems Managers$144,160$69.31/hr
Fundraising Managers$140,090$67.35/hr
Education Administrators, Postsecondary$137,250$65.99/hr
Financial Manager$135,760$65.27/hr
Purchasing Managers$128,910$61.98/hr
Marketing Managers$127,040$61.08/hr
Sales Managers$124,860$60.03/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 Lexington-Fayette, KY Overview

Medical & Health Services Managers median pay in Lexington-Fayette, KY is $109,890 a year ($52.83/hr). See take-home pay after 2026 taxes, BLS wage. Official 2026 economic data for Medical and Health Services Managers in Lexington-Fayette, KY 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 Lexington-Fayette, KY?

The median annual wage is $109,890 ($52.83 per hour). The middle 80% of earners make between $64,960 and $202,250. Source: BLS OEWS (May 2025).

What is the take-home pay for a Medical and Health Services Managers in Lexington-Fayette, KY after taxes?

On the median wage of $109,890, a single filer with no pre-tax deductions takes home about $79,387 a year ($6,616 a month) after $30,503 in federal, FICA, state and local taxes, an effective rate of 27.76%, using 2026 tax rules.