SOC 11-9111

Medical and Health Services Managers Salary in Sacramento, CA (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 + CA
COL Index: 144.55 (+44.6% vs US)
Net Compensation Yield 63.6% Realized
$101,303 / net annual direct deposit
Gross Adjusted $159,350 $76.61/hr
Effective Tax Drag 30.43% Combined Jurisdictions
Marginal Top Bracket 24% Federal Statutory
Total Withheld -$48,486 $1,864.86/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 $76.61 / hour
0 hrs/wk (+$0/yr)
0 hrs (Standard) 10 hrs OT 20 hrs OT 25 hrs Max
6% (-$9,561/yr)
0% Tax Shield: ~$2,295/yr 15% (IRS limit: $24,500)
Itemized Statutory Withholdings Ledger
Federal Income Tax (IRS)
Progressive 10%–37%
-$24,683
Social Security (FICA OASDI)
Statutory 6.20% (Cap $184,500)
-$9,880
Medicare Hospital Insurance
Statutory 1.45%
-$2,311
California Individual Income Tax
State Marginal Bracket
-$9,541
State Disability Insurance (SDI)
Statutory Payroll Assessment
-$2,072
Net Take-Home Annual Realized
$101,303 ($3,896.25 / check)
Category 2 of 6

Sacramento-Roseville-Folsom, CA Medical and Health Services Managers Wage Distribution

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

Your Salary: $159,350
MIDDLE 50% (IQR RANGE) 10th $74.1k 25th $101k Median: $159,350 50th (Median) $159k 75th $215k 90th $243k You: $159,350
10th (Entry) $74,070 $35.61/hr
25th (Junior) $101,140 $48.63/hr
50th (Median) $159,350 $76.61/hr
75th (Senior) $215,450 $103.58/hr
90th (Lead/Master) $243,260 $116.95/hr
Career Progression & Licensing Milestones for Medical and Health Services Managers in Sacramento-Roseville-Folsom, CA
1
Department SupervisorBachelor's degree (most common O*NET requirement); entry into the field
$94,432$45.40/hr · 0-2 Years
2
Assistant AdministratorDemonstrated results in role; works independently on core responsibilities; FACHE or equivalent
$121,835$58.57/hr · 2-5 Years
3
Medical & Health Services ManagerFull professional competence; leads projects or a small team
$159,401$76.64/hr · 5-9 Years
4
Senior Director of OperationsOwns budget, hiring and outcomes for a department or large program
$213,693$102.74/hr · 9-14 Years
5
Hospital Administrator / COOExecutive or principal scope; sets strategy across the organization or profession
$288,569$138.74/hr · 14+ Years
Scaled to the Sacramento-Roseville-Folsom, CA medianView National Medical and Health Services Managers Salary Data
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 Sacramento-Roseville-Folsom, CA under the HUD 30% housing cost guideline.

Rent-to-Take-Home Ratio (HUD 30% Standard)
21% of Net Income
✓ Passes 30% Housing Affordability Standard
HUD Fair Market Rent (1-Bedroom) $1,793/month Requires minimum annual gross of $71,720
HUD Fair Market Rent (2-Bedroom) $2,201/month Requires minimum annual gross of $88,040
Hourly Living Wage Benchmark (EPI model)
1 Adult Earner: $31.97/hr
Per adult, 2 working adults + 1 child: $28.95/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 Sacramento-Roseville-Folsom, CA.

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$159,350-$48,486$101,303$3,896.25
+5h Overtime/Wk45 hrs$189,228-$60,220$117,655$4,525.18
+10h Overtime/Wk50 hrs$219,106-$70,566$135,394$5,207.46
+15h Overtime/Wk55 hrs$248,984-$82,303$151,743$5,836.26
+20h Overtime/Wk60 hrs$278,863-$94,992$167,138$6,428.40
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 Sacramento-Roseville-Folsom, CA: Compensation & Purchasing Power Briefing (2026)

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

Market Baseline
$159,350/yr
$76.61/hr · SOC 11-9111
Statutory Tax Drag
30.43% Effective
-$48,486 in Total Taxes
HUD 1BR Shelter Ratio
21% Net Pay
✓ Passes 30% HUD Rule
Monthly Discretionary
+$6,649/mo
Post-$1,793/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 Sacramento-Roseville-Folsom, CA: Market Snapshot

Medical and Health Services Managers roles in Sacramento-Roseville-Folsom, CA report a median annual wage of $159,350, 28.7% above the national median of $123,860. The 10th to 90th percentile band runs from $74,070 to $243,260, and HUD’s $1,793 monthly one-bedroom fair market rent equals 13.5% of that median gross pay. The single-adult living wage benchmark for the area is $31.97 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+7.4%
Vallejo, CA$170,730+7.1%
New York-Newark-Jersey City, NY-NJ$167,580+5.2%
Napa, CA$167,530+5.1%
San Francisco-Oakland-Fremont, CA$166,310+4.4%
Seattle-Tacoma-Bellevue, WA$160,100+0.5%
Portland-Vancouver-Hillsboro, OR-WA$151,260-5.1%
Medford, OR$151,250-5.1%
Urban Honolulu, HI$151,180-5.1%
Kahului-Wailuku, HI$148,080-7.1%

Top-paying occupations benchmarked in Sacramento-Roseville-Folsom, CA

OccupationMedian annual wageMedian hourly
Architectural and Engineering Managers$193,970$93.25/hr
Nurse Practitioner$172,010$82.70/hr
Registered Nurse (RN)$171,460$82.43/hr
Natural Sciences Managers$170,010$81.74/hr
Chief Executives$169,770$81.62/hr
Data Engineer$169,310$81.40/hr
Computer and Information Systems Managers$165,270$79.46/hr
Marketing Managers$164,270$78.98/hr
Financial Manager$163,090$78.41/hr
Physician Assistant$161,470$77.63/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 Sacramento, CA (2026) Overview

Medical & Health Services Managers median pay in Sacramento-Roseville-Folsom, CA is $159,350 a year ($76.61/hr). See take-home pay after 2026 taxes, BLS wage. Official 2026 economic data for Medical and Health Services Managers in Sacramento-Roseville-Folsom, CA 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 Sacramento-Roseville-Folsom, CA?

The median annual wage is $159,350 ($76.61 per hour). The middle 80% of earners make between $74,070 and $243,260. Source: BLS OEWS (May 2025).

What is the take-home pay for a Medical and Health Services Managers in Sacramento-Roseville-Folsom, CA after taxes?

On the median wage of $159,350, a single filer with no pre-tax deductions takes home about $107,680 a year ($8,973 a month) after $51,670 in federal, FICA, state and local taxes, an effective rate of 32.43%, using 2026 tax rules.