SOC 11-9111

Medical and Health Services Managers Salary in Winchester, VA-WV

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 + VA
COL Index: 112.92 (+12.9% vs US)
Net Compensation Yield 67.2% Realized
$91,688 / net annual direct deposit
Gross Adjusted $136,350 $65.55/hr
Effective Tax Drag 26.76% Combined Jurisdictions
Marginal Top Bracket 24% Federal Statutory
Total Withheld -$36,481 $1,403.11/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 $65.55 / hour
0 hrs/wk (+$0/yr)
0 hrs (Standard) 10 hrs OT 20 hrs OT 25 hrs Max
6% (-$8,181/yr)
0% Tax Shield: ~$1,963/yr 15% (IRS limit: $24,500)
Itemized Statutory Withholdings Ledger
Federal Income Tax (IRS)
Progressive 10%–37%
-$19,495
Social Security (FICA OASDI)
Statutory 6.20% (Cap $184,500)
-$8,454
Medicare Hospital Insurance
Statutory 1.45%
-$1,977
Virginia Individual Income Tax
State Marginal Bracket
-$6,556
Net Take-Home Annual Realized
$91,688 ($3,526.46 / check)
Category 2 of 6

Winchester, VA-WV Medical and Health Services Managers Wage Distribution

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

Your Salary: $136,350
MIDDLE 50% (IQR RANGE) 10th $81.7k 25th $104k Median: $136,350 50th (Median) $136k 75th $172k 90th $183k You: $136,350
10th (Entry) $81,650 $39.25/hr
25th (Junior) $103,630 $49.82/hr
50th (Median) $136,350 $65.55/hr
75th (Senior) $172,450 $82.91/hr
90th (Lead/Master) $183,040 $88.00/hr
Career Progression & Licensing Milestones for Medical and Health Services Managers in Winchester, VA-WV
1
Department SupervisorBachelor's degree (most common O*NET requirement); entry into the field
$80,802$38.85/hr · 0-2 Years
2
Assistant AdministratorDemonstrated results in role; works independently on core responsibilities; FACHE or equivalent
$104,250$50.12/hr · 2-5 Years
3
Medical & Health Services ManagerFull professional competence; leads projects or a small team
$136,394$65.57/hr · 5-9 Years
4
Senior Director of OperationsOwns budget, hiring and outcomes for a department or large program
$182,849$87.91/hr · 9-14 Years
5
Hospital Administrator / COOExecutive or principal scope; sets strategy across the organization or profession
$246,918$118.71/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 Winchester, VA-WV under the HUD 30% housing cost guideline.

Rent-to-Take-Home Ratio (HUD 30% Standard)
15% of Net Income
✓ Passes 30% Housing Affordability Standard
HUD Fair Market Rent (1-Bedroom) $1,180/month Requires minimum annual gross of $47,200
HUD Fair Market Rent (2-Bedroom) $1,505/month Requires minimum annual gross of $60,200
Hourly Living Wage Benchmark (EPI model)
1 Adult Earner: $24.97/hr
Per adult, 2 working adults + 1 child: $22.97/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 Winchester, VA-WV.

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$136,350-$36,481$91,688$3,526.46
+5h Overtime/Wk45 hrs$161,916-$45,586$106,615$4,100.56
+10h Overtime/Wk50 hrs$187,481-$54,507$121,726$4,681.76
+15h Overtime/Wk55 hrs$213,047-$62,144$138,120$5,312.31
+20h Overtime/Wk60 hrs$238,613-$70,408$153,888$5,918.76
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 Winchester, VA-WV: Compensation & Purchasing Power Briefing (2026)

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

Market Baseline
$136,350/yr
$65.55/hr · SOC 11-9111
Statutory Tax Drag
26.76% Effective
-$36,481 in Total Taxes
HUD 1BR Shelter Ratio
15% Net Pay
✓ Passes 30% HUD Rule
Monthly Discretionary
+$6,461/mo
Post-$1,180/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 Winchester, VA-WV: Market Snapshot

Medical and Health Services Managers roles in Winchester, VA-WV report a median annual wage of $136,350, 10.1% above the national median of $123,860. The 10th to 90th percentile band runs from $81,650 to $183,040, and HUD’s $1,180 monthly one-bedroom fair market rent equals 10.4% of that median gross pay. The single-adult living wage benchmark for the area is $24.97 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+25.6%
Vallejo, CA$170,730+25.2%
New York-Newark-Jersey City, NY-NJ$167,580+22.9%
Napa, CA$167,530+22.9%
San Francisco-Oakland-Fremont, CA$166,310+22.0%
Seattle-Tacoma-Bellevue, WA$160,100+17.4%
Sacramento-Roseville-Folsom, CA$159,350+16.9%
Portland-Vancouver-Hillsboro, OR-WA$151,260+10.9%
Medford, OR$151,250+10.9%
Urban Honolulu, HI$151,180+10.9%

Top-paying occupations benchmarked in Winchester, VA-WV

OccupationMedian annual wageMedian hourly
Chief Executives$221,620$106.55/hr
Architectural and Engineering Managers$175,020$84.14/hr
Computer and Information Systems Managers$166,770$80.18/hr
Sales Managers$157,340$75.64/hr
Financial Manager$151,990$73.07/hr
Marketing Managers$139,900$67.26/hr
Human Resources Managers$139,390$67.01/hr
Software Engineer$133,290$64.08/hr
Nurse Practitioner$130,700$62.84/hr
Data Scientist$129,990$62.50/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 Winchester, VA-WV Overview

Medical & Health Services Managers median pay in Winchester, VA-WV is $136,350 a year ($65.55/hr). See take-home pay after 2026 taxes, BLS wage percentiles. Official 2026 economic data for Medical and Health Services Managers in Winchester, VA-WV 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 Winchester, VA-WV?

The median annual wage is $136,350 ($65.55 per hour). The middle 80% of earners make between $81,650 and $183,040. Source: BLS OEWS (May 2025).

What is the take-home pay for a Medical and Health Services Managers in Winchester, VA-WV after taxes?

On the median wage of $136,350, a single filer with no pre-tax deductions takes home about $97,435 a year ($8,120 a month) after $38,915 in federal, FICA, state and local taxes, an effective rate of 28.54%, using 2026 tax rules.