At a glance
Median pay for Medical and Health Services Managers runs from $100,500 in Birmingham to $171,210 in San Jose across 75 curated metros; the middle value is $123,090.
After the BEA 2024 price adjustment, the top three are San Jose ($155,049), Sacramento ($149,386), New York ($148,877).
These are workforce estimates from published medians, not job offers or expected hiring pay.
Sources: BLS wages (May 2025) · BEA price parity (2024) · Census ACS (2020–2024) · metro areas, not city limits · How we calculate
Medical and Health Services Managers salary comparison
Health services manager pay depends on facility type and size and on how much of the role is clinical versus administrative. A metro median combines hospitals, practices and other settings. 75 of 75 curated metros have a reported occupation median. The table is sorted by the site-calculated adjusted metric, not by predicted hiring demand.
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| Metropolitan area | Median annual wage | Adjusted median* | Median gross rent / month |
|---|---|---|---|
| San Jose, CA | $171,210 | $155,049 | $2,840 |
| Sacramento, CA | $159,350 | $149,386 | $1,819 |
| New York, NY–NJ | $167,580 | $148,877 | $1,830 |
| Seattle, WA | $160,100 | $144,062 | $2,000 |
| San Francisco, CA | $166,310 | $143,851 | $2,474 |
| Portland, OR–WA | $151,260 | $143,482 | $1,724 |
| Buffalo, NY | $132,720 | $138,475 | $1,057 |
| Milwaukee, WI | $133,270 | $137,481 | $1,139 |
| Durham, NC | $133,970 | $137,304 | $1,466 |
| Atlanta, GA | $137,260 | $137,180 | $1,672 |
| Urban Honolulu, HI | $151,180 | $136,246 | $2,083 |
| Madison, WI | $131,640 | $135,311 | $1,354 |
| Kansas City, MO–KS | $124,990 | $135,062 | $1,249 |
| Fresno, CA | $136,130 | $133,254 | $1,392 |
| Richmond, VA | $129,660 | $132,498 | $1,447 |
| Albuquerque, NM | $125,470 | $131,319 | $1,156 |
| Cleveland, OH | $122,770 | $130,713 | $1,050 |
| New Orleans, LA | $120,700 | $130,350 | $1,217 |
| Denver, CO | $137,760 | $130,230 | $1,874 |
| Bridgeport, CT | $138,870 | $129,950 | $1,875 |
Show all 75 metros with a reported median
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| Metropolitan area | Median annual wage | Adjusted median* | Median gross rent / month |
|---|---|---|---|
| San Jose, CA | $171,210 | $155,049 | $2,840 |
| Sacramento, CA | $159,350 | $149,386 | $1,819 |
| New York, NY–NJ | $167,580 | $148,877 | $1,830 |
| Seattle, WA | $160,100 | $144,062 | $2,000 |
| San Francisco, CA | $166,310 | $143,851 | $2,474 |
| Portland, OR–WA | $151,260 | $143,482 | $1,724 |
| Buffalo, NY | $132,720 | $138,475 | $1,057 |
| Milwaukee, WI | $133,270 | $137,481 | $1,139 |
| Durham, NC | $133,970 | $137,304 | $1,466 |
| Atlanta, GA | $137,260 | $137,180 | $1,672 |
| Urban Honolulu, HI | $151,180 | $136,246 | $2,083 |
| Madison, WI | $131,640 | $135,311 | $1,354 |
| Kansas City, MO–KS | $124,990 | $135,062 | $1,249 |
| Fresno, CA | $136,130 | $133,254 | $1,392 |
| Richmond, VA | $129,660 | $132,498 | $1,447 |
| Albuquerque, NM | $125,470 | $131,319 | $1,156 |
| Cleveland, OH | $122,770 | $130,713 | $1,050 |
| New Orleans, LA | $120,700 | $130,350 | $1,217 |
| Denver, CO | $137,760 | $130,230 | $1,874 |
| Bridgeport, CT | $138,870 | $129,950 | $1,875 |
| Washington, DC–VA–MD–WV | $140,670 | $129,193 | $2,027 |
| Salt Lake City, UT | $130,160 | $129,040 | $1,583 |
| Austin, TX | $126,110 | $128,597 | $1,726 |
| Rochester, NY | $124,260 | $128,057 | $1,143 |
| Tucson, AZ | $123,760 | $127,725 | $1,212 |
| Riverside, CA | $135,010 | $126,839 | $1,846 |
| San Antonio, TX | $119,870 | $126,557 | $1,363 |
| Virginia Beach, VA–NC | $123,900 | $126,505 | $1,478 |
| Boise City, ID | $124,330 | $126,363 | $1,487 |
| Boston, MA–NH | $136,760 | $126,319 | $2,023 |
| Houston, TX | $124,400 | $126,129 | $1,430 |
| Phoenix, AZ | $130,070 | $125,895 | $1,702 |
| Hartford, CT | $128,810 | $125,367 | $1,416 |
| Greensboro, NC | $115,130 | $123,976 | $1,093 |
| Tampa, FL | $124,980 | $123,877 | $1,628 |
| San Diego, CA | $138,080 | $123,410 | $2,246 |
| Worcester, MA | $125,890 | $122,792 | $1,426 |
| Memphis, TN–MS–AR | $112,800 | $122,371 | $1,220 |
| Jacksonville, FL | $121,660 | $122,291 | $1,513 |
| Albany, NY | $121,470 | $121,999 | $1,280 |
| Minneapolis, MN–WI | $126,880 | $121,043 | $1,440 |
| Nashville, TN | $116,480 | $120,908 | $1,528 |
| Charleston, SC | $121,990 | $120,828 | $1,605 |
| Louisville, KY–IN | $112,070 | $120,410 | $1,116 |
| North Port, FL | $122,770 | $119,873 | $1,747 |
| Philadelphia, PA–NJ–DE–MD | $122,920 | $119,859 | $1,480 |
| Las Vegas, NV | $119,990 | $119,733 | $1,626 |
| Baltimore, MD | $124,990 | $119,623 | $1,611 |
| Chicago, IL–IN | $123,090 | $118,818 | $1,430 |
| Baton Rouge, LA | $107,420 | $118,330 | $1,135 |
| Los Angeles, CA | $134,230 | $118,196 | $2,063 |
| Dallas, TX | $121,640 | $117,994 | $1,614 |
| Omaha, NE–IA | $107,810 | $117,298 | $1,192 |
| Providence, RI–MA | $119,260 | $117,182 | $1,307 |
| Tulsa, OK | $104,470 | $117,100 | $1,078 |
| Raleigh, NC | $113,710 | $115,845 | $1,573 |
| Columbia, SC | $107,280 | $114,540 | $1,193 |
| Charlotte, NC–SC | $111,080 | $114,106 | $1,473 |
| Detroit, MI | $114,340 | $114,000 | $1,207 |
| Oklahoma City, OK | $102,840 | $113,751 | $1,124 |
| Little Rock, AR | $101,280 | $113,334 | $1,055 |
| Miami, FL | $128,770 | $112,803 | $1,869 |
| Columbus, OH | $107,520 | $112,623 | $1,274 |
| Knoxville, TN | $104,250 | $112,619 | $1,145 |
| Dayton, OH | $103,560 | $111,722 | $1,039 |
| Cincinnati, OH–KY–IN | $106,540 | $111,712 | $1,105 |
| St. Louis, MO–IL | $106,200 | $111,686 | $1,113 |
| Grand Rapids, MI | $105,900 | $110,837 | $1,202 |
| Indianapolis, IN | $106,010 | $110,778 | $1,191 |
| Des Moines, IA | $101,550 | $110,740 | $1,150 |
| Birmingham, AL | $100,500 | $109,663 | $1,172 |
| Allentown, PA–NJ | $109,380 | $109,415 | $1,365 |
| Greenville, SC | $100,740 | $108,021 | $1,150 |
| Orlando, FL | $109,390 | $107,861 | $1,760 |
| Pittsburgh, PA | $101,570 | $107,287 | $1,053 |
The table shows the 20 highest adjusted medians; the full list of 75 metros is expandable above. The price-adjusted wage equals the BLS May 2025 annual occupational median × 100 ÷ the BEA 2024 all-items regional price parity. Census rent, household income and commuting figures are ACS 2020–2024 five-year estimates. They describe different populations and do not determine take-home pay, employment prospects or individual rent. ACS gross rent includes contract rent plus estimated utility and fuel costs.
How pay for Medical and Health Services Managers varies across metros
Across the 75 curated metros with a reported median, the nominal annual median for Medical and Health Services Managers runs from $100,500 in Birmingham to $171,210 in San Jose, a 1.70× difference. After dividing each median by its metro’s BEA price parity, the range is $107,287 in Pittsburgh to $155,049 in San Jose, a 1.45× difference. The middle value across these metros is $123,090 nominal and $122,371 adjusted.
The price adjustment changes the order. Out of 75 metros, New Orleans moves from 46th on nominal pay to 18th on adjusted pay while Miami moves from 25th to 62nd. These ranks compare published medians only, not openings or offers.
Beyond the median: published wage percentiles
The following six metros lead this curated set on the price-adjusted median measure. The five annual wage statistics are the original BLS estimates; they have not been price-adjusted. They illustrate the estimated wage distribution for the same occupation and geographic unit.
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| Metropolitan area | 10th | 25th | Median | 75th | 90th |
|---|---|---|---|---|---|
| San Jose, CA | $88,450 | $109,100 | $171,210 | $227,060 | $288,910 |
| Sacramento, CA | $74,070 | $101,140 | $159,350 | $215,450 | $243,260 |
| New York, NY–NJ | $102,450 | $130,030 | $167,580 | $219,010 | $348,010 |
| Seattle, WA | $98,360 | $125,770 | $160,100 | $204,550 | $307,930 |
| San Francisco, CA | $67,320 | $104,010 | $166,310 | $224,090 | $315,430 |
| Portland, OR–WA | $93,360 | $121,110 | $151,260 | $212,270 | $336,600 |
Percentiles describe a distribution, not an individual’s pay; suppressed values are marked Unavailable.
National career outlook and entry requirements
The BLS projects national employment for Medical and health services managers from 2025 to 2035. These occupational projections are national; they do not forecast openings in any particular metro area.
Among the 80 occupations curated on this site, projected 2025–2035 growth of +24.2% ranks 3rd (the middle value is +5.0%), and about 62,300 projected annual openings rank 29th. This compares only the occupations on this site and does not predict hiring in any one metro.
The BLS lists less than 5 years of related work experience as typical for entry. It lists no typical on-the-job training. National employment base: 640,400 workers in 2025; projected 795,500 in 2035.
Openings are projected national totals, including replacements, not job ads or local vacancies. Education and training categories are typical patterns; licensing varies by role. BLS 2025–2035 Occupational Projections, Table 1.2. Read the BLS Occupational Outlook Handbook profile.
What to check for this occupation before moving
How roles can differ: Medical and health services managers run hospitals, clinics, practices or departments, and the job differs by facility size and type. Many roles combine operations, staffing, budgeting and compliance work.
Questions to ask about a real offer: Ask about the facility type, the staff and budget you would oversee, and any on-call or after-hours expectations. Check whether the role expects a particular degree or clinical background, and compare bonus and benefits.
This is editorial guidance, not a claim that every employer or state follows these practices; verify terms with the employer and relevant authorities.
What this occupation median does—and does not—tell you
BLS OEWS wages are employer-reported estimates for wage-and-salary jobs, so self-employment income is not included. Annual figures assume a 2,080-hour year. Wages include commissions and tips but exclude overtime, shift differentials, nonproduction bonuses and benefits. A median is neither a new-hire salary nor a vacancy count.
Regional price parities compare overall price levels with the U.S. average; housing data come from a different survey and are not subtracted again from the wage. Missing wages and suppressed percentiles stay unavailable. See the methodology for details.
Salary for Medical and Health Services Managers in Houston, TX
Houston is shown as a worked example (one of the larger metros on this site); it is not a recommendation, and the table above lists every metro with a reported median. Of 75 metros, it ranks 33rd on nominal median and 31st on price-adjusted median.
For the Houston-Pasadena-The Woodlands, TX metro, the May 2025 BLS annual occupational median is $124,400. The published 25th-to-75th-percentile wage interval is $95,030 to $163,150. The price-adjusted median of $126,129 applies the BEA 2024 all-items index of 98.6 (U.S. = 100). It does not reflect an employer offer, taxes or your individual household costs.
The ACS metro-wide gross-rent median is $1,430 per month; with an ACS margin of error of ±$6. Gross rent includes estimated utilities and covers renters generally, not workers in this occupation. For a data-driven contrast, Boston has a published BLS median of $136,760 and adjusted median of $126,319. This comparison metro has the closest observed adjusted median in our curated set. This does not establish similar rents or local job conditions. Compare Houston with Boston in the interactive tool, or review the Houston metro profile for income, housing uncertainty and commute context.
Before relying on a quoted salary, confirm that the job matches this BLS occupation and that pay period, hours and benefits are comparable.