Last updated: 2025 BLS data · Page refreshed:
How much does a Emergency Medicine Physicians actually take home in Massachusetts?
5.0% flat rate — 35.0% effective total tax rateData: BLS OEWS 2025 + IRS/State Tax Brackets 2024 • Updated 2026-05-19
Detailed line-by-line tax calculation for a Emergency Medicine Physicians earning $356,230 in Massachusetts (single filer, standard deduction).
| Tax Component | Annual Amount | Effective Rate |
|---|---|---|
| Gross Salary (Median) | $356,230 | — |
| Federal Income Tax | -$89,945 | 25.2% |
| Massachusetts State Income Tax | -$17,811 | 5.0% |
| Social Security (OASDI) | -$10,453 | 2.9% |
| Medicare | -$6,571 | 1.8% |
| Total Taxes | -$124,781 | 35.0% |
| Take-Home Pay | $231,448 | 65.0% |
Take-home pay varies significantly across experience levels. Here is the after-tax breakdown for each salary percentile of Emergency Medicine Physicians in Massachusetts.
| Percentile | Gross Salary | Total Taxes | Take-Home Pay | Tax Rate |
|---|---|---|---|---|
| 10th Percentile (P10) | $175,710 | -$53,495 | $122,214 | 30.4% |
| 25th Percentile (P25) | $319,420 | -$109,192 | $210,227 | 34.2% |
| Median (P50) | $356,230 | -$124,781 | $231,448 | 35.0% |
| 75th Percentile (P75) | $483,750 | -$178,786 | $304,963 | 37.0% |
| 90th Percentile (P90) | $530,920 | -$198,762 | $332,157 | 37.4% |
A Emergency Medicine Physicians in Massachusetts faces a combined 35.0% effective tax rate, taking home $231,448 out of $356,230. The 5.0% flat rate adds $17,811 on top of federal and FICA taxes. In a no-income-tax state, this salary would yield approximately $249,260 — a difference of $17,811/year.
At an effective 35.0% combined tax rate, Massachusetts takes one of the larger bites out of a Emergency Medicine Physicians's paycheck. Take-home settles at $231,449 from $356,230 gross after all withholdings.
Massachusetts applies a flat state income tax — every dollar of wage income is taxed at the same rate. For this Emergency Medicine Physicians salary that contributes $17,812 to the 5.0% effective state-tax burden.
Federal income tax ($89,945) accounts for 72% of the total tax bill — the single largest deduction. FICA adds $17,025 (14%), and state tax the remaining $17,812 (14%).
The state-tax gap is substantial: a Emergency Medicine Physicians earning this gross in a no-income-tax state would net about $249,260 — an extra $17,812 (7.7%) annually compared with Massachusetts.
Massachusetts ranks #18 of 31 states for Emergency Medicine Physicians after-tax pay — lower half of the national distribution. Either gross wages trail the national median, state tax is elevated, or both.
Translated into paycheck cadences, $231,449 net/year works out to $19,287/month or $8,902/bi-weekly for this Emergency Medicine Physicians in Massachusetts — the numbers that actually hit a checking account after every deduction.
Where does a Emergency Medicine Physicians keep the most of their paycheck? Top 10 states ranked by after-tax take-home pay.
Massachusetts ranks #18 out of 31 states for Emergency Medicine Physicians after-tax take-home pay.
A Emergency Medicine Physicians in Massachusetts earning a median salary of $356,230 will take home approximately $231,448 per year after federal income tax ($89,945), state income tax ($17,811), and FICA ($17,024). That is $19,287 per month or $8,901 per bi-weekly paycheck.
The effective total tax rate for a Emergency Medicine Physicians in Massachusetts is 35.0%, broken down as: federal income tax 25.2%, Massachusetts state tax 5.0%, and FICA (Social Security + Medicare) 4.8%. This assumes a single filer with the standard deduction for 2024.
Massachusetts has a 5.0% flat rate. On a Emergency Medicine Physicians's median salary of $356,230, the state income tax amounts to $17,811 per year, which is an effective state rate of 5.0%.
After all taxes, a Emergency Medicine Physicians in Massachusetts takes home approximately $19,287 per month, or about $111.27 per hour (based on a standard 2,080-hour work year). These figures assume a single filer, standard deduction, and no additional pre-tax deductions.
We start with the 2025 BLS median salary of $356,230 for Emergency Medicine Physicians in Massachusetts, then subtract: federal income tax using 2024 IRS brackets ($14,600 standard deduction), Massachusetts state income tax (5.0% flat rate), Social Security (6.2% up to $168,600), and Medicare (1.45%). The result — $231,448/yr — does not include local taxes, pre-tax deductions (401k, HSA), or tax credits.
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This estimate assumes a single filer using the 2024 standard deduction ($14,600), with W-2 employment income only. It does not account for: itemized deductions, tax credits (e.g. earned income credit, child tax credit), local/city taxes, pre-tax contributions (401k, HSA, FSA), self-employment tax, or additional income sources. Actual take-home pay may differ. Consult a tax professional for personalized advice.
Our Methodology · Data Sources · Salary: BLS OEWS · Tax: IRS + State DOR