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Emergency Medicine Physicians Salary in North Carolina: Cost of Living Adjusted (2025)

Last updated: 2025 BLS data · Page refreshed:

What does a Emergency Medicine Physicians salary really buy you in North Carolina?

North Carolina is 5.8% cheaper than the US average

Data: BLS OEWS 2025 + BEA Regional Price Parities 2022 • Updated 2026-05-19

Nominal Salary
$339,350
Median annual (2025)
+6.2%
Real Purchasing Power
$360,244
COL-adjusted (RPP=94.2)

North Carolina Cost of Living Index

North Carolina's Regional Price Parity (RPP) is 94.2, meaning prices are 5.8% lower the national average. A Emergency Medicine Physicians earning $339,350 in North Carolina has the equivalent purchasing power of $360,244 in an average-cost US state.

NC: 94.2
Cheapest (~85) US Avg (100) Priciest (~115)

Salary Breakdown: Nominal vs. COL-Adjusted

Every dollar goes further in low-cost states. Here is how each salary percentile compares after adjusting for North Carolina's cost of living.

Percentile Nominal Salary COL-Adjusted Difference
10th Percentile (P10) $179,080 $190,106 +$11,026
25th Percentile (P25) $321,320 $341,104 +$19,784
Median (P50) $339,350 $360,244 +$20,894
75th Percentile (P75) $390,030 $414,044 +$24,014
90th Percentile (P90) $515,830 $547,590 +$31,760
Key Insight

A Emergency Medicine Physicians in North Carolina earns $339,350 on paper, but low living costs mean your money goes 6% further — like earning $360,244 in an average-cost state. This makes North Carolina one of the best value states for this occupation.

What the Cost-of-Living Data Says

North Carolina Sits Near the National Cost Benchmark

RPP 94.2

With an RPP of 94.2, North Carolina is within a few percent of the national cost-of-living baseline. Salary adjustment for Emergency Medicine Physicians is therefore minor — what you earn is close to what you'd keep in real purchasing power.

Meaningful Purchasing-Power Shift

+6.2%

After applying North Carolina's RPP, the $339,350 median salary translates to $360,244 in real terms — a 6.2% gain. That difference can cover several months of expenses over a year for a Emergency Medicine Physicians.

Below-Median Adjusted Pay

#19 / 31

North Carolina's rank of #19 of 31 states means real purchasing power for Emergency Medicine Physicians trails the national half-way line.

Best States for Emergency Medicine Physicians (After Cost of Living)

Where does Emergency Medicine Physicians salary stretch the furthest? Top 10 states ranked by COL-adjusted median salary.

$550,706
RPP 89.2
$500,856
RPP 91.1
$489,713
RPP 104.7
4. Iowa
$485,350
RPP 88.4
$447,579
RPP 88.0
$447,280
RPP 93.4
$445,197
RPP 91.0
8. Alaska
$443,745
RPP 102.0
$442,942
RPP 88.7
10. Maryland
$430,114
RPP 105.0

North Carolina ranks #19 out of 31 states for Emergency Medicine Physicians after cost-of-living adjustment.

How much do you actually take home? See Emergency Medicine Physicians take-home pay in North Carolina after taxes →

Frequently Asked Questions

What is the real salary for a Emergency Medicine Physicians in North Carolina after cost of living?

A Emergency Medicine Physicians in North Carolina earns a median salary of $339,350 per year. After adjusting for North Carolina's cost of living (RPP=94.2), the real purchasing power is $360,244 — a +6.2% difference.

Is North Carolina expensive to live in?

North Carolina's cost of living is 5.8% lower than the national average according to the BEA Regional Price Parities (2022). The RPP index for North Carolina is 94.2 (US average = 100).

What are Regional Price Parities (RPP)?

Regional Price Parities (RPPs) are price indexes published by the U.S. Bureau of Economic Analysis (BEA) that measure differences in price levels across states. They are expressed as a percentage of the national average (US = 100). Higher RPP means higher cost of living.

How is the cost-of-living adjusted salary calculated?

The adjusted salary is calculated as: Nominal Salary x (100 / RPP). For a Emergency Medicine Physicians in North Carolina: $339,350 x (100 / 94.2) = $360,244. This represents what the salary would be worth in a state with average living costs.

Is it better to be a Emergency Medicine Physicians in North Carolina financially?

From a purchasing power perspective, yes. A Emergency Medicine Physicians in North Carolina enjoys 6.2% more buying power than the nominal salary suggests, because living costs are below the national average. However, other factors like job availability, career growth, and quality of life also matter.

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