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What does a Medical and Health Services Managers salary really buy you in California?
California is 12.5% pricier than the US averageData: BLS OEWS 2025 + BEA Regional Price Parities 2022 • Updated 2026-05-19
California's Regional Price Parity (RPP) is 112.5, meaning prices are 12.5% higher the national average. A Medical and Health Services Managers earning $141,480 in California has the equivalent purchasing power of $125,760 in an average-cost US state.
Every dollar goes further in low-cost states. Here is how each salary percentile compares after adjusting for California's cost of living.
| Percentile | Nominal Salary | COL-Adjusted | Difference |
|---|---|---|---|
| 10th Percentile (P10) | $72,800 | $64,711 | $-8,088 |
| 25th Percentile (P25) | $98,470 | $87,528 | $-10,941 |
| Median (P50) | $141,480 | $125,760 | $-15,720 |
| 75th Percentile (P75) | $205,390 | $182,568 | $-22,821 |
| 90th Percentile (P90) | $274,660 | $244,142 | $-30,517 |
While $141,480 sounds high, California's elevated cost of living erases 11% of that salary's purchasing power. Your real buying power is $125,760. Consider whether the higher pay offsets the higher costs.
California's RPP of 112.5 puts it 12.5% above the national baseline cost of living. A Medical and Health Services Managers needs that premium in nominal pay just to maintain the same purchasing power as an average-cost state.
Adjusting $141,480 for California's cost of living yields $125,760 — a 11.1% loss in real purchasing power. This magnitude usually reflects either a materially cheaper or materially pricier metro mix than the national average.
California sits at #18 of 51 states for Medical and Health Services Managers COL-adjusted salary — comfortably above the national midpoint.
Where does Medical and Health Services Managers salary stretch the furthest? Top 10 states ranked by COL-adjusted median salary.
California ranks #18 out of 51 states for Medical and Health Services Managers after cost-of-living adjustment.
How much do you actually take home? See Medical and Health Services Managers take-home pay in California after taxes →
A Medical and Health Services Managers in California earns a median salary of $141,480 per year. After adjusting for California's cost of living (RPP=112.5), the real purchasing power is $125,760 — a -11.1% difference.
California's cost of living is 12.5% higher than the national average according to the BEA Regional Price Parities (2022). The RPP index for California is 112.5 (US average = 100).
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.
The adjusted salary is calculated as: Nominal Salary x (100 / RPP). For a Medical and Health Services Managers in California: $141,480 x (100 / 112.5) = $125,760. This represents what the salary would be worth in a state with average living costs.
Partially — a Medical and Health Services Managers's nominal salary of $141,480 in California has 11.1% less purchasing power due to higher living costs. The real value is $125,760. However, California may offer better career opportunities, networking, and industry access.
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