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What does a Medical and Health Services Managers salary really buy you in District of Columbia?
District of Columbia is 16.6% pricier than the US averageData: BLS OEWS 2025 + BEA Regional Price Parities 2022 • Updated 2026-05-19
District of Columbia's Regional Price Parity (RPP) is 116.6, meaning prices are 16.6% higher the national average. A Medical and Health Services Managers earning $155,140 in District of Columbia has the equivalent purchasing power of $133,053 in an average-cost US state.
Every dollar goes further in low-cost states. Here is how each salary percentile compares after adjusting for District of Columbia's cost of living.
| Percentile | Nominal Salary | COL-Adjusted | Difference |
|---|---|---|---|
| 10th Percentile (P10) | $95,860 | $82,212 | $-13,647 |
| 25th Percentile (P25) | $122,820 | $105,334 | $-17,485 |
| Median (P50) | $155,140 | $133,053 | $-22,086 |
| 75th Percentile (P75) | $189,950 | $162,907 | $-27,042 |
| 90th Percentile (P90) | $227,270 | $194,914 | $-32,355 |
While $155,140 sounds high, District of Columbia's elevated cost of living erases 14% of that salary's purchasing power. Your real buying power is $133,053. Consider whether the higher pay offsets the higher costs.
District of Columbia's RPP of 116.6 puts it 16.6% 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 $155,140 for District of Columbia's cost of living yields $133,053 — a 14.2% loss in real purchasing power. This magnitude usually reflects either a materially cheaper or materially pricier metro mix than the national average.
Ranked on COL-adjusted median pay for Medical and Health Services Managers, District of Columbia places #9 of 51 states — top quartile. Either nominal wages run high, cost of living runs low, or both.
Where does Medical and Health Services Managers salary stretch the furthest? Top 10 states ranked by COL-adjusted median salary.
District of Columbia ranks #9 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 District of Columbia after taxes →
A Medical and Health Services Managers in District of Columbia earns a median salary of $155,140 per year. After adjusting for District of Columbia's cost of living (RPP=116.6), the real purchasing power is $133,053 — a -14.2% difference.
District of Columbia's cost of living is 16.6% higher than the national average according to the BEA Regional Price Parities (2022). The RPP index for District of Columbia is 116.6 (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 District of Columbia: $155,140 x (100 / 116.6) = $133,053. 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 $155,140 in District of Columbia has 14.2% less purchasing power due to higher living costs. The real value is $133,053. However, District of Columbia may offer better career opportunities, networking, and industry access.
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