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What does a Medical and Health Services Managers salary really buy you in Virginia?
Virginia is 2.1% pricier than the US averageData: BLS OEWS 2025 + BEA Regional Price Parities 2022 • Updated 2026-05-19
Virginia's Regional Price Parity (RPP) is 102.1, meaning prices are 2.1% higher the national average. A Medical and Health Services Managers earning $129,270 in Virginia has the equivalent purchasing power of $126,611 in an average-cost US state.
Every dollar goes further in low-cost states. Here is how each salary percentile compares after adjusting for Virginia's cost of living.
| Percentile | Nominal Salary | COL-Adjusted | Difference |
|---|---|---|---|
| 10th Percentile (P10) | $80,250 | $78,599 | $-1,650 |
| 25th Percentile (P25) | $101,640 | $99,549 | $-2,090 |
| Median (P50) | $129,270 | $126,611 | $-2,658 |
| 75th Percentile (P75) | $164,600 | $161,214 | $-3,385 |
| 90th Percentile (P90) | $213,810 | $209,412 | $-4,397 |
Virginia's cost of living is close to the national average, so $129,270 keeps most of its value at $126,611 in real terms. Location choice here is more about career opportunities than cost arbitrage.
With an RPP of 102.1, Virginia is within a few percent of the national cost-of-living baseline. Salary adjustment for Medical and Health Services Managers is therefore minor — what you earn is close to what you'd keep in real purchasing power.
After adjusting for Virginia's cost of living, $129,270 nominal nets out to $126,611 in real purchasing power — a small 2.1% loss. The state's cost profile is close enough to average that COL alone shouldn't drive location decisions for this Medical and Health Services Managers.
Virginia sits at #17 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.
Virginia ranks #17 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 Virginia after taxes →
A Medical and Health Services Managers in Virginia earns a median salary of $129,270 per year. After adjusting for Virginia's cost of living (RPP=102.1), the real purchasing power is $126,611 — a -2.1% difference.
Virginia's cost of living is 2.1% higher than the national average according to the BEA Regional Price Parities (2022). The RPP index for Virginia is 102.1 (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 Virginia: $129,270 x (100 / 102.1) = $126,611. 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 $129,270 in Virginia has 2.1% less purchasing power due to higher living costs. The real value is $126,611. However, Virginia may offer better career opportunities, networking, and industry access.
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