Last updated: 2025 BLS data · Page refreshed:
How much does a Orthopedic Surgeons, Except Pediatric actually take home in Massachusetts?
5.0% flat rate — 35.7% effective total tax rateData: BLS OEWS 2025 + IRS/State Tax Brackets 2024 • Updated 2026-05-19
Detailed line-by-line tax calculation for a Orthopedic Surgeons, Except Pediatric earning $392,300 in Massachusetts (single filer, standard deduction).
| Tax Component | Annual Amount | Effective Rate |
|---|---|---|
| Gross Salary (Median) | $392,300 | — |
| Federal Income Tax | -$102,569 | 26.1% |
| Massachusetts State Income Tax | -$19,615 | 5.0% |
| Social Security (OASDI) | -$10,453 | 2.7% |
| Medicare | -$7,419 | 1.9% |
| Total Taxes | -$140,057 | 35.7% |
| Take-Home Pay | $252,243 | 64.3% |
Take-home pay varies significantly across experience levels. Here is the after-tax breakdown for each salary percentile of Orthopedic Surgeons, Except Pediatric in Massachusetts.
| Percentile | Gross Salary | Total Taxes | Take-Home Pay | Tax Rate |
|---|---|---|---|---|
| 10th Percentile (P10) | $200,220 | -$60,960 | $139,259 | 30.4% |
| 25th Percentile (P25) | $386,670 | -$137,672 | $248,997 | 35.6% |
| Median (P50) | $392,300 | -$140,057 | $252,243 | 35.7% |
| 75th Percentile (P75) | $392,300 | -$140,057 | $252,243 | 35.7% |
| 90th Percentile (P90) | $392,380 | -$140,090 | $252,289 | 35.7% |
A Orthopedic Surgeons, Except Pediatric in Massachusetts faces a combined 35.7% effective tax rate, taking home $252,243 out of $392,300. The 5.0% flat rate adds $19,615 on top of federal and FICA taxes. In a no-income-tax state, this salary would yield approximately $271,858 — a difference of $19,615/year.
At an effective 35.7% combined tax rate, Massachusetts takes one of the larger bites out of a Orthopedic Surgeons, Except Pediatric's paycheck. Take-home settles at $252,243 from $392,300 gross after all withholdings.
Massachusetts applies a flat state income tax — every dollar of wage income is taxed at the same rate. For this Orthopedic Surgeons, Except Pediatric salary that contributes $19,615 to the 5.0% effective state-tax burden.
Federal income tax ($102,570) accounts for 73% of the total tax bill — the single largest deduction. FICA adds $17,872 (13%), and state tax the remaining $19,615 (14%).
The state-tax gap is substantial: a Orthopedic Surgeons, Except Pediatric earning this gross in a no-income-tax state would net about $271,858 — an extra $19,615 (7.8%) annually compared with Massachusetts.
Massachusetts ranks #18 of 31 states for Orthopedic Surgeons, Except Pediatric 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, $252,243 net/year works out to $21,020/month or $9,702/bi-weekly for this Orthopedic Surgeons, Except Pediatric in Massachusetts — the numbers that actually hit a checking account after every deduction.
Where does a Orthopedic Surgeons, Except Pediatric keep the most of their paycheck? Top 10 states ranked by after-tax take-home pay.
Massachusetts ranks #18 out of 31 states for Orthopedic Surgeons, Except Pediatric after-tax take-home pay.
A Orthopedic Surgeons, Except Pediatric in Massachusetts earning a median salary of $392,300 will take home approximately $252,243 per year after federal income tax ($102,569), state income tax ($19,615), and FICA ($17,872). That is $21,020 per month or $9,701 per bi-weekly paycheck.
The effective total tax rate for a Orthopedic Surgeons, Except Pediatric in Massachusetts is 35.7%, broken down as: federal income tax 26.1%, Massachusetts state tax 5.0%, and FICA (Social Security + Medicare) 4.6%. This assumes a single filer with the standard deduction for 2024.
Massachusetts has a 5.0% flat rate. On a Orthopedic Surgeons, Except Pediatric's median salary of $392,300, the state income tax amounts to $19,615 per year, which is an effective state rate of 5.0%.
After all taxes, a Orthopedic Surgeons, Except Pediatric in Massachusetts takes home approximately $21,020 per month, or about $121.27 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 $392,300 for Orthopedic Surgeons, Except Pediatric 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 — $252,243/yr — does not include local taxes, pre-tax deductions (401k, HSA), or tax credits.
Some links are affiliate links. See our disclosure.
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