SalariesByCity
Medical Assistant · Salary Comparison · 2026

Medical Assistant Salary: Pittsburgh, PA vs San Francisco, CA

Side-by-side comparison of salary, taxes, cost of living, and take-home pay for Medical Assistants in Pittsburgh, PA and San Francisco, CA, based on BLS OEWS 2026 data.

1Which City Pays More After Tax?

Higher Gross Salary
San Francisco, CA
$33,000 vs $53,000
Better Purchasing Power
Pittsburgh, PA
$36,667 vs $28,495
Best Take-Home (COL-Adj)
Pittsburgh, PA
$32,840 vs $23,881
2

Detailed Comparison

MetricPittsburgh, PASan Francisco, CADiff
Median Annual Salary$33,000$53,000-$20,000
25th Percentile$25,410$40,810-$15,400
75th Percentile$42,240$67,840-$25,600
90th Percentile$52,800$84,800-$32,000
Cost of Living Index90186-96
State Income Tax3.07%9.3%-6.23%
COL-Adjusted Median$36,667$28,495+$8,172
Est. Annual Take-Home$29,556$44,418-$14,862
COL-Adj. Take-Home$32,840$23,881+$8,959
Total Employment35,000130,000-95,000
▲ = Higher value wins for this metric. Diff = Pittsburgh, PA minus San Francisco, CA.

3Summary Analysis

On paper, San Francisco, CA pays $20,000 more (median: $33,000 vs $53,000). However, after adjusting for cost of living (index 90 vs 186), Pittsburgh, PA provides better purchasing power ($36,667 vs $28,495 equivalent). Pittsburgh, PA has the lower state tax rate (3.07% vs 9.3%).

Data: U.S. Bureau of Labor Statistics OEWS · 2026 · Cost-of-living indices from composite metro area data. Take-home estimates approximate only — consult a tax professional for accurate figures.