SalariesByCity
Medical Assistant · Salary Comparison · 2026

Medical Assistant Salary: Portland, OR vs San Francisco, CA

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

1Which City Pays More After Tax?

Higher Gross Salary
San Francisco, CA
$42,000 vs $53,000
Better Purchasing Power
Portland, OR
$32,308 vs $28,495
Best Take-Home (COL-Adj)
Portland, OR
$27,240 vs $23,881
2

Detailed Comparison

MetricPortland, ORSan Francisco, CADiff
Median Annual Salary$42,000$53,000-$11,000
25th Percentile$32,340$40,810-$8,470
75th Percentile$53,760$67,840-$14,080
90th Percentile$67,200$84,800-$17,600
Cost of Living Index130186-56
State Income Tax8.75%9.3%-0.5500000000000007%
COL-Adjusted Median$32,308$28,495+$3,813
Est. Annual Take-Home$35,412$44,418-$9,006
COL-Adj. Take-Home$27,240$23,881+$3,359
Total Employment50,000130,000-80,000
▲ = Higher value wins for this metric. Diff = Portland, OR minus San Francisco, CA.

3Summary Analysis

On paper, San Francisco, CA pays $11,000 more (median: $42,000 vs $53,000). However, after adjusting for cost of living (index 130 vs 186), Portland, OR provides better purchasing power ($32,308 vs $28,495 equivalent). Portland, OR has the lower state tax rate (8.75% 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.