Medical Assistant · Salary Comparison · 2026
Medical Assistant Salary: San Francisco, CA vs Austin, TX
Side-by-side comparison of salary, taxes, cost of living, and take-home pay for Medical Assistants in San Francisco, CA and Austin, TX, based on BLS OEWS 2026 data.
1Which City Pays More After Tax?
Higher Gross Salary
✓ San Francisco, CA
$53,000 vs $42,000
Better Purchasing Power
✓ Austin, TX
$28,495 vs $33,871
Best Take-Home (COL-Adj)
✓ Austin, TX
$23,881 vs $31,297
2
Detailed Comparison
| Metric | San Francisco, CA | Austin, TX | Diff |
|---|---|---|---|
| Median Annual Salary | $53,000▲ | $42,000 | +$11,000 |
| 25th Percentile | $40,810▲ | $32,340 | +$8,470 |
| 75th Percentile | $67,840▲ | $53,760 | +$14,080 |
| 90th Percentile | $84,800▲ | $67,200 | +$17,600 |
| Cost of Living Index | 186 | 124 | +62 |
| State Income Tax | 9.3% | 0%▲ | +9.3% |
| COL-Adjusted Median | $28,495 | $33,871▲ | -$5,376 |
| Est. Annual Take-Home | $44,418▲ | $38,808 | +$5,610 |
| COL-Adj. Take-Home | $23,881 | $31,297▲ | -$7,416 |
| Total Employment | 130,000 | 95,000 | +35,000 |
▲ = Higher value wins for this metric. Diff = San Francisco, CA minus Austin, TX.
3Summary Analysis
On paper, San Francisco, CA pays $11,000 more (median: $53,000 vs $42,000). However, after adjusting for cost of living (index 186 vs 124), Austin, TX provides better purchasing power ($28,495 vs $33,871 equivalent). Austin, TX has no state income tax, which is a significant advantage.
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.