Physician Salary: Houston, TX vs San Francisco, CA
BLS reports this occupation as "Physicians, All Other" (29-1229); every figure on this page is for that BLS occupation.
Side-by-side comparison of wages and local price levels for Physicians in Houston, TX and San Francisco, CA, based on BLS OEWS May 2025 wage data and BEA regional price parities for 2024.
1Which City Pays More?
Detailed Comparison
| Metric | Houston, TX | San Francisco, CA | Diff |
|---|---|---|---|
| Median Annual Salary | $292,490 | $294,360▲ | -$1,870 |
| 25th Percentile | $120,200▲ | $101,770 | +$18,430 |
| 75th Percentile | $403,900▲ | $347,750 | +$56,150 |
| 90th Percentile | $457,450▲ | $425,070 | +$32,380 |
| Price Level (BEA 2024, US = 100) | 98.6 | 115.6 | -17.0 |
| Median at National-Average Prices | $296,556▲ | $254,608 | +$41,948 |
| Total Employment | 7,010 | 3,530 | +3,480 |
3Summary Analysis
On paper, San Francisco, CA pays $1,870 more (median: $292,490 vs $294,360). BEA's regional price parity is 98.6 in Houston, TX and 115.6 in San Francisco, CA (United States = 100). At national-average prices the medians are $296,556 and $254,608, so Houston, TX comes out ahead once local prices are counted.
4More Physician City Comparisons
5Reading This Comparison
The $1,870 gap between the two medians is a gap in dollars, not in what those dollars buy. Dividing each median by its area's regional price parity restates it at national-average prices: $296,556 for Houston and $254,608 for San Francisco, a difference of $41,948.
The price levels come from the U.S. Bureau of Economic Analysis, which describes them this way: “Regional price parities (RPPs) measure the differences in price levels across states and metropolitan areas for a given year and are expressed as a percentage of the overall national price level.” The figures used here are the all-items index for each whole metropolitan area (Houston-Pasadena-The Woodlands, TX; San Francisco-Oakland-Fremont, CA) and cover prices only, not taxes.
BLS estimates 7,010 Physician jobs in the Houston area and 3,530 in the San Francisco area. For broader context, see our Texas overview and the full Physician city ranking.
Frequently Asked Questions
Is Physician salary higher in Houston, TX or San Francisco, CA?
San Francisco, CA has the higher median wage for Physicians ($294,360 per year, against $292,490 in Houston, TX; BLS OEWS May 2025). Restated at national-average prices using BEA regional price parities, the medians are $296,556 in Houston, TX and $254,608 in San Francisco, CA.
How do prices compare between Houston, TX and San Francisco, CA?
The U.S. Bureau of Economic Analysis puts the 2024 regional price parity at 98.6 for the Houston-Pasadena-The Woodlands, TX metropolitan area and 115.6 for the San Francisco-Oakland-Fremont, CA metropolitan area, where the United States is 100. That is 1.4% below the national level for Houston, TX and 15.6% above the national level for San Francisco, CA.
Which city pays Physicians more once local prices are counted?
Houston, TX: at national-average prices its median Physician wage is $296,556, against $254,608 for San Francisco, CA. The adjustment divides each median by the area's BEA regional price parity and covers prices only, not taxes.