Physician · Salary Comparison · 2026
Physician Salary: Los Angeles, CA vs San Francisco, CA
Side-by-side comparison of salary, taxes, cost of living, and take-home pay for Physicians in Los Angeles, CA and San Francisco, CA, based on BLS OEWS 2026 data.
1Which City Pays More After Tax?
Higher Gross Salary
✓ San Francisco, CA
$255,000 vs $260,000
Better Purchasing Power
✓ Los Angeles, CA
$147,399 vs $139,785
Best Take-Home (COL-Adj)
✓ Los Angeles, CA
$123,530 vs $117,149
2
Detailed Comparison
| Metric | Los Angeles, CA | San Francisco, CA | Diff |
|---|---|---|---|
| Median Annual Salary | $255,000 | $260,000▲ | -$5,000 |
| 25th Percentile | $191,000 | $195,000▲ | -$4,000 |
| 75th Percentile | $334,000 | $340,000▲ | -$6,000 |
| 90th Percentile | $415,000 | $420,000▲ | -$5,000 |
| Cost of Living Index | 173 | 186 | -13 |
| State Income Tax | 9.3%▲ | 9.3% | — |
| COL-Adjusted Median | $147,399▲ | $139,785 | +$7,614 |
| Est. Annual Take-Home | $213,707 | $217,898▲ | -$4,191 |
| COL-Adj. Take-Home | $123,530▲ | $117,149 | +$6,381 |
| Total Employment | 20,000 | 8,000 | +12,000 |
▲ = Higher value wins for this metric. Diff = Los Angeles, CA minus San Francisco, CA.
3Summary Analysis
On paper, San Francisco, CA pays $5,000 more (median: $255,000 vs $260,000). However, after adjusting for cost of living (index 173 vs 186), Los Angeles, CA provides better purchasing power ($147,399 vs $139,785 equivalent). San Francisco, CA has the lower state tax rate (9.3% vs 9.3%).
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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.