SalariesByCity
Physician · Salary Comparison · 2026

Physician Salary: Richmond, VA vs San Francisco, CA

Side-by-side comparison of salary, taxes, cost of living, and take-home pay for Physicians in Richmond, VA and San Francisco, CA, based on BLS OEWS 2026 data.

1Which City Pays More After Tax?

Higher Gross Salary
San Francisco, CA
$218,000 vs $260,000
Better Purchasing Power
Richmond, VA
$215,842 vs $139,785
Best Take-Home (COL-Adj)
Richmond, VA
$187,970 vs $117,149
2

Detailed Comparison

MetricRichmond, VASan Francisco, CADiff
Median Annual Salary$218,000$260,000-$42,000
25th Percentile$164,000$195,000-$31,000
75th Percentile$286,000$340,000-$54,000
90th Percentile$356,000$420,000-$64,000
Cost of Living Index101186-85
State Income Tax5.75%9.3%-3.5500000000000007%
COL-Adjusted Median$215,842$139,785+$76,057
Est. Annual Take-Home$189,850$217,898-$28,048
COL-Adj. Take-Home$187,970$117,149+$70,821
Total Employment6,0008,000-2,000
▲ = Higher value wins for this metric. Diff = Richmond, VA minus San Francisco, CA.

3Summary Analysis

On paper, San Francisco, CA pays $42,000 more (median: $218,000 vs $260,000). However, after adjusting for cost of living (index 101 vs 186), Richmond, VA provides better purchasing power ($215,842 vs $139,785 equivalent). Richmond, VA has the lower state tax rate (5.75% 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.