Physician Salary: Washington, DC vs Boston, MA
Side-by-side comparison of salary, taxes, cost of living, and take-home pay for Physicians in Washington, DC and Boston, MA, based on BLS OEWS 2026 data.
1Which City Pays More After Tax?
Detailed Comparison
| Metric | Washington, DC | Boston, MA | Diff |
|---|---|---|---|
| Median Annual Salary | $242,000 | $252,000▲ | -$10,000 |
| 25th Percentile | $182,000 | $190,000▲ | -$8,000 |
| 75th Percentile | $317,000 | $330,000▲ | -$13,000 |
| 90th Percentile | $394,000 | $410,000▲ | -$16,000 |
| Cost of Living Index | 152 | 162 | -10 |
| State Income Tax | 6.5% | 5%▲ | +1.5% |
| COL-Adjusted Median | $159,211▲ | $155,556 | +$3,655 |
| Est. Annual Take-Home | $209,073 | $221,206▲ | -$12,133 |
| COL-Adj. Take-Home | $137,548▲ | $136,547 | +$1,001 |
| Total Employment | 10,000 | 14,000 | -4,000 |
3Summary Analysis
On paper, Boston, MA pays $10,000 more (median: $242,000 vs $252,000). However, after adjusting for cost of living (index 152 vs 162), Washington, DC provides better purchasing power ($159,211 vs $155,556 equivalent). Boston, MA has the lower state tax rate (5% vs 6.5%).
4More Physician City Comparisons
5How to Weigh This Comparison
The $10,000 nominal pay gap between Washington, DC and Boston, MA is the wrong number to focus on in isolation. Cost-of-living indices of 152 and 162 mean the same paycheck stretches very differently in each market. The COL-adjusted figures above — $159,211 in Washington vs $155,556 in Boston— are the closest proxy for "how much will your money actually buy." A small gap of $3,655 on that axis usually beats any nominal salary difference.
Housing is the single biggest driver of cost-of-living differences. In Boston, MA, expect housing to consume a larger share of gross income than in Washington, DC. If you're planning to rent, the COL index is a reasonable proxy for rent differences. If you're buying, expect purchase price differences to be sharper than the composite index suggests — housing tends to be the most inelastic component of cost of living.
Tax treatment matters but is usually smaller than COL impact. The 1.5% state tax rate difference (6.5% in District of Columbia vs 5% in Massachusetts) translates to roughly $3,780 per year at these salary levels. States with no income tax (Texas, Florida, Washington, Nevada, Tennessee) often offset with higher property tax or sales tax, so factor in your housing and consumption patterns.
Career factors that don't show up in these numbers: total employment (with 10,000 positions in Washington vs 14,000 in Boston, the larger market offers more lateral moves and promotion paths), industry concentration (tech-heavy cities like San Francisco, Seattle, Austin pay premiums for engineering roles but may underpay other occupations), and 3–5 year career trajectory (year-over-year employment growth of 1.8% in Washington vs 1.8% in Boston reveals whether each market is expanding or contracting). For a broader context, see our District of Columbia overview and the full Physician city ranking.