Anesthesiologist Salary in Sacramento, CA — 2026
Anesthesiologist salary data for Sacramento, CA — adjusted for local cost of living. Entry-level to senior pay ranges, take-home pay calculator, and local job market insights.
The median Anesthesiologist salary in Sacramento, CA is $356,360 per year ($29,697/month, $171/hr). This reflects the local cost of living index of 118, which is 18% above the national average.
Anesthesiologist Take-Home Pay in Sacramento
Tax Breakdown (Median Salary)
| Gross Annual | $356,360 |
| Federal Tax | -$87,860 |
| State Tax (9.3%) | -$33,141 |
| FICA (SS + Medicare) | -$16,606 |
| Annual Take-Home | $218,752 |
| Monthly Take-Home | $18,229 |
Living Cost Comparison
Anesthesiologist Requirements
Key Skills
Sacramento Job Market Overview
Sacramento, California has a population of 524,943 and an unemployment rate of 3.8%. The top industries are Government, Healthcare, Technology. The local job growth rate is 2.0%, and the average commute time is 27 minutes.
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Anesthesiologist Salary in Nearby California Cities
Salary Percentile Breakdown — Anesthesiologist in Sacramento
Based on the cost-of-living-adjusted distribution for Anesthesiologist in Sacramento, CA, here's how earnings break down across the workforce:
| Percentile | Annual Salary | Hourly Equivalent | Career Stage |
|---|---|---|---|
| 10th (lowest) | $295,000 | $142/hr | Entry-level, < 1 yr exp. |
| 25th | $325,680 | $157/hr | Junior, 1-3 yrs exp. |
| 50th (median) | $356,360 | $171/hr | Mid-career, 11+ years |
| 75th | $472,000 | $227/hr | Senior, 5-10 yrs exp. |
| 90th (top) | $531,000 | $255/hr | Lead/Principal, 10+ yrs |
Percentiles estimated using a log-normal salary distribution model calibrated to Anesthesiologist compensation data. Top earners (P90) typically include managers, specialists with rare skills, or those at high-paying employers in Sacramento's Government sector.
5-Year Salary Trajectory
Anesthesiologist salaries in Sacramento have grown approximately 5.0% over the past 5 years, outpacing local CPI inflation in many cases. Here's the historical and projected trajectory:
Year-over-year, an average Anesthesiologist can expect a 3.2% annual increase moving from entry to senior level over 15 years in Sacramento. Negotiation, certifications (Board Certification in Anesthesiology), and changing employers strategically can accelerate this trajectory.
Sacramento vs National Average
The national median Anesthesiologist salary is $302,000. In Sacramento, the cost-of-living-adjusted median of $356,360 is 18.0% above the national figure. This reflects Sacramento's cost of living index of 118 (higher than the national average of 100).
For Anesthesiologists, this means: rent typically consumes 9.3% of take-home pay (households spending >30% are considered affordable), and a median home in Sacramento costs about 2.1× annual take-home. Homeownership is relatively attainable on this salary in Sacramento.
Industry Context: Government in Sacramento
Sacramento's economy is anchored by Government, Healthcare, Technology, with 524,943 residents and 3.8% unemployment as of 2026. Anesthesiologists working in the Government sector typically earn at or above the local median due to industry-specific demand. The state's overall job growth rate is 2.0%, and Anesthesiologist occupations specifically are projected to grow 2.0% nationally through 2034 (BLS Occupational Outlook Handbook).
Methodology & Data Sources
How we calculate Anesthesiologist salaries in Sacramento, CA:
- Base salary model starts with Salario occupation data and public wage references, including BLS OEWS and O*NET when a direct or related occupational crosswalk is available. For niche titles, we do not treat a broader SOC family as an exact job-title wage.
- Cost-of-living adjustment applied using the Sacramento index of 118 relative to the national baseline of 100, with local rent, home price, unemployment, and tax inputs checked separately.
- Percentile distribution (P10-P90) estimated from the entry, median, senior, and top compensation tiers in the Salario salary model rather than claimed as exact employer payroll data.
- Take-home pay calculated using 2026 federal tax brackets (10%-37%), CA state income tax of 9.3%, and FICA (Social Security 6.2% + Medicare 1.45%).
- Tax brackets and standard deduction ($16,100 single filer for tax year 2026) sourced from IRS Revenue Procedure 2025-32 and updated annually.
Authoritative data sources:
- BLS Occupational Employment and Wage Statistics — national and metro-area salary data
- O*NET OnLine — occupation tasks, alternate job titles, skills, and SOC crosswalks
- BLS Occupational Outlook Handbook — occupation outlook where a matching profile is available
- BLS Consumer Price Index (CPI-U) — regional inflation and cost-of-living data
- U.S. Census Bureau — Sacramento QuickFacts — population and demographic data
- IRS Revenue Procedure 2025-32 summary — 2026 federal tax brackets and standard deductions
- BLS Local Area Unemployment Statistics — Sacramento unemployment rate
Last reviewed: 2026. Salary data updated annually as new BLS releases become available. Anesthesiologist salaries can vary significantly based on employer, sector (Government vs others in Sacramento), specific skill set (Patient Assessment, Pain Management, Pharmacology), and individual negotiation. Always verify current compensation through multiple sources before making career decisions.
Frequently Asked Questions
What is the average Anesthesiologist salary in Sacramento, CA?
How much does a Anesthesiologist take home in Sacramento after taxes?
Is Sacramento a good city for Anesthesiologists?
What skills are needed for a Anesthesiologist in Sacramento?
How does Anesthesiologist salary in Sacramento compare to the national average?
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Frequently Asked Questions
What is the average Anesthesiologist salary in Sacramento, CA?
The median Anesthesiologist salary in Sacramento, CA is $356,360 per year as of 2026. This is adjusted for the local cost of living index of 118. Entry-level Anesthesiologists earn around $295,000, while senior-level professionals can earn $472,000 or more.
How much does a Anesthesiologist take home in Sacramento after taxes?
A Anesthesiologist earning the median salary of $356,360 in Sacramento, CA takes home approximately $218,752 per year ($18,229/month) after federal, state, and local taxes. The effective tax rate is 38.6%.
Is Sacramento a good city for Anesthesiologists?
Sacramento, CA has a cost of living index of 118 (above national average). Anesthesiologists here earn above the city median. The local unemployment rate is 3.8% and top industries include Government, Healthcare, Technology.
What skills are needed for a Anesthesiologist in Sacramento?
Key skills for Anesthesiologists include Patient Assessment, Pain Management, Pharmacology, Critical Care, Airway Management. Typical education requirement is Doctorate. Valuable certifications include Board Certification in Anesthesiology.
How does Anesthesiologist salary in Sacramento compare to the national average?
The national median Anesthesiologist salary is $302,000. In Sacramento, the adjusted salary is $356,360, which is 18.0% higher than the national average, reflecting the local cost of living.