Anesthesiologist Salary in Winston-Salem, NC — 2026
Anesthesiologist salary data for Winston-Salem, NC — adjusted for local cost of living. Entry-level to senior pay ranges, take-home pay calculator, and local job market insights.
The estimated median Anesthesiologist salary in Winston-Salem, NC is $336,681 per year ($28,057/month, $162/hr). This modeled estimate scales Salario's national benchmark (calibrated to the BLS OEWS May 2025 national median) by the local cost of living index of 86, which is 14% below the national average.
All four figures are Salario estimates (national benchmark scaled by Winston-Salem's cost-of-living index); BLS does not publish a metro median for this title here.
Anesthesiologist Take-Home Pay in Winston-Salem
Tax Breakdown (Median Salary)
| Gross Annual | $336,681 |
| Federal Tax | -$80,973 |
| State Tax (3.8% eff.) | -$12,925 |
| FICA (SS + Medicare) | -$16,321 |
| Annual Take-Home | $226,463 |
| Monthly Take-Home | $18,872 |
Living Cost Comparison
Anesthesiologist Requirements
Key Skills
Winston-Salem Job Market Overview
Winston-Salem, North Carolina has a population of 249,545 and an unemployment rate of 3.5%. The top industries are Healthcare, Finance, Manufacturing. The local job growth rate is 1.5%, and the average commute time is 22minutes. These local figures come from Salario's city dataset; verify current values with BLS Local Area Unemployment Statistics and Census QuickFacts.
Anesthesiologist Salary in Nearby North Carolina Cities
Salary Percentile Breakdown — Anesthesiologist in Winston-Salem
Based on Salario's cost-of-living-adjusted salary tiers for Anesthesiologist in Winston-Salem, NC, here is an estimated percentile breakdown:
| Percentile | Annual Salary | Hourly Equivalent | Career Stage |
|---|---|---|---|
| 10th (lowest) | $278,726 | $134/hr | Entry-level, < 1 yr exp. |
| 25th | $307,704 | $148/hr | Junior, 1-3 yrs exp. |
| 50th (median) | $336,681 | $162/hr | Mid-career, 11+ years |
| 75th | $445,910 | $214/hr | Senior, 5-10 yrs exp. |
| 90th (top) | $501,638 | $241/hr | Lead/Principal, 10+ yrs |
Percentiles are approximations, not measured local percentiles: P10, P50, P75, and P90 map to Salario's entry, median, senior, and top salary tiers scaled by the local cost-of-living index, and P25 is interpolated halfway between entry and median. Top earners (P90) typically include managers, specialists with rare skills, or those at high-paying employers in Winston-Salem's Healthcare sector.
5-Year Salary Trajectory
Salario's national dataset models approximately 5.0% salary growth for Anesthesiologists over the past 5 years. That national assumption is applied to the Winston-Salem estimate below; it is not a measured local trend, and it should be compared with cumulative CPI inflation before treating it as a real-terms gain:
Year-over-year, an average Anesthesiologist can expect a 3.2% annual increase moving from entry to senior level over 15 years in Winston-Salem. Negotiation, certifications (Board Certification in Anesthesiology), and changing employers strategically can accelerate this trajectory.
Winston-Salem vs National Average
The national median Anesthesiologist salary is $391,490 (BLS OEWS May 2025, Anesthesiologists). In Winston-Salem, the cost-of-living-adjusted median of $336,681 is 14.0% below the national figure. This reflects Winston-Salem's cost of living index of 86 (lower than the national average of 100).
For Anesthesiologists, this means: rent typically consumes 5.0% of take-home pay (households spending >30% are considered affordable), and a median home in Winston-Salem costs about 0.9× annual take-home. Homeownership is relatively attainable on this salary in Winston-Salem.
Industry Context: Healthcare in Winston-Salem
Winston-Salem's economy is anchored by Healthcare, Finance, Manufacturing, with 249,545 residents and an unemployment rate of 3.5% in Salario's city dataset. Pay for Anesthesiologists can differ by sector, so compare Healthcare employers with other local employers. The local job growth rate in Salario's city dataset is 1.5%, and Salario's job dataset lists a 2.0% growth outlook for Anesthesiologist roles; check the BLS Occupational Outlook Handbook for the official 2024-2034 projection for the closest matching occupation.
Methodology & Data Sources
How we calculate Anesthesiologist salaries in Winston-Salem, NC:
- 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 (the national median is calibrated to the BLS OEWS May 2025 median for Anesthesiologists). For niche titles, we do not treat a broader SOC family as an exact job-title wage.
- Cost-of-living adjustment applied using the Winston-Salem index of 86 relative to the national baseline of 100, with local rent, home price, unemployment, and tax inputs stored separately in Salario's city dataset.
- 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%), NC 2026 state income tax brackets after the standard deduction (top rate 4.0%), 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 data (CPI measures price changes, not city-to-city price levels)
- U.S. Census Bureau — Winston-Salem QuickFacts — population and demographic data
- IRS Revenue Procedure 2025-32 summary — 2026 federal tax brackets and standard deductions
- BLS Local Area Unemployment Statistics — official local unemployment rates to verify the Winston-Salem figure above
Last reviewed: 2026. Salario's salary dataset is refreshed periodically, not automatically; check the linked BLS releases for the latest official data. Anesthesiologist salaries can vary significantly based on employer, sector (Healthcare vs others in Winston-Salem), 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 Winston-Salem, NC?
How much does a Anesthesiologist take home in Winston-Salem after taxes?
Is Winston-Salem a good city for Anesthesiologists?
What skills are needed for a Anesthesiologist in Winston-Salem?
How does Anesthesiologist salary in Winston-Salem compare to the national average?
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Frequently Asked Questions
What is the average Anesthesiologist salary in Winston-Salem, NC?
Salario estimates the median Anesthesiologist salary in Winston-Salem, NC at $336,681 per year for 2026. This is a modeled figure: Salario's national Anesthesiologist benchmark scaled by the local cost of living index of 86, not a measured local wage survey. The modeled entry-level estimate is around $278,726, and the senior estimate is $445,910 or more.
How much does a Anesthesiologist take home in Winston-Salem after taxes?
A Anesthesiologist earning the median salary of $336,681 in Winston-Salem, NC takes home approximately $226,463 per year ($18,872/month) after federal, state, and local taxes. The effective tax rate is 32.7%.
Is Winston-Salem a good city for Anesthesiologists?
Winston-Salem, NC has a cost of living index of 86 (below national average). Anesthesiologists here earn above the city median. The local unemployment rate is 3.5% and top industries include Healthcare, Finance, Manufacturing.
What skills are needed for a Anesthesiologist in Winston-Salem?
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 Winston-Salem compare to the national average?
Salario's national median benchmark for Anesthesiologist is $391,490 (calibrated to the BLS OEWS May 2025 national median). In Winston-Salem, the cost-of-living-adjusted estimate is $336,681, which is 14.0% lower than the national average, reflecting the local cost of living.