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Gastroenterologist Salary in Sacramento, CA — 2026

Gastroenterologist 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 Gastroenterologist salary in Sacramento, CA is $448,400 per year ($37,367/month, $216/hr). This reflects the local cost of living index of 118, which is 18% above the national average.

Entry Level
$330K
$159/hr
Median
$448K
$216/hr
Senior
$566K
$272/hr
Top Earner
$649K
$312/hr

Gastroenterologist Take-Home Pay in Sacramento

Tax Breakdown (Median Salary)

Gross Annual$448,400
Federal Tax-$120,074
State Tax (9.3%)-$41,701
FICA (SS + Medicare)-$17,941
Annual Take-Home$268,684
Monthly Take-Home$22,390

Living Cost Comparison

Median Rent$1,700/mo
Rent-to-Income Ratio4.5%
Median Home Price$450,000
Cost of Living Index118
City Median Salary$66,500
Gastroenterologist vs City Median+$381,900

Gastroenterologist Requirements

Education
M.D./D.O.
Experience
14+ years
Job Growth
4.0% (2024-2034)

Key Skills

EndoscopyColonoscopyHepatologyIBD ManagementGI Pathology

Gastroenterologist salary search terms in Sacramento

People comparing Gastroenterologist pay in Sacramento, CA may use related job-title wording. Salario keeps the main estimate tied to the Gastroenterologist role, then treats the terms below as comparison phrases that should be checked for licensing, employer type, seniority, and role scope.

GI doctorgastroenterology physiciandigestive disease specialisthepatology comparison
Comparison pointHow to use it
Primary local answer$448,400 median salary, $330,400-$566,400 modeled range, and $268,684 estimated take-home pay in Sacramento.
Title variantsGI doctor, gastroenterology physician, digestive disease specialist, hepatology comparison can point to similar searches, but some variants may represent a narrower specialty or a higher/lower seniority band.
Offer comparisonCompare base salary, hourly equivalent, take-home pay, certifications, local cost of living, and whether the job is employee, contractor, public-sector, commission-heavy, or management-level.

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.

Salary Percentile Breakdown — Gastroenterologist in Sacramento

Based on the cost-of-living-adjusted distribution for Gastroenterologist in Sacramento, CA, here's how earnings break down across the workforce:

PercentileAnnual SalaryHourly EquivalentCareer Stage
10th (lowest)$330,400$159/hrEntry-level, < 1 yr exp.
25th$389,400$187/hrJunior, 1-3 yrs exp.
50th (median)$448,400$216/hrMid-career, 14+ years
75th$566,400$272/hrSenior, 5-10 yrs exp.
90th (top)$649,000$312/hrLead/Principal, 10+ yrs

Percentiles estimated using a log-normal salary distribution model calibrated to Gastroenterologist 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

Gastroenterologist salaries in Sacramento have grown approximately 4.0% over the past 5 years, outpacing local CPI inflation in many cases. Here's the historical and projected trajectory:

5 Years Ago
$431,154
Adjusted for Sacramento COL
Today (2026)
$448,400
+4.0% vs 5y ago
Projected 2031
$466,336
If growth continues

Year-over-year, an average Gastroenterologist can expect a 3.0% annual increase moving from entry to senior level over 18 years in Sacramento. Negotiation, certifications (Board Certification in Gastroenterology), and changing employers strategically can accelerate this trajectory.

Sacramento vs National Average

The national median Gastroenterologist salary is $380,000. In Sacramento, the cost-of-living-adjusted median of $448,400 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 Gastroenterologists, this means: rent typically consumes 7.6% of take-home pay (households spending >30% are considered affordable), and a median home in Sacramento costs about 1.7× 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. Gastroenterologists 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 Gastroenterologist occupations specifically are projected to grow 4.0% nationally through 2034 (BLS Occupational Outlook Handbook).

Methodology & Data Sources

How we calculate Gastroenterologist salaries in Sacramento, CA:

  1. 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.
  2. 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.
  3. 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.
  4. 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%).
  5. 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:

Last reviewed: 2026. Salary data updated annually as new BLS releases become available. Gastroenterologist salaries can vary significantly based on employer, sector (Government vs others in Sacramento), specific skill set (Endoscopy, Colonoscopy, Hepatology), and individual negotiation. Always verify current compensation through multiple sources before making career decisions.

Frequently Asked Questions

What is the average Gastroenterologist salary in Sacramento, CA?
The median Gastroenterologist salary in Sacramento, CA is $448,400 per year as of 2026. This is adjusted for the local cost of living index of 118. Entry-level Gastroenterologists earn around $330,400, while senior-level professionals can earn $566,400 or more.
How much does a Gastroenterologist take home in Sacramento after taxes?
A Gastroenterologist earning the median salary of $448,400 in Sacramento, CA takes home approximately $268,684 per year ($22,390/month) after federal, state, and local taxes. The effective tax rate is 40.1%.
Is Sacramento a good city for Gastroenterologists?
Sacramento, CA has a cost of living index of 118 (above national average). Gastroenterologists 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 Gastroenterologist in Sacramento?
Key skills for Gastroenterologists include Endoscopy, Colonoscopy, Hepatology, IBD Management, GI Pathology. Typical education requirement is M.D./D.O.. Valuable certifications include Board Certification in Gastroenterology.
How does Gastroenterologist salary in Sacramento compare to the national average?
The national median Gastroenterologist salary is $380,000. In Sacramento, the adjusted salary is $448,400, which is 18.0% higher than the national average, reflecting the local cost of living.
What job titles are similar to Gastroenterologist in Sacramento?
Related search terms for Gastroenterologist in Sacramento, CA include GI doctor, gastroenterology physician, digestive disease specialist, hepatology comparison. Use them as comparison terms, not always exact matches: licensing, employer type, seniority, public-sector rules, and whether the role is W-2, contractor, clinical, technical, management, or sales-focused can change the salary range.

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Frequently Asked Questions

What is the average Gastroenterologist salary in Sacramento, CA?

The median Gastroenterologist salary in Sacramento, CA is $448,400 per year as of 2026. This is adjusted for the local cost of living index of 118. Entry-level Gastroenterologists earn around $330,400, while senior-level professionals can earn $566,400 or more.

How much does a Gastroenterologist take home in Sacramento after taxes?

A Gastroenterologist earning the median salary of $448,400 in Sacramento, CA takes home approximately $268,684 per year ($22,390/month) after federal, state, and local taxes. The effective tax rate is 40.1%.

Is Sacramento a good city for Gastroenterologists?

Sacramento, CA has a cost of living index of 118 (above national average). Gastroenterologists 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 Gastroenterologist in Sacramento?

Key skills for Gastroenterologists include Endoscopy, Colonoscopy, Hepatology, IBD Management, GI Pathology. Typical education requirement is M.D./D.O.. Valuable certifications include Board Certification in Gastroenterology.

How does Gastroenterologist salary in Sacramento compare to the national average?

The national median Gastroenterologist salary is $380,000. In Sacramento, the adjusted salary is $448,400, which is 18.0% higher than the national average, reflecting the local cost of living.

What job titles are similar to Gastroenterologist in Sacramento?

Related search terms for Gastroenterologist in Sacramento, CA include GI doctor, gastroenterology physician, digestive disease specialist, hepatology comparison. Use them as comparison terms, not always exact matches: licensing, employer type, seniority, public-sector rules, and whether the role is W-2, contractor, clinical, technical, management, or sales-focused can change the salary range.