SSalario

Neonatologist Salary in Charleston, SC — 2026

Neonatologist salary data for Charleston, SC — adjusted for local cost of living. Entry-level to senior pay ranges, take-home pay calculator, and local job market insights.

The estimated median Neonatologist salary in Charleston, SC is $279,227 per year ($23,269/month, $134/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 105, which is 5% above the national average.

Entry Level
$212K
$102/hr
Median
$279K
$134/hr
Senior
$356K
$171/hr
Top Earner
$424K
$204/hr

All four figures are Salario estimates (national benchmark scaled by Charleston's cost-of-living index); BLS does not publish a metro median for this title here.

Neonatologist Take-Home Pay in Charleston

Tax Breakdown (Median Salary)

Gross Annual$279,227
Federal Tax-$60,864
State Tax (4.7% eff.)-$13,147
FICA (SS + Medicare)-$15,488
Annual Take-Home$189,729
Monthly Take-Home$15,811

Living Cost Comparison

Median Rent$1,500/mo
Rent-to-Income Ratio6.4%
Median Home Price$380,000
Cost of Living Index105
City Median Salary (BLS metro, all jobs)$49,150
Neonatologist vs City Median+$230,077

Neonatologist Requirements

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

Key Skills

NICU CareVentilator ManagementNeonatal ResuscitationPremature Infant CareDevelopmental Assessment

Charleston Job Market Overview

Charleston, South Carolina has a population of 150,227 and an unemployment rate of 3.0%. The top industries are Tourism, Technology, Aerospace. The local job growth rate is 2.8%, and the average commute time is 25minutes. These local figures come from Salario's city dataset; verify current values with BLS Local Area Unemployment Statistics and Census QuickFacts.

Salary Percentile Breakdown — Neonatologist in Charleston

Based on Salario's cost-of-living-adjusted salary tiers for Neonatologist in Charleston, SC, here is an estimated percentile breakdown:

PercentileAnnual SalaryHourly EquivalentCareer Stage
10th (lowest)$211,785$102/hrEntry-level, < 1 yr exp.
25th$245,506$118/hrJunior, 1-3 yrs exp.
50th (median)$279,227$134/hrMid-career, 13+ years
75th$356,265$171/hrSenior, 5-10 yrs exp.
90th (top)$423,675$204/hrLead/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 Charleston's Tourism sector.

5-Year Salary Trajectory

Salario's national dataset models approximately 5.0% salary growth for Neonatologists over the past 5 years. That national assumption is applied to the Charleston 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:

5 Years Ago
$265,930
Adjusted for Charleston COL
Today (2026)
$279,227
+5.0% vs 5y ago
Projected 2031
$293,188
If growth continues

Year-over-year, an average Neonatologist can expect a 3.1% annual increase moving from entry to senior level over 17 years in Charleston. Negotiation, certifications (Board Certification in Neonatal Medicine), and changing employers strategically can accelerate this trajectory.

Charleston vs National Average

The national median Neonatologist salary is $265,930 (BLS OEWS May 2025, Physicians, All Other). In Charleston, the cost-of-living-adjusted median of $279,227 is 5.0% above the national figure. This reflects Charleston's cost of living index of 105 (higher than the national average of 100).

For Neonatologists, this means: rent typically consumes 9.5% of take-home pay (households spending >30% are considered affordable), and a median home in Charleston costs about 2.0× annual take-home. Homeownership is relatively attainable on this salary in Charleston.

Industry Context: Tourism in Charleston

Charleston's economy is anchored by Tourism, Technology, Aerospace, with 150,227 residents and an unemployment rate of 3.0% in Salario's city dataset. Pay for Neonatologists can differ by sector, so compare Tourism employers with other local employers. The local job growth rate in Salario's city dataset is 2.8%, and Salario's job dataset lists a 4.0% growth outlook for Neonatologist roles; check the BLS Occupational Outlook Handbook for the official 2024-2034 projection for the closest matching occupation.

Methodology & Data Sources

How we calculate Neonatologist salaries in Charleston, SC:

  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 (the national median is calibrated to the BLS OEWS May 2025 median for Physicians, All Other). 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 Charleston index of 105 relative to the national baseline of 100, with local rent, home price, unemployment, and tax inputs stored separately in Salario's city dataset.
  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%), SC 2026 state income tax brackets after the standard deduction (top rate 5.2%), 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. Salario's salary dataset is refreshed periodically, not automatically; check the linked BLS releases for the latest official data. Neonatologist salaries can vary significantly based on employer, sector (Tourism vs others in Charleston), specific skill set (NICU Care, Ventilator Management, Neonatal Resuscitation), and individual negotiation. Always verify current compensation through multiple sources before making career decisions.

Frequently Asked Questions

What is the average Neonatologist salary in Charleston, SC?
Salario estimates the median Neonatologist salary in Charleston, SC at $279,227 per year for 2026. This is a modeled figure: Salario's national Neonatologist benchmark scaled by the local cost of living index of 105, not a measured local wage survey. The modeled entry-level estimate is around $211,785, and the senior estimate is $356,265 or more.
How much does a Neonatologist take home in Charleston after taxes?
A Neonatologist earning the median salary of $279,227 in Charleston, SC takes home approximately $189,729 per year ($15,811/month) after federal, state, and local taxes. The effective tax rate is 32.1%.
Is Charleston a good city for Neonatologists?
Charleston, SC has a cost of living index of 105 (above national average). Neonatologists here earn above the city median. The local unemployment rate is 3.0% and top industries include Tourism, Technology, Aerospace.
What skills are needed for a Neonatologist in Charleston?
Key skills for Neonatologists include NICU Care, Ventilator Management, Neonatal Resuscitation, Premature Infant Care, Developmental Assessment. Typical education requirement is M.D./D.O.. Valuable certifications include Board Certification in Neonatal Medicine.
How does Neonatologist salary in Charleston compare to the national average?
Salario's national median benchmark for Neonatologist is $265,930 (calibrated to the BLS OEWS May 2025 national median). In Charleston, the cost-of-living-adjusted estimate is $279,227, which is 5.0% higher than the national average, reflecting the local cost of living.

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Frequently Asked Questions

What is the average Neonatologist salary in Charleston, SC?

Salario estimates the median Neonatologist salary in Charleston, SC at $279,227 per year for 2026. This is a modeled figure: Salario's national Neonatologist benchmark scaled by the local cost of living index of 105, not a measured local wage survey. The modeled entry-level estimate is around $211,785, and the senior estimate is $356,265 or more.

How much does a Neonatologist take home in Charleston after taxes?

A Neonatologist earning the median salary of $279,227 in Charleston, SC takes home approximately $189,729 per year ($15,811/month) after federal, state, and local taxes. The effective tax rate is 32.1%.

Is Charleston a good city for Neonatologists?

Charleston, SC has a cost of living index of 105 (above national average). Neonatologists here earn above the city median. The local unemployment rate is 3.0% and top industries include Tourism, Technology, Aerospace.

What skills are needed for a Neonatologist in Charleston?

Key skills for Neonatologists include NICU Care, Ventilator Management, Neonatal Resuscitation, Premature Infant Care, Developmental Assessment. Typical education requirement is M.D./D.O.. Valuable certifications include Board Certification in Neonatal Medicine.

How does Neonatologist salary in Charleston compare to the national average?

Salario's national median benchmark for Neonatologist is $265,930 (calibrated to the BLS OEWS May 2025 national median). In Charleston, the cost-of-living-adjusted estimate is $279,227, which is 5.0% higher than the national average, reflecting the local cost of living.