Physician Salary in San Francisco, CA: 2026
Physician salary data for San Francisco, CA, adjusted for local cost of living. Entry-level to senior pay ranges, take-home pay calculator, and local job market insights.
The estimated median Physician salary in San Francisco, CA is $478,674 per year ($39,890/month, $230/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 180, which is 80% above the national average.
All four figures are Salario estimates (national benchmark scaled by San Francisco's cost-of-living index); BLS does not publish a metro median for this title here.
Physician Take-Home Pay in San Francisco
Tax Breakdown (Median Salary)
| Gross Annual | $478,674 |
| Federal Tax | -$130,670 |
| State Tax (8.7% eff.) | -$41,712 |
| FICA (SS + Medicare) | -$18,380 |
| Annual Take-Home | $287,913 |
| Monthly Take-Home | $23,993 |
Living Cost Comparison
Physician Requirements
Key Skills
San Francisco Job Market Overview
San Francisco, California has a population of 873,965 and an unemployment rate of 3.2%. The top industries are Technology, Finance, Healthcare. The local job growth rate is 2.5%, and the average commute time is 34minutes. These local figures come from Salario's city dataset; verify current values with BLS Local Area Unemployment Statistics and Census QuickFacts.
Related Healthcare Salaries in San Francisco
Physician Salary in Nearby California Cities
Salary Percentile Breakdown: Physician in San Francisco
Based on Salario's cost-of-living-adjusted salary tiers for Physician in San Francisco, CA, here is an estimated percentile breakdown:
| Percentile | Annual Salary | Hourly Equivalent | Career Stage |
|---|---|---|---|
| 10th (lowest) | $390,960 | $188/hr | Entry-level, < 1 yr exp. |
| 25th | $434,817 | $209/hr | Junior, 1-3 yrs exp. |
| 50th (median) | $478,674 | $230/hr | Mid-career, 3-7 years residency |
| 75th | $678,600 | $326/hr | Senior, 5-10 yrs exp. |
| 90th (top) | $880,920 | $424/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 San Francisco's Technology sector.
5-Year Salary Trajectory
Salario's national dataset models approximately 10.0% salary growth for Physicians over the past 5 years. That national assumption is applied to the San Francisco 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 Physician can expect a 8.2% annual increase moving from entry to senior level over 7 years in San Francisco. Negotiation, certifications (USMLE, Board Certification), and changing employers strategically can accelerate this trajectory.
San Francisco vs National Average
The national median Physician salary is $265,930 (BLS OEWS May 2025, Physicians, All Other). In San Francisco, the cost-of-living-adjusted median of $478,674 is 80.0% above the national figure. This reflects San Francisco's cost of living index of 180 (higher than the national average of 100).
For Physicians, this means: rent typically consumes 14.2% of take-home pay (households spending >30% are considered affordable), and a median home in San Francisco costs about 4.3× annual take-home. Homeownership is relatively attainable on this salary in San Francisco.
Industry Context: Technology in San Francisco
San Francisco's economy is anchored by Technology, Finance, Healthcare, with 873,965 residents and an unemployment rate of 3.2% in Salario's city dataset. Pay for Physicians can differ by sector, so compare Technology employers with other local employers. The local job growth rate in Salario's city dataset is 2.5%, and Salario's job dataset lists a 3.0% growth outlook for Physician roles; check the BLS Occupational Outlook Handbook for the official 2024-2034 projection for the closest matching occupation.
Methodology & Data Sources
How we calculate Physician salaries in San Francisco, 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 (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.
- Cost-of-living adjustment applied using the San Francisco index of 180 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%), CA 2026 state income tax brackets after the standard deduction (top rate 13.3%), 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 data (CPI measures price changes, not city-to-city price levels)
- U.S. Census Bureau, San Francisco 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 San Francisco figure above
Last reviewed: 2026. Salario's salary dataset is refreshed periodically, not automatically; check the linked BLS releases for the latest official data. Physician salaries can vary significantly based on employer, sector (Technology vs others in San Francisco), specific skill set (Diagnosis, Treatment Planning, Patient Communication), and individual negotiation. Always verify current compensation through multiple sources before making career decisions.
Frequently Asked Questions
What is the average Physician salary in San Francisco, CA?
How much does a Physician take home in San Francisco after taxes?
Is San Francisco a good city for Physicians?
What skills are needed for a Physician in San Francisco?
How does Physician salary in San Francisco compare to the national average?
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Frequently Asked Questions
What is the average Physician salary in San Francisco, CA?
Salario estimates the median Physician salary in San Francisco, CA at $478,674 per year for 2026. This is a modeled figure: Salario's national Physician benchmark scaled by the local cost of living index of 180, not a measured local wage survey. The modeled entry-level estimate is around $390,960, and the senior estimate is $678,600 or more.
How much does a Physician take home in San Francisco after taxes?
A Physician earning the median salary of $478,674 in San Francisco, CA takes home approximately $287,913 per year ($23,993/month) after federal, state, and local taxes. The effective tax rate is 39.9%.
Is San Francisco a good city for Physicians?
San Francisco, CA has a cost of living index of 180 (above national average). Physicians here earn above the city median. The local unemployment rate is 3.2% and top industries include Technology, Finance, Healthcare.
What skills are needed for a Physician in San Francisco?
Key skills for Physicians include Diagnosis, Treatment Planning, Patient Communication, Clinical Research, EHR. Typical education requirement is Doctor of Medicine (MD). Valuable certifications include USMLE, Board Certification, State Licensure.
How does Physician salary in San Francisco compare to the national average?
Salario's national median benchmark for Physician is $265,930 (calibrated to the BLS OEWS May 2025 national median). In San Francisco, the cost-of-living-adjusted estimate is $478,674, which is 80.0% higher than the national average, reflecting the local cost of living.