Healthcare · Rankings
Best US Cities for Surgeons
Top US cities for Surgeons ranked by estimated median salary, with cost-of-living-adjusted earning power.
Top 10 cities by salary
| # | City | Estimated salary | Cost mult. | vs national |
|---|---|---|---|---|
| 1 | San Francisco, CA | $406,000 | 1.45× | +$126,000 |
| 2 | Oakland, CA | $378,000 | 1.35× | +$98,000 |
| 3 | New York City, NY | $369,600 | 1.32× | +$89,600 |
| 4 | Honolulu, HI | $364,000 | 1.30× | +$84,000 |
| 5 | Irvine, CA | $364,000 | 1.30× | +$84,000 |
| 6 | Los Angeles, CA | $341,600 | 1.22× | +$61,600 |
| 7 | Boston, MA | $341,600 | 1.22× | +$61,600 |
| 8 | San Diego, CA | $338,800 | 1.21× | +$58,800 |
| 9 | Yonkers, NY | $336,000 | 1.20× | +$56,000 |
| 10 | Anchorage, AK | $336,000 | 1.20× | +$56,000 |
All 50 cities, ranked
| # | City | Salary | Hourly |
|---|---|---|---|
| 1 | San Francisco, CA | $406,000 | $195/hr |
| 2 | Oakland, CA | $378,000 | $182/hr |
| 3 | New York City, NY | $369,600 | $178/hr |
| 4 | Honolulu, HI | $364,000 | $175/hr |
| 5 | Irvine, CA | $364,000 | $175/hr |
| 6 | Los Angeles, CA | $341,600 | $164/hr |
| 7 | Boston, MA | $341,600 | $164/hr |
| 8 | San Diego, CA | $338,800 | $163/hr |
| 9 | Yonkers, NY | $336,000 | $162/hr |
| 10 | Anchorage, AK | $336,000 | $162/hr |
| 11 | Seattle, WA | $330,400 | $159/hr |
| 12 | Long Beach, CA | $330,400 | $159/hr |
| 13 | Anaheim, CA | $330,400 | $159/hr |
| 14 | Scottsdale, AZ | $330,400 | $159/hr |
| 15 | Chula Vista, CA | $322,000 | $155/hr |
| 16 | Miami, FL | $313,600 | $151/hr |
| 17 | Portland, OR | $308,000 | $148/hr |
| 18 | Newark, NJ | $308,000 | $148/hr |
| 19 | Sacramento, CA | $308,000 | $148/hr |
| 20 | Riverside, CA | $308,000 | $148/hr |
| 21 | Denver, CO | $302,400 | $145/hr |
| 22 | Chicago, IL | $294,000 | $141/hr |
| 23 | Austin, TX | $294,000 | $141/hr |
| 24 | Baltimore, MD | $294,000 | $141/hr |
| 25 | Stockton, CA | $294,000 | $141/hr |
| 26 | Aurora, CO | $294,000 | $141/hr |
| 27 | Hialeah, FL | $294,000 | $141/hr |
| 28 | Frisco, TX | $294,000 | $141/hr |
| 29 | Las Vegas, NV | $291,200 | $140/hr |
| 30 | Minneapolis, MN | $291,200 | $140/hr |
| 31 | Plano, TX | $291,200 | $140/hr |
| 32 | Chandler, AZ | $291,200 | $140/hr |
| 33 | Phoenix, AZ | $285,600 | $137/hr |
| 34 | Philadelphia, PA | $285,600 | $137/hr |
| 35 | Atlanta, GA | $285,600 | $137/hr |
| 36 | Tampa, FL | $285,600 | $137/hr |
| 37 | Henderson, NV | $285,600 | $137/hr |
| 38 | Reno, NV | $285,600 | $137/hr |
| 39 | Gilbert, AZ | $285,600 | $137/hr |
| 40 | Charleston, SC | $285,600 | $137/hr |
| 41 | Salt Lake City, UT | $285,600 | $137/hr |
| 42 | Orlando, FL | $282,800 | $136/hr |
| 43 | Wilmington, DE | $280,000 | $135/hr |
| 44 | Raleigh, NC | $280,000 | $135/hr |
| 45 | Virginia Beach, VA | $280,000 | $135/hr |
| 46 | St. Paul, MN | $280,000 | $135/hr |
| 47 | Chesapeake, VA | $280,000 | $135/hr |
| 48 | North Las Vegas, NV | $280,000 | $135/hr |
| 49 | Boise, ID | $280,000 | $135/hr |
| 50 | Fresno, CA | $280,000 | $135/hr |
| 51 | Worcester, MA | $280,000 | $135/hr |
| 52 | Dallas, TX | $277,200 | $133/hr |
| 53 | Nashville, TN | $277,200 | $133/hr |
| 54 | Colorado Springs, CO | $277,200 | $133/hr |
| 55 | Bakersfield, CA | $277,200 | $133/hr |
| 56 | St. Petersburg, FL | $277,200 | $133/hr |
| 57 | Madison, WI | $277,200 | $133/hr |
| 58 | Norfolk, VA | $274,400 | $132/hr |
| 59 | Jacksonville, FL | $271,600 | $131/hr |
| 60 | Charlotte, NC | $271,600 | $131/hr |
| 61 | Mesa, AZ | $271,600 | $131/hr |
| 62 | Houston, TX | $268,800 | $129/hr |
| 63 | Fort Worth, TX | $268,800 | $129/hr |
| 64 | Tucson, AZ | $268,800 | $129/hr |
| 65 | Glendale, AZ | $268,800 | $129/hr |
| 66 | Garland, TX | $268,800 | $129/hr |
| 67 | Spokane, WA | $268,800 | $129/hr |
| 68 | Pittsburgh, PA | $266,000 | $128/hr |
| 69 | Arlington, TX | $266,000 | $128/hr |
| 70 | Tallahassee, FL | $266,000 | $128/hr |
| 71 | Milwaukee, WI | $263,200 | $127/hr |
| 72 | Albuquerque, NM | $263,200 | $127/hr |
| 73 | New Orleans, LA | $263,200 | $127/hr |
| 74 | San Antonio, TX | $260,400 | $125/hr |
| 75 | Grand Rapids, MI | $260,400 | $125/hr |
| 76 | Columbus, OH | $257,600 | $124/hr |
| 77 | Detroit, MI | $257,600 | $124/hr |
| 78 | Cincinnati, OH | $257,600 | $124/hr |
| 79 | Kansas City, MO | $257,600 | $124/hr |
| 80 | Lexington, KY | $257,600 | $124/hr |
| 81 | Corpus Christi, TX | $257,600 | $124/hr |
| 82 | Buffalo, NY | $257,600 | $124/hr |
| 83 | Greensboro, NC | $257,600 | $124/hr |
| 84 | Knoxville, TN | $257,600 | $124/hr |
| 85 | El Paso, TX | $254,800 | $123/hr |
| 86 | Cleveland, OH | $254,800 | $123/hr |
| 87 | St. Louis, MO | $254,800 | $123/hr |
| 88 | Winston-Salem, NC | $254,800 | $123/hr |
| 89 | Indianapolis, IN | $252,000 | $121/hr |
| 90 | Louisville, KY | $252,000 | $121/hr |
| 91 | Omaha, NE | $252,000 | $121/hr |
| 92 | Memphis, TN | $249,200 | $120/hr |
| 93 | Oklahoma City, OK | $249,200 | $120/hr |
| 94 | Lincoln, NE | $249,200 | $120/hr |
| 95 | Birmingham, AL | $246,400 | $118/hr |
| 96 | Toledo, OH | $246,400 | $118/hr |
| 97 | Lubbock, TX | $246,400 | $118/hr |
| 98 | Wichita, KS | $240,800 | $116/hr |
| 99 | Fort Wayne, IN | $240,800 | $116/hr |
| 100 | Mobile, AL | $240,800 | $116/hr |
Why pay varies for Surgeons by city
The estimated median Surgeon salary varies from $240,800 in Mobile to $406,000 in San Francisco — a 69% range. The drivers:
- Cost of living: SF Bay, NYC, Honolulu, Boston cost 20-45% more than US average. Employers compete for talent by paying proportionally more.
- Employer concentration: tech metros (SF, Seattle, Austin, NYC) pay tech roles much more than general-market cities. Healthcare hubs (Boston, NYC) similar effect for medical roles.
- State and local taxes: TX, FL, NV, WA, AK have no state income tax — net pay is effectively higher. NYC, Philly, Detroit have local taxes that reduce take-home.
- Industry density: a Surgeon at a top-tier employer in a major metro can out-earn the local median by 30-50%.
Highest-paying ≠ best earning power
San Francisco and New York lead nominal pay rankings for most jobs. But housing in SF averages $4,500+/month for a 1-bedroom; same in NYC $3,500-4,500. After housing, transit, and taxes, a Surgeon earning $150K in SF often takes home less spendable income than one earning $100K in Austin or Raleigh.
For real-world earning power, weight salaries against cost of living. Use our cost of living comparison tool to see what specific city pairs translate to.
Surgeons and remote work
Post-2020, many employers offer location-independent healthcare roles. Pay policies vary:
- Same nationwide (rare): same salary regardless of where you live. Best for low-COL areas.
- Tier-based (most common): 3-4 pay tiers based on metro cost. SF gets tier 1, mid-tier metros tier 2, low-COL tier 3.
- Location-of-employer: pay matches the city the company is HQ'd in.
- Local-only: must live within commuting distance regardless of remote status.
Always confirm with the employer before relocating expecting their salary to follow you. The right strategy: live in a low-COL city, work for a high-COL-tier employer (if they allow it).
Other Healthcare jobs to compare
Frequently Asked Questions
What's the highest-paying city for a Surgeon?▾
Based on our cost-of-living-adjusted estimates, San Francisco, CA is the highest-paying city for Surgeons with an estimated median of $406,000/year. Major metros (SF Bay, NYC, Boston) tend to top the list — they pay more but also cost much more to live in.
Why does pay vary so much by city?▾
Three main factors: (1) cost of living — employers pay more where housing and services cost more; (2) employer concentration — tech-heavy cities pay tech roles more; (3) state and local taxes — no-state-tax states (TX, FL, NV) effectively pay more after taxes. Use our individual Surgeon salary by city pages for take-home math.
Is the highest-paying city actually the best for me?▾
Not necessarily. SF pays the most for many roles but housing alone can eat 40-50% of net income. The "adjusted earning power" column accounts for this — what salary buys after cost of living. Lower-COL cities like Austin or Raleigh sometimes win on adjusted basis despite lower nominal pay.
How accurate are these salary estimates?▾
These are population-level estimates based on US BLS national medians × city cost-of-living multipliers from BEA Regional Price Parities. Real salaries vary 30%+ within a metro depending on employer, role specifics, and experience. Cross-reference with Glassdoor, Levels.fyi, salary.com for your specific situation.
What about remote work?▾
Many employers now base pay on cost of living — a remote Surgeon living in Tucson but employed by a Bay Area company might earn close to local Tucson rates. Check the employer's policy. Some pay the same nationwide; many adjust by location.