Psychiatrist Salary in San Francisco, CA (2026)
Median Psychiatrist salary in San Francisco is approximately $362,500/year — 45.0% above the US national average.
Salary breakdown — San Francisco
After-tax estimate
| City | Cost mult. | Estimated annual | vs San Francisco |
|---|---|---|---|
| Oakland, CA | 1.35× | $337,500 | -$25,000 |
| New York City, NY | 1.32× | $330,000 | -$32,500 |
| Honolulu, HI | 1.30× | $325,000 | -$37,500 |
| Irvine, CA | 1.30× | $325,000 | -$37,500 |
| Los Angeles, CA | 1.22× | $305,000 | -$57,500 |
Psychiatrist salaries in San Francisco, CA
The estimated median Psychiatrist salary in San Francisco, California is $362,500/year, working out to approximately $174/hour at full-time, $13,942 per biweekly paycheck, or $30,208/month before taxes. San Francisco's cost-of-living multiplier of 1.45× national reflects local prices, housing costs, and employer concentration in this metro area.
Compared to the California state average for this role ($295,000), San Francisco pays about $67,500 more. This typically reflects how the metro area's cost of living and employer density differ from the state as a whole.
Take-home pay in San Francisco
Of the gross $362,500, you take home roughly $265,894 after:
- Federal income tax (~14% effective at this income)
- FICA — Social Security 6.2% + Medicare 1.45% = 7.65%
- California state income tax (~5% effective)
- San Francisco has no local income tax
That works out to about $22,158/month after-tax — useful for budgeting rent (typically 25–35% of net income), savings (15–20% target), and other expenses. For an exact calculation including 401(k), HSA, and your filing status, use our San Francisco Paycheck Calculator.
What affects your actual pay
- Experience: entry-level often 25–35% below median; senior roles 40–60%+ above.
- Specific employer: top-tier employers in San Francisco pay 10–25% above market for the same role.
- Industry: a Software Engineer at a tech company in San Francisco typically out-earns one at a non-tech employer.
- Negotiation: simply negotiating an offer can shift comp by 5–15%.
- Education and credentials: degrees and licenses (especially for healthcare, legal, engineering) can move comp by 15–30%.
- Remote vs in-office: many San Francisco employers now base pay on cost of living, with remote workers in cheaper metros paid less.
Related calculators
Psychiatrist Salary in California — state-level average. Salary Calculator — convert hourly ↔ annual. San Francisco Paycheck Calculator — exact take-home. Income Tax Calculator — federal tax with brackets. Investment Calculator — long-term portfolio growth.