Surgeon Salary in Sacramento, CA (2026)
Median Surgeon salary in Sacramento is approximately $308,000/year — 10.0% above the US national average.
Salary breakdown — Sacramento
After-tax estimate
| City | Cost mult. | Estimated annual | vs Sacramento |
|---|---|---|---|
| Portland, OR | 1.10× | $308,000 | +$0 |
| Newark, NJ | 1.10× | $308,000 | +$0 |
| Riverside, CA | 1.10× | $308,000 | +$0 |
| Denver, CO | 1.08× | $302,400 | -$5,600 |
| Miami, FL | 1.12× | $313,600 | +$5,600 |
Surgeon salaries in Sacramento, CA
The estimated median Surgeon salary in Sacramento, California is $308,000/year, working out to approximately $148/hour at full-time, $11,846 per biweekly paycheck, or $25,667/month before taxes. Sacramento's cost-of-living multiplier of 1.10× national reflects local prices, housing costs, and employer concentration in this metro area.
Compared to the California state average for this role ($330,400), Sacramento pays about $22,400 less. 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 Sacramento
Of the gross $308,000, you take home roughly $225,918 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)
- Sacramento has no local income tax
That works out to about $18,827/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 Sacramento 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 Sacramento pay 10–25% above market for the same role.
- Industry: a Software Engineer at a tech company in Sacramento 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 Sacramento employers now base pay on cost of living, with remote workers in cheaper metros paid less.
Related calculators
Surgeon Salary in California — state-level average. Salary Calculator — convert hourly ↔ annual. Sacramento Paycheck Calculator — exact take-home. Income Tax Calculator — federal tax with brackets. Investment Calculator — long-term portfolio growth.