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COL-adjusted ranking

Best Cities for Community Health Workers by Take-Home Pay

The cities that pay Community Health Workers the most on paper aren't usually the best deals once rent and prices are factored in. Carson City ranks first with a COL-adjusted equivalent of $83,155/year, better purchasing power than Carson City's higher nominal pay of $81,600. The table below uses BLS OEWS May 2025 salary data and BEA Regional Price Parities.

Highest nominal pay

#1 Carson City$81,600
#2 San Francisco-Oakland-Fremont$72,710
#3 San Jose-Sunnyvale-Santa Clara$69,630

Best purchasing power

#1 Carson City$83,155
#2 Columbus$67,885
#3 Visalia$64,069

Top 25 metros by purchasing power

Ranked by COL-adjusted salary. Metros with fewer than 100 employed community health workers excluded.

Rank
Metro
Nominal
COL-adj.
#1
Carson City
23% rent burden
$81,600
$83,155
#2
Columbus
26% rent burden
$64,810
$67,885
#3
Visalia
28% rent burden
$63,960
$64,069
#4
$69,630
$63,059
#5
$72,710
$62,892
#6
$61,610
$61,876
#7
Albuquerque
30% rent burden
$58,290
$61,005
#8
$56,180
$60,363
#9
Tulsa
27% rent burden
$53,600
$60,083
#10
Santa Rosa-Petaluma
52% rent burden
$64,720
$60,048
#11
Harrisburg-Carlisle
31% rent burden
$58,250
$59,047
#12
Salt Lake City-Murray
25% rent burden
$59,200
$58,689
#13
$58,180
$58,197
#14
Madison
25% rent burden
$56,040
$57,601
#15
Syracuse
31% rent burden
$54,320
$56,737
#16
Springfield
27% rent burden
$49,540
$55,927
#17
Bend
37% rent burden
$57,690
$55,680
#18
Buffalo-Cheektowaga
30% rent burden
$52,900
$55,196
#19
Akron
30% rent burden
$51,530
$55,189
#20
$55,290
$55,169
#21
Lansing-East Lansing
29% rent burden
$52,260
$55,016
#22
$51,470
$54,339
#23
$58,790
$53,995
#24
Rochester
36% rent burden
$52,110
$53,705
#25
Kansas City
33% rent burden
$49,650
$53,652

COL-adjusted = nominal salary divided by (BEA RPP divided by 100). Rent burden = annual 2BR FMR as % of nominal salary. Sources: BLS OEWS May 2025, BEA Regional Price Parities, HUD Fair Market Rents.

Common questions

What does "COL-adjusted pay" mean for Community Health Workers?

COL-adjusted pay divides the BLS median salary by the BEA Regional Price Parity index (100 = national average). A salary of $81,600 in a city with RPP 120 has the same purchasing power as $68,000 at national average prices.

Why doesn't New York or San Francisco top this list?

Both cities pay above-average salaries, but rent and everyday costs eat most of that premium. A community health workers in New York might earn 30% more but pay 60-80% more in rent. The net result is often less purchasing power than mid-cost metros.

How is purchasing power calculated?

Purchasing power equals nominal median salary divided by (BEA RPP divided by 100). BEA's Regional Price Parities measure relative price levels across metro areas, updated annually from the National Income and Product Accounts.

What's the most affordable metro for Community Health Workers?

Carson City has one of the lowest rent burdens for Community Health Workers in this dataset. HUD FMR for a 2-bedroom is $1,546/month, with a median salary of $81,600.

Where do Community Health Workers get paid the most in nominal terms?

Carson City pays the highest nominal median salary at $81,600/year, per BLS OEWS May 2025. But check the COL-adjusted column before accepting any relocation offer.

National salary breakdown for Community Health WorkersView →How to become a community health workersGuide →Compare two cities side by sideCompare →