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COL-adjusted ranking

Best Cities for Medical Assistantss by Take-Home Pay

The cities that pay Medical Assistantss the most on paper aren't usually the best deals once rent and prices are factored in. Vallejo ranks first with a COL-adjusted equivalent of $71,359/year, better purchasing power than Vallejo's higher nominal pay of $77,410. The table below uses BLS OEWS May 2025 salary data and BEA Regional Price Parities.

Highest nominal pay

#1 Vallejo$77,410
#2 Santa Rosa-Petaluma$64,820
#3 Napa$62,050

Best purchasing power

#1 Vallejo$71,359
#2 Longview-Kelso$63,024
#3 Mount Vernon-Anacortes$60,396

Top 25 metros by purchasing power

Ranked by COL-adjusted salary. Metros with fewer than 100 employed medical assistantss excluded.

Rank
Metro
Nominal
COL-adj.
#1
Vallejo
34% rent burden
$77,410
$71,359
#2
Longview-Kelso
28% rent burden
$61,480
$63,024
#3
Mount Vernon-Anacortes
33% rent burden
$61,870
$60,396
#4
Santa Rosa-Petaluma
52% rent burden
$64,820
$60,141
#5
$61,970
$58,095
#6
Walla Walla
33% rent burden
$56,020
$56,862
#7
$61,940
$56,095
#8
Bellingham
37% rent burden
$57,410
$55,560
#9
$61,500
$55,341
#10
Napa
54% rent burden
$62,050
$55,131
#11
Rochester
34% rent burden
$49,830
$54,867
#12
St. Cloud
30% rent burden
$47,750
$54,490
#13
Lewiston-Auburn
37% rent burden
$51,460
$54,317
#14
Duluth
31% rent burden
$47,990
$54,061
#15
Bismarck
29% rent burden
$48,980
$53,812
#16
Olympia-Lacey-Tumwater
42% rent burden
$55,700
$53,728
#17
Appleton
30% rent burden
$49,330
$53,376
#18
Mankato
29% rent burden
$48,530
$53,359
#19
$56,240
$53,349
#20
Sioux City
30% rent burden
$45,650
$52,805
#21
$55,680
$52,722
#22
Sheboygan
27% rent burden
$49,560
$52,718
#23
Waterloo-Cedar Falls
28% rent burden
$45,660
$52,447
#24
La Crosse-Onalaska
29% rent burden
$47,960
$52,261
#25
Cedar Rapids
25% rent burden
$46,480
$52,248

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 Medical Assistantss?

COL-adjusted pay divides the BLS median salary by the BEA Regional Price Parity index (100 = national average). A salary of $77,410 in a city with RPP 120 has the same purchasing power as $64,508 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 medical assistants 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 Medical Assistantss?

Cedar Rapids has one of the lowest rent burdens for Medical Assistantss in this dataset. HUD FMR for a 2-bedroom is $956/month, with a median salary of $46,480.

Where do Medical Assistantss get paid the most in nominal terms?

Vallejo pays the highest nominal median salary at $77,410/year, per BLS OEWS May 2025. But check the COL-adjusted column before accepting any relocation offer.

National salary breakdown for Medical AssistantssView →How to become a medical assistantsGuide →Compare two cities side by sideCompare →