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COL-adjusted ranking

Best Cities for Medical Transcriptionistss by Take-Home Pay

The cities that pay Medical Transcriptionistss the most on paper aren't usually the best deals once rent and prices are factored in. Hartford-West Hartford-East Hartford ranks first with a COL-adjusted equivalent of $53,363/year, better purchasing power than San Francisco-Oakland-Fremont's higher nominal pay of $58,240. The table below uses BLS OEWS May 2025 salary data and BEA Regional Price Parities.

Highest nominal pay

#1 San Francisco-Oakland-Fremont$58,240
#2 San Jose-Sunnyvale-Santa Clara$57,420
#3 Hartford-West Hartford-East Hartford$54,830

Best purchasing power

#1 Hartford-West Hartford-East Hartford$53,363
#2 Nashville-Davidson--Murfreesboro--Franklin$52,315
#3 Chattanooga$52,132

Top 25 metros by purchasing power

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

Rank
Metro
Nominal
COL-adj.
#1
$54,830
$53,363
#2
$50,400
$52,315
#3
Chattanooga
35% rent burden
$47,680
$52,132
#4
$57,420
$52,001
#5
Sioux Falls
30% rent burden
$46,930
$51,782
#6
Memphis
32% rent burden
$47,470
$51,497
#7
Milwaukee-Waukesha
32% rent burden
$49,780
$51,351
#8
Omaha
35% rent burden
$46,870
$50,996
#9
$58,240
$50,376
#10
Pittsburgh
33% rent burden
$47,530
$50,206
#11
Chico
39% rent burden
$50,020
$49,427
#12
Gainesville
38% rent burden
$47,420
$49,023
#13
$46,790
$48,892
#14
Cincinnati
35% rent burden
$46,560
$48,820
#15
$48,890
$48,783
#16
$43,940
$47,212
#17
$48,960
$46,709
#18
$49,560
$46,378
#19
Lexington-Fayette
36% rent burden
$42,900
$46,184
#20
$44,770
$45,989
#21
$46,230
$45,583
#22
$48,440
$45,411
#23
$47,370
$44,935
#24
Johnson City
34% rent burden
$39,430
$44,842
#25
$48,260
$44,357

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 Transcriptionistss?

COL-adjusted pay divides the BLS median salary by the BEA Regional Price Parity index (100 = national average). A salary of $58,240 in a city with RPP 120 has the same purchasing power as $48,533 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 transcriptionists 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 Transcriptionistss?

Sioux Falls has one of the lowest rent burdens for Medical Transcriptionistss in this dataset. HUD FMR for a 2-bedroom is $1,156/month, with a median salary of $46,930.

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

San Francisco-Oakland-Fremont pays the highest nominal median salary at $58,240/year, per BLS OEWS May 2025. But check the COL-adjusted column before accepting any relocation offer.

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