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COL-adjusted ranking

Best Cities for Obstetricians and Gynecologistss by Take-Home Pay

The cities that pay Obstetricians and Gynecologistss the most on paper aren't usually the best deals once rent and prices are factored in. Rochester ranks first with a COL-adjusted equivalent of $433,098/year, better purchasing power than Rochester's higher nominal pay of $393,340. San Francisco and New York dominate the headline salary lists for most occupations, but they don't crack the COL-adjusted top 10 here. The table below uses BLS OEWS May 2025 salary data and BEA Regional Price Parities.

Highest nominal pay

#1 Rochester$393,340
#2 Riverside-San Bernardino-Ontario$375,400
#3 Nashville-Davidson--Murfreesboro--Franklin$358,070

Best purchasing power

#1 Rochester$433,098
#2 Omaha$372,723
#3 Nashville-Davidson--Murfreesboro--Franklin$371,673

Top 25 metros by purchasing power

Ranked by COL-adjusted salary. Metros with fewer than 100 employed obstetricians and gynecologistss excluded.

Rank
Metro
Nominal
COL-adj.
#1
Rochester
4% rent burden
$393,340
$433,098
#2
Omaha
5% rent burden
$342,570
$372,723
#3
$358,070
$371,673
#4
$353,740
$363,369
#5
$354,000
$353,788
#6
$375,400
$352,687
#7
$320,040
$312,082
#8
$321,260
$311,631
#9
Milwaukee-Waukesha
5% rent burden
$300,470
$309,955
#10
$343,140
$308,774
#11
Urban Honolulu
9% rent burden
$338,130
$304,731
#12
$329,750
$292,955
#13
$306,770
$292,664
#14
$293,400
$262,222
#15
Richmond
9% rent burden
$224,240
$229,144
#16
Cincinnati
7% rent burden
$217,510
$228,070
#17
Providence-Warwick
9% rent burden
$227,120
$223,170
#18
$235,460
$217,475
#19
Rochester
9% rent burden
$210,250
$216,686
#20
$209,550
$208,923
#21
$208,000
$200,792
#22
Columbus
10% rent burden
$179,810
$188,342
#23
$135,360
$131,737
#24
Lexington-Fayette
14% rent burden
$109,070
$117,418
#25
$83,050
$84,204

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 Obstetricians and Gynecologistss?

COL-adjusted pay divides the BLS median salary by the BEA Regional Price Parity index (100 = national average). A salary of $393,340 in a city with RPP 120 has the same purchasing power as $327,783 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 obstetricians and gynecologists 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 Obstetricians and Gynecologistss?

Rochester has one of the lowest rent burdens for Obstetricians and Gynecologistss in this dataset. HUD FMR for a 2-bedroom is $1,407/month, with a median salary of $393,340.

Where do Obstetricians and Gynecologistss get paid the most in nominal terms?

Rochester pays the highest nominal median salary at $393,340/year, per BLS OEWS May 2025. But check the COL-adjusted column before accepting any relocation offer.

National salary breakdown for Obstetricians and GynecologistssView →How to become a obstetricians and gynecologistsGuide →Compare two cities side by sideCompare →