Medical Assistants Salary
The median pay for a medical assistants in San Francisco-Oakland-Fremont, CA is $59,790/year ($28.75/hour), per BLS data. The range runs from $47K at the entry level to $80K for experienced workers. Prices run high here (RPP 115.61), so that salary is closer to $51,717 in real purchasing power. A 2-bedroom apartment runs $3,604/month, about 92.3% of take-home, which is tight.
So what does $60K get you in San Francisco-Oakland-Fremont?
Groceries, utilities, transportation, and healthcare scaled from national averages by San Francisco-Oakland-Fremont’s Regional Price Parity (115.61). Rent from HUD Fair Market Rents. Taxes estimated for single filer, standard deduction. * Healthcare is the employee-paid share only (premiums + out-of-pocket). Actual costs vary by coverage type: employer-sponsored, ACA marketplace, or uninsured.
About medical assistants
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What this looks like in San Francisco-Oakland-Fremont
San Francisco-Oakland-Fremont sits well above the national pay line for medical assistants, local pay runs about 31% higher than the U.S. median of $46K. The catch: housing math doesn't keep up. A 2-bedroom at the HUD median rents for $3,604/month, which is 89.7% of the median worker's take-home, past the 30% guideline most planners use. Cost-of-living overall is 16% above the national average (BEA RPP 115.61), so groceries and services cost more too. The pay premium is real, but so are the offsets.
Compared to nearby metros
Median pay for medical assistants in metros near San Francisco-Oakland-Fremont, adjusted for local cost of living.
| Metro | Median pay | COL-adjusted |
|---|---|---|
| Los Angeles-Long Beach-Anaheim | $48K | $42K |
| Riverside-San Bernardino-Ontario | $47K | $44K |
| San Diego-Chula Vista-Carlsbad | $49K | $44K |
| Sacramento-Roseville-Folsom | $62K | $58K |
COL-adjusted = median salary ÷ (BEA Regional Price Parity ÷ 100). Expresses purchasing power in national-average dollars.
Compensation breakdown
Annual earnings by percentile, San Francisco-Oakland-Fremont, CA
Entry-level medical assistants (10th percentile) start around $47K. Mid-career wages sit at $60K. Top earners bring in $80K or more, a $33K spread from bottom to top.
Medical Assistants pay across states
Median income ranked highest to lowest, compared to the national figure
View Medical Assistants salary in all states
| State | Median salary | vs. national | Employment |
|---|---|---|---|
| Washington | $59K | +30% | 19,500 |
| Alaska | $53K | +15% | 2,140 |
| District of Columbia | $51K | +12% | 2,260 |
| Minnesota | $50K | +10% | 10,580 |
| Oregon | $50K | +10% | 11,840 |
| California | $50K | +9% | 117,060 |
| Massachusetts | $49K | +8% | 14,880 |
| Wisconsin | $49K | +7% | 13,810 |
| Hawaii | $48K | +6% | 3,890 |
| Colorado | $48K | +6% | 13,160 |
| New Hampshire | $48K | +5% | 3,000 |
| New York | $48K | +5% | 40,710 |
| Maine | $48K | +4% | 4,480 |
| Connecticut | $47K | +4% | 10,250 |
| Nebraska | $47K | +4% | 2,380 |
| Vermont | $47K | +3% | 1,140 |
| New Jersey | $47K | +3% | 20,330 |
| Rhode Island | $47K | +3% | 3,210 |
| Montana | $47K | +2% | 2,460 |
| Maryland | $46K | +2% | 16,390 |
| Illinois | $46K | +1% | 20,260 |
| North Dakota | $46K | +1% | 600 |
| Arizona | $46K | +1% | 21,460 |
| Iowa | $45K | -0% | 5,990 |
| Utah | $45K | -1% | 9,990 |
| Nevada | $45K | -1% | 7,760 |
| North Carolina | $45K | -1% | 23,650 |
| Indiana | $45K | -1% | 19,630 |
| Virginia | $45K | -2% | 16,650 |
| Idaho | $45K | -2% | 5,250 |
| Delaware | $44K | -3% | 2,880 |
| Pennsylvania | $44K | -4% | 23,050 |
| Florida | $44K | -4% | 66,110 |
| Ohio | $43K | -6% | 28,950 |
| South Dakota | $42K | -8% | 1,340 |
| Georgia | $42K | -9% | 28,780 |
| South Carolina | $41K | -10% | 12,110 |
| Wyoming | $41K | -10% | 1,040 |
| Missouri | $40K | -11% | 13,050 |
| Michigan | $40K | -13% | 27,810 |
| Tennessee | $40K | -13% | 19,180 |
| Texas | $40K | -14% | 75,340 |
| Kansas | $40K | -14% | 5,510 |
| Kentucky | $39K | -14% | 13,440 |
| New Mexico | $39K | -14% | 5,400 |
| Oklahoma | $39K | -15% | 10,510 |
| Arkansas | $38K | -17% | 5,150 |
| West Virginia | $37K | -19% | 4,540 |
| Louisiana | $36K | -21% | 12,310 |
| Alabama | $36K | -21% | 13,300 |
| Mississippi | $35K | -23% | 3,340 |
Showing 1–10 of 51 (all 50 states + DC)
Track medical assistants salary changes
BLS updates this data quarterly. We'll email you when San Francisco-Oakland-Fremont numbers change.
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Frequently asked questions
Can a medical assistant afford a 2BR apartment alone in San Francisco-Oakland-Fremont?
It’s a stretch — at the median salary of $60K, rent takes 89.7% of take-home pay. A 2-bedroom at the HUD Fair Market Rent runs $3,604/month. The 30% guideline puts the comfortable ceiling at roughly $1,200/month in rent — so roommates or a 1-bedroom would ease the math significantly.
What’s the entry-level salary for medical assistants in San Francisco-Oakland-Fremont?
The 10th-percentile wage — what new medical assistants typically earn — is $47K/year. Take-home on that works out to about $2,824/month. At HUD’s $3,604/month FMR, rent would take 128% of that take-home — above the 30% guideline, so a 1-bedroom or shared housing is likely necessary starting out.
Is medical assistant a high-paying job in San Francisco-Oakland-Fremont?
Local pay is 31% above the national median — $60K here vs. $46K nationally. Keep in mind cost of living here is 16% above the national average, which offsets some of that premium.
How does San Francisco-Oakland-Fremont compare to the national average for medical assistants?
San Francisco-Oakland-Fremont pays $60K median vs. the U.S. average of $46K — that’s +31%. After adjusting for local cost of living (RPP 115.61), the purchasing-power equivalent is $52K — still ahead of the national median.
How much do medical assistants make in San Francisco-Oakland-Fremont, CA?
The median is $59,790 a year, that works out to about $29 an hour. But the range is wide: entry-level workers start around $47,070, and experienced medical assistants can clear $79,750. These are BLS numbers, based on employer-reported data, not self-reported surveys.
Is $60K enough to live in San Francisco-Oakland-Fremont?
On that salary, you'd take home roughly $4,017/month after taxes. A 2-bedroom here rents for about $3,604/month, which eats 89.7% of your paycheck. That's above the 30% rule of thumb, housing will be a stretch at the median salary, though you can manage with roommates or a smaller place.
How far does a medical assistants salary go in San Francisco-Oakland-Fremont?
San Francisco-Oakland-Fremont has a Regional Price Parity of 115.61 (100 is the national average). Prices are above average here, so your dollar buys less than the same salary would in a cheaper metro. After cost-of-living adjustment, the median medical assistants salary is worth about $51,717 in national-average purchasing power.
Where do medical assistants get paid the most?
The table above ranks every state by median pay for this role. Keep in mind that the highest-paying states tend to have the highest costs of living, so the top salary doesn't always mean the most money in your pocket.