Medical Records Specialists Salary
The median pay for a medical records specialists in San Francisco-Oakland-Fremont, CA is $74,400/year ($35.77/hour), per BLS data. The range runs from $50K at the entry level to $107K for experienced workers. Prices run high here (RPP 115.61), so that salary is closer to $64,354 in real purchasing power. A 2-bedroom apartment runs $3,604/month, about 74.2% of take-home, which is tight.
So what does $74K 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 records specialists
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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 records specialists, local pay runs about 45% higher than the U.S. median of $51K. The catch: housing math doesn't keep up. A 2-bedroom at the HUD median rents for $3,604/month, which is 75% 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 records specialists in metros near San Francisco-Oakland-Fremont, adjusted for local cost of living.
| Metro | Median pay | COL-adjusted |
|---|---|---|
| Los Angeles-Long Beach-Anaheim | $59K | $52K |
| San Diego-Chula Vista-Carlsbad | $61K | $55K |
| Riverside-San Bernardino-Ontario | $59K | $55K |
| Sacramento-Roseville-Folsom | $75K | $70K |
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 records specialists (10th percentile) start around $50K. Mid-career wages sit at $74K. Top earners bring in $107K or more, a $58K spread from bottom to top.
Medical Records Specialists pay across states
Median income ranked highest to lowest, compared to the national figure
View Medical Records Specialists salary in all states
| State | Median salary | vs. national | Employment |
|---|---|---|---|
| District of Columbia | $72K | +41% | 270 |
| Rhode Island | $64K | +25% | 650 |
| Hawaii | $63K | +24% | 400 |
| Washington | $62K | +22% | 5,010 |
| California | $62K | +21% | 18,700 |
| New York | $62K | +21% | 9,080 |
| Minnesota | $62K | +20% | 3,150 |
| Alaska | $61K | +19% | 1,070 |
| Connecticut | $61K | +19% | 1,120 |
| Massachusetts | $60K | +18% | 3,500 |
| Wisconsin | $60K | +18% | 2,870 |
| Colorado | $59K | +15% | 1,780 |
| Oregon | $59K | +15% | 2,560 |
| Vermont | $58K | +13% | N/A |
| New Mexico | $57K | +12% | 1,400 |
| Illinois | $56K | +10% | 5,740 |
| Delaware | $56K | +10% | 610 |
| South Carolina | $54K | +6% | 2,750 |
| Maryland | $54K | +6% | 2,440 |
| Wyoming | $54K | +6% | 280 |
| Idaho | $53K | +5% | 1,490 |
| Oklahoma | $53K | +5% | 2,480 |
| Virginia | $53K | +4% | 4,630 |
| Utah | $53K | +3% | 1,910 |
| Maine | $52K | +2% | 1,000 |
| Nebraska | $52K | +1% | 1,640 |
| South Dakota | $52K | +1% | 900 |
| Georgia | $52K | +1% | 5,930 |
| Ohio | $51K | -0% | 7,440 |
| Missouri | $51K | -1% | 3,890 |
| Iowa | $51K | -1% | 2,250 |
| Nevada | $50K | -2% | 2,350 |
| New Jersey | $50K | -2% | 4,450 |
| Montana | $50K | -2% | 820 |
| North Carolina | $50K | -3% | 6,760 |
| New Hampshire | $49K | -4% | 930 |
| Texas | $49K | -4% | 17,210 |
| Tennessee | $49K | -5% | 4,440 |
| Kentucky | $48K | -5% | 4,210 |
| Kansas | $48K | -6% | 2,030 |
| Michigan | $48K | -6% | 4,890 |
| Indiana | $48K | -7% | 5,860 |
| Arizona | $48K | -7% | 3,750 |
| West Virginia | $47K | -7% | 1,260 |
| Pennsylvania | $47K | -8% | 6,970 |
| North Dakota | $46K | -10% | 520 |
| Florida | $46K | -11% | 21,490 |
| Louisiana | $45K | -13% | 2,600 |
| Alabama | $44K | -14% | 2,330 |
| Arkansas | $42K | -18% | 1,920 |
| Mississippi | $42K | -19% | 2,310 |
Showing 1–10 of 51 (all 50 states + DC)
Track medical records specialists 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 records specialist afford a 2BR apartment alone in San Francisco-Oakland-Fremont?
It’s a stretch — at the median salary of $74K, rent takes 75% 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 $1,400/month in rent — so roommates or a 1-bedroom would ease the math significantly.
What’s the entry-level salary for medical records specialists in San Francisco-Oakland-Fremont?
The 10th-percentile wage — what new medical records specialists typically earn — is $50K/year. Take-home on that works out to about $2,971/month. At HUD’s $3,604/month FMR, rent would take 121% of that take-home — above the 30% guideline, so a 1-bedroom or shared housing is likely necessary starting out.
Is medical records specialist a high-paying job in San Francisco-Oakland-Fremont?
Local pay is 45% above the national median — $74K here vs. $51K 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 records specialists?
San Francisco-Oakland-Fremont pays $74K median vs. the U.S. average of $51K — that’s +45%. After adjusting for local cost of living (RPP 115.61), the purchasing-power equivalent is $64K — still ahead of the national median.
How much do medical records specialists make in San Francisco-Oakland-Fremont, CA?
The median is $74,400 a year, that works out to about $36 an hour. But the range is wide: entry-level workers start around $49,520, and experienced medical records specialists can clear $107,470. These are BLS numbers, based on employer-reported data, not self-reported surveys.
Is $74K enough to live in San Francisco-Oakland-Fremont?
On that salary, you'd take home roughly $4,806/month after taxes. A 2-bedroom here rents for about $3,604/month, which eats 75% 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 records specialists 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 records specialists salary is worth about $64,354 in national-average purchasing power.
Where do medical records specialists 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.