In Sacramento, CA, medical and health services managers earn a median of $159,350 a year, according to the latest BLS Occupational Employment and Wage Statistics release. It runs 46% above the national median of $109,490 for this occupation — pay here is notably stronger than the U.S. average. The middle 50% land between $101,140 and $215,450 — a 114,310 range that reflects differences in seniority, employer type, and specialization. The average (mean) of $163,990 comes in higher than the median, which usually means a share of high earners is pulling the average up. The catch: Sacramento is roughly in line with the national cost of living (cost index 100 against a 100 baseline), so that headline number buys less than it would elsewhere. On an hourly basis that is about $76.61, useful for comparing contract or part-time offers.

For context, the national median for medical and health services managers across all U.S. metros in our data is $109,490.