Best Cities for General Internal Medicine Physicianss

Cities ranked by purchasing power — where general internal medicine physicianss get the most value from their salary after accounting for cost of living. A score above 1.00 means better than national average.

How we calculate this: City Score = (Local Salary ÷ National Median) ÷ (Local Cost ÷ National Avg Cost). A score of 1.20 means 20% better purchasing power than average.

#	Location	Score	Raw Salary	Adjusted Salary	Rent/Income
1	GeorgiaState	1.78	$425,460	$455,525	4%
2	WisconsinState	1.55	$367,160	$397,790	4%
3	South CarolinaState	1.52	$359,500	$390,761	4%
4	MississippiState	1.50	$325,610	$383,974	3%
5	MinnesotaState	1.49	$373,700	$381,327	4%
6	Rhode IslandState	1.47	$379,490	$377,602	5%
7	IdahoState	1.44	$355,390	$368,280	4%
8	North DakotaState	1.42	$338,400	$365,443	3%
9	AlabamaState	1.39	$311,180	$357,268	4%
10	AlaskaState	1.37	$366,080	$350,988	4%
11	IndianaState	1.35	$314,390	$347,392	4%
12	UtahState	1.29	$331,720	$331,058	5%
13	Minneapolis-St. Paul-Bloomington, MN-WIMetro	1.29	$330,200	$331,859	5%
14	MaineState	1.24	$316,880	$317,515	5%
15	WashingtonState	1.24	$340,010	$316,878	7%
16	Pittsburgh, PAMetro	1.23	$291,570	$315,211	5%
17	North CarolinaState	1.20	$289,780	$306,970	5%
18	South DakotaState	1.20	$280,520	$308,943	4%
19	Baltimore-Columbia-Towson, MDMetro	1.19	$322,890	$305,189	6%
20	Charlotte-Concord-Gastonia, NC-SCMetro	1.18	$289,780	$302,484	6%
21	Seattle-Tacoma-Bellevue, WAMetro	1.16	$340,010	$297,472	8%
22	San Jose-Sunnyvale-Santa Clara, CAMetro	1.13	$347,870	$289,409	11%
23	CaliforniaState	1.11	$313,890	$283,550	9%
24	ColoradoState	1.11	$299,990	$284,620	7%
25	Dallas-Fort Worth-Arlington, TXMetro	1.11	$276,520	$284,486	7%
26	TexasState	1.10	$269,110	$281,496	6%
27	OhioState	1.08	$249,990	$276,538	5%
28	KentuckyState	1.06	$241,530	$272,915	5%
29	ArkansasState	1.05	$233,130	$270,139	5%
30	Columbus, OHMetro	1.04	$249,990	$267,369	6%
31	MassachusettsState	1.02	$285,250	$262,903	9%
32	OregonState	1.02	$268,570	$260,748	7%
33	Los Angeles-Long Beach-Anaheim, CAMetro	1.02	$303,980	$260,927	9%
34	ArizonaState	1.00	$259,320	$257,007	7%
35	TennesseeState	0.99	$232,220	$253,792	6%
36	Portland-Vancouver-Hillsboro, OR-WAMetro	0.98	$269,700	$250,186	8%
37	San Antonio-New Braunfels, TXMetro	0.97	$228,210	$248,054	7%
38	MissouriState	0.95	$216,570	$244,436	6%
39	OklahomaState	0.95	$216,570	$244,712	5%
40	NebraskaState	0.94	$221,360	$241,923	6%
41	Nashville-Davidson--Murfreesboro--Franklin, TNMetro	0.94	$232,220	$241,393	8%
42	MarylandState	0.93	$260,410	$238,471	8%
43	LouisianaState	0.91	$210,390	$233,507	6%
44	Tampa-St. Petersburg-Clearwater, FLMetro	0.91	$228,950	$232,437	9%
45	VermontState	0.87	$228,670	$223,093	7%
46	PennsylvaniaState	0.86	$213,310	$219,907	7%
47	FloridaState	0.85	$222,600	$219,310	9%
48	New HampshireState	0.84	$229,210	$216,236	8%
49	Boston-Cambridge-Newton, MA-NHMetro	0.84	$243,230	$214,300	13%
50	Washington-Arlington-Alexandria, DC-VA-MD-WVMetro	0.77	$223,250	$197,917	11%
51	District of ColumbiaState	0.76	$223,250	$195,319	11%
52	ConnecticutState	0.75	$208,000	$193,309	9%
53	New YorkState	0.64	$183,460	$163,076	12%
54	Detroit-Warren-Dearborn, MIMetro	0.64	$149,990	$164,463	10%
55	MichiganState	0.63	$149,990	$162,503	9%
56	Miami-Fort Lauderdale-West Palm Beach, FLMetro	0.63	$174,990	$161,281	14%
57	Philadelphia-Camden-Wilmington, PA-NJ-DE-MDMetro	0.60	$159,330	$153,942	12%
58	IllinoisState	0.56	$140,680	$144,435	11%
59	IowaState	0.54	$122,920	$137,803	9%
60	NevadaState	0.44	$114,090	$113,862	15%
61	West VirginiaState	0.34	$72,680	$86,318	14%
62	New JerseyState	0.32	$89,990	$82,711	24%

Data Sources: Salary: U.S. Bureau of Labor Statistics (OEWS). Cost of Living: BEA Regional Price Parities (2024). Rent: HUD Fair Market Rents (FY2025).