Best Cities for Medical and Health Services Managerss

Cities ranked by purchasing power — where medical and health services managerss 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	New YorkState	1.18	$164,120	$145,884	14%
2	San Jose-Sunnyvale-Santa Clara, CAMetro	1.15	$171,210	$142,438	22%
3	GeorgiaState	1.14	$131,910	$141,231	13%
4	Atlanta-Sandy Springs-Roswell, GAMetro	1.14	$137,260	$141,798	14%
5	Portland-Vancouver-Hillsboro, OR-WAMetro	1.13	$151,260	$140,315	14%
6	Seattle-Tacoma-Bellevue, WAMetro	1.13	$160,100	$140,070	16%
7	WisconsinState	1.12	$128,320	$139,025	10%
8	OregonState	1.11	$141,690	$137,563	13%
9	District of ColumbiaState	1.10	$155,140	$135,731	16%
10	New MexicoState	1.09	$124,300	$135,109	10%
11	South DakotaState	1.09	$122,050	$134,416	9%
12	WashingtonState	1.09	$145,290	$135,405	16%
13	Kansas City, MO-KSMetro	1.09	$124,990	$134,688	12%
14	DelawareState	1.08	$134,820	$133,485	12%
15	HawaiiState	1.08	$147,630	$134,209	19%
16	New JerseyState	1.08	$145,650	$133,869	15%
17	West VirginiaState	1.07	$112,010	$133,029	9%
18	San Antonio-New Braunfels, TXMetro	1.05	$119,870	$130,293	13%
19	ArizonaState	1.03	$128,850	$127,701	14%
20	CaliforniaState	1.03	$141,480	$127,805	19%
21	ColoradoState	1.03	$134,910	$127,998	16%
22	Minneapolis-St. Paul-Bloomington, MN-WIMetro	1.03	$126,880	$127,518	14%
23	AlaskaState	1.02	$132,240	$126,788	12%
24	Tampa-St. Petersburg-Clearwater, FLMetro	1.02	$124,980	$126,883	17%
25	MinnesotaState	1.01	$122,700	$125,204	13%
26	VermontState	1.01	$128,690	$125,551	13%
27	VirginiaState	1.01	$129,270	$124,899	15%
28	Dallas-Fort Worth-Arlington, TXMetro	1.01	$121,640	$125,144	16%
29	Detroit-Warren-Dearborn, MIMetro	1.01	$114,340	$125,373	13%
30	Washington-Arlington-Alexandria, DC-VA-MD-WVMetro	1.01	$140,670	$124,707	17%
31	KansasState	1.00	$111,030	$123,367	11%
32	MassachusettsState	1.00	$134,360	$123,834	20%
33	IdahoState	0.99	$117,770	$122,041	12%
34	New HampshireState	0.99	$130,410	$123,028	15%
35	ConnecticutState	0.98	$130,790	$121,552	14%
36	IllinoisState	0.98	$117,850	$120,996	13%
37	North CarolinaState	0.98	$114,410	$121,197	14%
38	Nashville-Davidson--Murfreesboro--Franklin, TNMetro	0.98	$116,480	$121,081	16%
39	MaineState	0.97	$120,320	$120,561	13%
40	MarylandState	0.97	$131,810	$120,705	15%
41	NevadaState	0.97	$119,990	$119,750	15%
42	Boston-Cambridge-Newton, MA-NHMetro	0.97	$136,760	$120,493	22%
43	FloridaState	0.96	$120,360	$118,581	17%
44	Rhode IslandState	0.96	$119,260	$118,667	15%
45	TexasState	0.96	$114,150	$119,404	15%
46	Miami-Fort Lauderdale-West Palm Beach, FLMetro	0.96	$128,770	$118,682	19%
47	Philadelphia-Camden-Wilmington, PA-NJ-DE-MDMetro	0.96	$122,920	$118,763	16%
48	MissouriState	0.95	$104,370	$117,799	12%
49	NebraskaState	0.95	$107,700	$117,705	12%
50	OhioState	0.95	$106,140	$117,412	12%
51	TennesseeState	0.95	$107,120	$117,071	14%
52	Baltimore-Columbia-Towson, MDMetro	0.95	$124,990	$118,138	16%
53	KentuckyState	0.94	$103,450	$116,893	11%
54	LouisianaState	0.94	$104,550	$116,038	12%
55	MichiganState	0.94	$107,570	$116,544	12%
56	WyomingState	0.94	$108,030	$116,161	11%
57	Charlotte-Concord-Gastonia, NC-SCMetro	0.94	$111,080	$115,950	16%
58	IndianaState	0.93	$104,140	$115,072	12%
59	MississippiState	0.93	$98,160	$115,755	11%
60	South CarolinaState	0.93	$105,620	$114,804	14%
61	UtahState	0.93	$114,980	$114,750	16%
62	Columbus, OHMetro	0.93	$107,520	$114,995	14%
63	Los Angeles-Long Beach-Anaheim, CAMetro	0.93	$134,230	$115,219	20%
64	IowaState	0.92	$101,940	$114,283	11%
65	North DakotaState	0.92	$105,170	$113,575	11%
66	OklahomaState	0.92	$101,270	$114,429	11%
67	AlabamaState	0.91	$97,790	$112,273	12%
68	MontanaState	0.89	$105,840	$109,793	13%
69	Pittsburgh, PAMetro	0.89	$101,570	$109,805	14%
70	ArkansasState	0.88	$94,340	$109,316	11%
71	PennsylvaniaState	0.86	$103,670	$106,876	15%

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