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Medical and Health Services Managers: Salary, Outlook and Cost of Living by State

Official job facts from the U.S. Department of Labor, and what this occupation pays and leaves after taxes and living costs in 116 counties.

National median wage
$123,860
BLS, per year
Projected growth
+24.2%
BLS, 2025 to 2035
Openings per year
62,300
BLS annual average
States covered
16
116 county pages

Medical and Health Services Managers pay by state

State figure: employment-weighted average of the local median wages (BLS OEWS, May 2025). Margin: yearly amount left in the state's best-placed market after taxes, rent, food, energy and gasoline.

Medical and Health Services Managers average local median wage by state
StateAverage median wageWorkersWage areasBest margin inMargin per year
New York$159,77543,8801Kings County, NY$75,582
New Jersey$152,47053,1302Bergen County, NJ$85,664
California$144,24572,3402Alameda County, CA$76,170
District of Columbia$140,67011,7301District of Columbia, DC$63,980
New Hampshire$135,80114,7501Rockingham County, NH$75,186
West Virginia$134,97414,7601Jefferson County, WV$81,463
Virginia$133,94118,9001Fairfax County, VA$66,360
Massachusetts$130,82421,1801Middlesex County, MA$60,261
Maryland$129,05135,3103Montgomery County, MD$66,677
Arizona$127,56311,6301Maricopa County, AZ$71,461
Delaware$123,02314,4901New Castle County, DE$62,181
Florida$119,00140,5901Miami-Dade County, FL$66,134
Texas$117,03756,2302Harris County, TX$73,761
Illinois$116,56327,7201Cook County, IL$60,736
Indiana$114,18534,4701Lake County, IN$70,507
Pennsylvania$110,76933,1301Philadelphia County, PA$65,058

What Medical and Health Services Managers do

The U.S. Department of Labor's O*NET database describes the work of Medical and Health Services Managers this way: "Plan, direct, or coordinate medical and health services in hospitals, clinics, managed care organizations, public health agencies, or similar organizations."

The core tasks O*NET records for this occupation include: "Direct, supervise and evaluate work activities of medical, nursing, technical, clerical, service, maintenance, and other personnel"; "Establish objectives and evaluative or operational criteria for units managed"; "Direct or conduct recruitment, hiring, and training of personnel"; "Develop and maintain computerized record management systems to store and process data, such as personnel activities and information, and to produce reports"; "Develop and implement organizational policies and procedures for the facility or medical unit".

Education, experience and training

According to the BLS Employment Projections, the typical education needed to enter this occupation is bachelor's degree. Work experience in a related occupation is typically less than 5 years.

Job outlook for Medical and Health Services Managers

The Bureau of Labor Statistics counted 640,400 jobs in this occupation in 2025 and projects 795,500 in 2035, an increase of 155,100 jobs (+24.2%). That is faster than the 3.5% projected for all occupations.

About 62,300 openings a year are projected on average, counting both new positions and positions vacated by workers who retire or switch occupations. Relative to today's employment that is 9.7% a year, against 10.3% for all occupations. BLS lists a national median annual wage of $123,860, compared with $50,980 for all occupations.

Where Medical and Health Services Managers earn the most

Across the 16 states with published data, the employment-weighted average of local median wages for this occupation ranges from $110,769 in Pennsylvania to $159,775 in New York, a gap of $49,006 (1.44 times). 10 of those 16 states average above the BLS national median of $123,860 and 6 average at or below it.

California employs the most people in this occupation among the states covered, 72,340, which is 14.3% of the 504,240 counted across them. Texas follows with 56,230.

Highest-paying states

New York ($159,775), New Jersey ($152,470) and California ($144,245) lead the ranking, while Pennsylvania ($110,769) and Indiana ($114,185) are at the bottom. The table below lists every state with a link to its county-level detail.

Medical and Health Services Managers: pay against the cost of living

We compare 21 labor markets, each represented by its most populous county. After federal, Social Security, Medicare and state taxes and the four basics (a one-bedroom rental, food, home energy and gasoline), the largest yearly margin is in Bergen County, NJ (New York-Newark-Jersey City, NY-NJ) at $85,664. The smallest margin is $55,882 in Los Angeles County, CA.

The median wage for this occupation covers all four basics in 21 of the 21 markets. A one-bedroom apartment takes between 12.5% and 30.6% of take-home pay, depending on the market.

Other occupations in the same SOC minor group (11-9000) include Natural Sciences Managers, Architectural and Engineering Managers, Education Administrators, Kindergarten through Secondary and Construction Managers.

Frequently asked questions about Medical and Health Services Managers

What is the national median wage for Medical and Health Services Managers?

BLS lists a national median annual wage of $123,860. Across the states covered here the average local median ranges from $110,769 to $159,775.

Which state pays Medical and Health Services Managers the most?

New York, with an employment-weighted average local median wage of $159,775. New Jersey is next at $152,470.

What is the job outlook for Medical and Health Services Managers?

BLS projects employment to grow by 24.2% between 2025 and 2035, compared with 3.5% for all occupations, with about 62,300 openings a year.

What education do Medical and Health Services Managers need?

The typical entry-level education is bachelor's degree, with work experience in a related occupation of less than 5 years, according to BLS.

Where can Medical and Health Services Managers afford to live best?

Among the markets covered, Bergen County, NJ leaves the largest yearly margin after taxes, rent, food, energy and gasoline: $85,664 on a median wage of $167,580.

Sources

Occupation description and tasks: O*NET Database 30.0, U.S. Department of Labor, Employment and Training Administration (USDOL/ETA), used under the CC BY 4.0 license; O*NET® is a trademark of USDOL/ETA. Outlook, education, experience and training: BLS Employment Projections, 2025–35. Wages: BLS OEWS, May 2025. Taxes, rents and living costs: see the methodology.