Physician Salary in Sacramento: $248K Median
Physicians in Sacramento, CA earn between $189K and $432K per year.
That's +8% above the US national median of $229,300 for this role.
As of April 2026, the median Physician salary in Sacramento, CA is $247,644 per year — +8% above the US national median of $229,300. Salaries range from $189,000 (entry, 25th percentile) to $432,000 (90th percentile). Physicians in Sacramento earned approximately $37,522 in 2025, representing 560.0% year-over-year growth.
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About Physicians in Sacramento
Physicians diagnose and treat illnesses, prescribe medications, and provide preventive care. Specialties range widely in compensation.
Core Responsibilities
- Patient diagnosis and treatment
- Order tests and prescriptions
- Document patient records
- Coordinate care
- Lead medical teams
Education & Certifications
Typical path: MD/DO + residency (3-7 years)
In-demand certifications
Sacramento Job Market
California state capital with growing tech sector.
Top Industries in Sacramento
Top Employers Hiring Physicians
Major employers active in Sacramento or hiring remotely from this metro.
All major employers use ATS software.
Workday, Greenhouse, Taleo, and iCIMS auto-screen 75% of resumes before a human ever sees them. Scan your resume free to see your match rate.
2026 Hot Skills & Resume Keywords
Skills that command salary premiums and pass ATS keyword filters.
Hottest 2026 Skills
These appear in the highest-paying Physician listings.
ATS Resume Keywords
Include these naturally throughout your resume.
Physician demand strong with growing US population. Specialties like radiology, anesthesiology, and orthopedics paying $400K+.
Physician Salary Breakdown — Sacramento
| Period | Entry (25th) | Median (50th) | Top (90th) |
|---|---|---|---|
| Annual | $189,000 | $247,644 | $432,000 |
| Monthly | $15,750 | $20,637 | $36,000 |
| Weekly | $3,635 | $4,762 | $8,308 |
| Hourly | $91 | $119 | $208 |
Based on 2080 working hours/year. Local figures derived from BLS Occupational Employment and Wage Statistics national median ($229,300) adjusted for Sacramento's cost-of-living multiplier (1.08×, sourced from BEA Regional Price Parities).
Physician Take-Home Pay in Sacramento
After federal, state and FICA taxes — single filer, standard deduction.
Tax Breakdown on $247,644
Estimates assume single filer, standard deduction ($14,600 for 2026), no 401(k)/HSA/dependents. Actual take-home varies with deductions, dependents, and benefits elections. Not tax advice.
Physician Salary by Experience — Sacramento
Career-stage progression for Physicians in Sacramento.
| Experience | Annual Salary |
|---|---|
| 0–1 yr | $198,720 |
| 2–3 yr | $216,000 |
| 4–6 yr | $297,000 |
| 7–10 yr | $378,000 |
| 11–15 yr | $446,040 |
| 15+ yr | $405,000 |
Curve derived from BLS percentile data adjusted for Sacramento's 1.08× cost-of-living multiplier. Highlighted row = 7–10 year experienced level.
+560.0% vs 2025
Healthcare sector growth driven by demand for Telemedicine and AI-assisted diagnosis.
Excellent
Adjusted for local cost of living, this salary delivers top-tier real purchasing power - well above what the same nominal pay would buy in most US metros. Strong savings, home-buying, and discretionary spending are all realistic.
How to Negotiate Your Physician Salary in Sacramento
Walk-away anchor: $225,131 (offers below this are below market for Sacramento).
Leverage Points
- Specialty certifications (CCRN, OCS, BCPS, FNP) command 8-15% premiums
- Compact license / multi-state authority and willingness to float between units
- Night, weekend, and holiday shift differentials add up to $10K-$25K annually
- Critical-shortage specialties (ICU, ER, NICU, oncology) have the most leverage
Beyond Base Salary, Negotiate
What To Say
"Given the current shortage in this specialty and my certifications, I'm looking for $X base plus shift differential and a sign-on bonus. What flexibility do you have on those line items?"
Anchor on $378K–$432K for experienced roles, citing Sacramento market data and your specific Telemedicine/AI-assisted diagnosis expertise.
Physician Salary FAQ — Sacramento
What is the average Physician salary in Sacramento, CA?
Is $247,644 a good Physician salary in Sacramento?
Can you live on $247,644 in Sacramento?
Is $247,644 enough for a single person in Sacramento?
Is $247,644 enough for a couple in Sacramento?
Is $247,644 enough for a family of 4 in Sacramento?
What is the take-home pay for a Physician in Sacramento?
How much do Physicians in Sacramento earn compared to the US average?
What does an entry-level Physician earn in Sacramento?
Did Physician salaries in Sacramento increase in 2026?
What's the job outlook for Physicians in Sacramento?
What skills are most in demand for Physicians in 2026?
Who are the top employers hiring Physicians in Sacramento?
How do I negotiate a higher Physician salary in Sacramento?
How can I increase my Physician salary in Sacramento?
What education do I need to become a Physician in Sacramento?
Methodology & Sources
Physician salary figures for Sacramento are computed by adjusting the BLS national median ($229,300) by Sacramento's cost-of-living multiplier of 1.08× — a composite of regional wage data and price parities. Year-over-year change (560.0%) reflects the Healthcare sector's 2025-2026 wage growth per BLS Employment Cost Index trends. Last reviewed April 28, 2026.
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