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2026 Salary Data — San Francisco, CA
Updated April 28, 2026

Physician Salary in San Francisco: $355K Median

Physicians in San Francisco, CA earn between $271K and $620K per year.

That's +55% above the US national median of $229,300 for this role.

Quick Answer

As of April 2026, the median Physician salary in San Francisco, CA is $355,415 per year — +55% above the US national median of $229,300. Salaries range from $271,250 (entry, 25th percentile) to $620,000 (90th percentile). Physicians in San Francisco earned approximately $53,851 in 2025, representing 560.0% year-over-year growth.

Median
$355,415
+560.0% YoY · $29,618/mo
Entry
$310,000
0–2 years
Experienced
$542,500
5+ years
Top 10%
$620,000
Senior/lead
Physician Salary — San Francisco vs Nearby
San Francisco
$355K
Los Angeles
$294K
+21% vs San Francisco
San Diego
$271K
+31% vs San Francisco
Fresno
$218K
+63% vs San Francisco

Free ATS scan · San Francisco employers · Results in 60 seconds

About Physicians in San Francisco

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

MD or DOBoard certificationState medical licenseDEA registration

San Francisco Job Market

Global tech capital with highest tech salaries in the US, especially AI/ML.

Population
873K
Cost of Living
244
vs 100 US avg
Unemployment
4.5%
Median Home
$1300K

Top Industries in San Francisco

Tech (FAANG, AI)FinanceBiotechTourism

Top Employers Hiring Physicians

Major employers active in San Francisco or hiring remotely from this metro.

Mayo Clinic
Cleveland Clinic
Kaiser Permanente
Johns Hopkins
HCA Healthcare
Veterans Health

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.

TelemedicineAI-assisted diagnosisConcierge medicineSpecialty practiceEHR efficiency

ATS Resume Keywords

Include these naturally throughout your resume.

MDboard certifiedpatient careEHR (Epic)clinical researchspecialtyresidency
Career Outlook
+4% Growth Projected (2024-2034)

Physician demand strong with growing US population. Specialties like radiology, anesthesiology, and orthopedics paying $400K+.

Physician Salary Breakdown — San Francisco

PeriodEntry (25th)Median (50th)Top (90th)
Annual$271,250$355,415$620,000
Monthly$22,604$29,618$51,667
Weekly$5,216$6,835$11,923
Hourly$130$171$298

Based on 2080 working hours/year. Local figures derived from BLS Occupational Employment and Wage Statistics national median ($229,300) adjusted for San Francisco's cost-of-living multiplier (1.55×, sourced from BEA Regional Price Parities).

Physician Take-Home Pay in San Francisco

After federal, state and FICA taxes — single filer, standard deduction.

Net Annual Take-Home
$230,962.958
Per month$19,247
Biweekly paycheck$8,883
Effective tax rate35.0%

Tax Breakdown on $355,415

Gross salary$355,415
Federal income tax−$88,832.5
California state tax−$19,547.825
FICA (Social Security + Medicare)−$16,071.718
Take-home (net)$230,962.958

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 — San Francisco

Career-stage progression for Physicians in San Francisco.

ExperienceAnnual Salary
0–1 yr$285,200
2–3 yr$310,000
4–6 yr$426,250
7–10 yr$542,500
11–15 yr$640,150
15+ yr$581,250

Curve derived from BLS percentile data adjusted for San Francisco's 1.55× cost-of-living multiplier. Highlighted row = 7–10 year experienced level.

Year-Over-Year Trend

+560.0% vs 2025

2025 median:$53,851
2026 median:$355,415
Change:+$301,564

Healthcare sector growth driven by demand for Telemedicine and AI-assisted diagnosis.

Is This A Good Salary?

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.

COL-Adjusted Purchasing Power
$145,662
Difficult on the median - the nominal salary masks how little real purchasing power remains after rent, taxes, and basic costs.

How to Negotiate Your Physician Salary in San Francisco

Walk-away anchor: $323,105 (offers below this are below market for San Francisco).

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

Sign-on bonus ($10K-$30K, often $50K+ for hard-to-fill roles)Tuition reimbursement and certification stipendsLoan repayment programs (especially federal/HRSA-eligible)Shift differentials (nights +15%, weekends +10%)Relocation package and housing stipend

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 $543K–$620K for experienced roles, citing San Francisco market data and your specific Telemedicine/AI-assisted diagnosis expertise.

Physician Salary FAQ — San Francisco

What is the average Physician salary in San Francisco, CA?
The average Physician salary in San Francisco is $355,415 per year as of April 2026 — $29,618/month, $6,835/week, or about $171/hour. Salaries range from $271,250 (entry, 25th percentile) up to $620,000 (experienced, 90th percentile). Source: BLS Occupational Employment and Wage Statistics adjusted for San Francisco's cost-of-living multiplier (1.55×).
Is $355,415 a good Physician salary in San Francisco?
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. San Francisco's cost-of-living index is 244 (vs 100 nationally), giving $355,415 a real purchasing power of approximately $145,662 in national terms. Difficult on the median - the nominal salary masks how little real purchasing power remains after rent, taxes, and basic costs.
Can you live on $355,415 in San Francisco?
Median pay is below HUD's low-income threshold for a family of four in some of these metros (notably San Francisco, where $104K qualifies as 'low income'). Raising a family on the median typically requires two earners, a long commute, or family help with housing. Spending 30% on rent is impossible at the median in this market - most workers spend 40-50% or take roommates well into their 30s. HUD classifies anything over 30% as 'cost-burdened' here. For San Francisco specifically (median home price $1,300,000), a $355,415 salary supports a comfortable lifestyle.
Is $355,415 enough for a single person in San Francisco?
A single adult in San Francisco typically needs ~$109,800 for a comfortable lifestyle (housing, food, transport, healthcare, modest savings). A $355,415 salary is well above that threshold — a single person can live comfortably with significant savings room.
Is $355,415 enough for a couple in San Francisco?
A couple (one earner) in San Francisco typically needs ~$175,680 for a comfortable lifestyle. A $355,415 salary as the sole household income is sufficient — enabling moderate housing, savings, and discretionary spending. Two earners at $355,415 each ($710,830 household) provides solid middle-class comfort.
Is $355,415 enough for a family of 4 in San Francisco?
A family of 4 (one earner) in San Francisco typically needs ~$268,400 for a comfortable middle-class lifestyle (housing for 4, childcare/school, food, healthcare, transport, savings). A $355,415 salary as the sole household income is sufficient — a family of 4 can afford this metro on a single Physician income with prudent budgeting. Childcare costs in San Francisco typically run $37K-$68K per child per year.
What is the take-home pay for a Physician in San Francisco?
On a $355,415 Physician salary in San Francisco, CA, you take home approximately $230,962.958 per year ($19,247/month, $8,883 per biweekly paycheck) after taxes. Breakdown: federal $88,832.5, state $19,547.825, FICA $16,071.718. Effective tax rate: 35.0%. (Single filer, standard deduction, no other adjustments.)
How much do Physicians in San Francisco earn compared to the US average?
Physicians in San Francisco earn approximately 55% more than the US national median for this role ($229,300 nationally vs $355,415 in San Francisco). However, San Francisco's cost-of-living index of 244 means real purchasing power is approximately $145,662 when adjusted for local prices.
What does an entry-level Physician earn in San Francisco?
Entry-level Physicians in San Francisco typically start at around $310,000 (0–2 years experience). With 5+ years, Physicians earn $542,500 or more. Top earners (90th percentile) reach $620,000+, typically at senior or lead levels with specialized skills.
Did Physician salaries in San Francisco increase in 2026?
Yes — Physician salaries in San Francisco grew approximately 560.0% year-over-year, from $53,851 in 2025 to $355,415 in 2026 (+$301,564). This reflects the broader Healthcare sector's compensation trend, driven by Telemedicine and AI-assisted diagnosis demand.
What's the job outlook for Physicians in San Francisco?
Physician demand strong with growing US population. Specialties like radiology, anesthesiology, and orthopedics paying $400K+. San Francisco's top industries include Tech (FAANG, AI), Finance, Biotech, and the metro's current unemployment rate is 4.5% — steady demand for skilled workers.
What skills are most in demand for Physicians in 2026?
The hottest 2026 skills for Physicians are: Telemedicine, AI-assisted diagnosis, Concierge medicine, Specialty practice, EHR efficiency. ATS systems specifically scan for these keywords. Adding them to your resume — naturally and in context — significantly improves your match rate with employers in San Francisco.
Who are the top employers hiring Physicians in San Francisco?
Top employers hiring Physicians in or near San Francisco include: Mayo Clinic, Cleveland Clinic, Kaiser Permanente, Johns Hopkins, HCA Healthcare, Veterans Health. Most use ATS software (Workday, Greenhouse, Taleo, iCIMS) to screen resumes — meaning your resume must be ATS-optimized to even get a human reader.
How do I negotiate a higher Physician salary in San Francisco?
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? Key leverage points for Healthcare negotiations: 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. Beyond base salary, negotiate for: Sign-on bonus ($10K-$30K, often $50K+ for hard-to-fill roles), Tuition reimbursement and certification stipends, Loan repayment programs (especially federal/HRSA-eligible), Shift differentials (nights +15%, weekends +10%).
How can I increase my Physician salary in San Francisco?
Three highest-leverage moves: (1) Add 2026's hot skills (Telemedicine, AI-assisted diagnosis, Concierge medicine) — they command 15-30% premiums. (2) Get a recognized certification (e.g., MD or DO or Board certification). (3) Tailor your resume to each role's keywords — CVCraft's ATS scanner shows you exactly what's missing.
What education do I need to become a Physician in San Francisco?
MD/DO + residency (3-7 years) is the typical path. However, San Francisco's competitive market increasingly values demonstrable skills, portfolios, and certifications alongside (or in place of) traditional degrees — particularly for Healthcare roles.

Methodology & Sources

Physician salary figures for San Francisco are computed by adjusting the BLS national median ($229,300) by San Francisco's cost-of-living multiplier of 1.55× — 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.

Data Sources

Related Roles in San Francisco

Nurse Practitioner →Pharmacist →Registered Nurse →Physical Therapist →Occupational Therapist →Dentist →

Physician Salary in Other Cities

Los Angeles, CA$294KSan Diego, CA$271KFresno, CA$218KSacramento, CA$248KLong Beach, CA$275KOakland, CA$321K

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