Anesthesiologist Pay

Sacramento vs San Ramon: Anesthesiologist Salary (2026)

Compare anesthesiologist salaries between Sacramento, CA and San Ramon, CA. All figures are 2026 estimates projected from BLS 2025 data.

Sacramento, CA
$493,219
$237.12/hr
San Ramon, CA
$462,195
$222.21/hr

Side-by-Side Comparison

MetricSacramento, CASan Ramon, CA
Median Salary$493,219$462,195
Hourly Rate$237.12$222.21
Entry Level (P10)$286,067$268,073
25th Percentile$355,118$332,780
75th Percentile$631,320$576,659
Top Earner (P90)$737,369$647,878
Total Employed9419
Side-by-side bar chart comparing Sacramento ($493,219) and San Ramon ($462,195) anesthesiologist salaries.SacramentoSan RamonMedian Salary$493,219$462,195Entry Level (P10)$286,067$268,073Top Earner (P90)$737,369$647,878US Median $409,107

Verdict

Sacramento, CA offers better overall compensation for anesthesiologists, winning 4 out of 4 metrics compared to San Ramon.

The salary gap between Sacramento and San Ramon is $31,024 (6.71%). Sacramento's median is +20.56% compared to the US national median of $409,107.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Sacramento spans $451,302,San Ramon spans $379,805. Sacramento has a wider pay range, meaning more potential for high earners but also more variation.

Sacramento
P10 (Entry)$286,067
P25$355,118
Median$493,219
P75$631,320
P90 (Top)$737,369
San Ramon
P10 (Entry)$268,073
P25$332,780
Median$462,195
P75$576,659
P90 (Top)$647,878

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Sacramento ($436,091 effective) pays 6.71% more than San Ramon ($408,660 effective).

Sacramento
Nominal: $493,219
CoL Index: 113.1
Adjusted: $436,091
San Ramon
Nominal: $462,195
CoL Index: 113.1
Adjusted: $408,660

Cost-of-living adjustment: salary × (100 / CoL index). Index of 100 = national average.

Which City Is Right for You?

Choose Sacramento if…

  • Higher median salary ($493,219/year)
  • Better top-earner potential ($737,369)
  • Larger job market (94 employed)
  • Better purchasing power (CoL-adjusted: $436,091)
  • You prefer the California area and lifestyle

Choose San Ramon if…

  • You prefer the California area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, anesthesiologist salaries in Sacramento grew -13.0% from 2024 to 2025, compared to -13.0% growth in San Ramon over the same period.

Sacramento, CA

+-13.0%

$542,520 (2024) → $471,980 (2025)

San Ramon, CA

+-13.0%

$508,395 (2024) → $442,292 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays anesthesiologists more: Sacramento or San Ramon?

Sacramento has a higher median anesthesiologist salary at $493,219/year, compared to San Ramon at $462,195/year — a difference of $31,024 (6.71%).

What is the hourly rate difference between Sacramento and San Ramon?

Sacramento anesthesiologists earn $237.12/hr while San Ramon hygienists earn $222.21/hr (2026 est.).

Should I relocate from Sacramento to San Ramon as a anesthesiologist?

Consider more than just salary when comparing Sacramento and San Ramon. Factor in cost of living (CoL-adjusted: Sacramento = $436,091, San Ramon = $408,660), job availability (94 vs 19 employed), commute, and career growth potential.

What do entry-level anesthesiologists earn in Sacramento vs San Ramon?

Entry-level (10th percentile) anesthesiologists earn $286,067 in Sacramento and $268,073 in San Ramon. The Sacramento area offers higher starting salaries.

Related Comparisons

MC

Written by Dr. Maria Chen, MD

Career Analyst

Dr. Chen has over 10 years of experience in anesthesiology. She specializes in perioperative care at a major metropolitan hospital.

Clinically reviewed by Dr. Raj Patel, MDData verified by Dr. Amina Khan, MD

Methodology & Data Source

All salary figures are 2026 projections based on BLS OEWS May 2025 data. A 4.50% CAGR (derived from 6-year national BLS trends) was applied to estimate current compensation. Cost-of-living adjustments use BEA Regional Price Parity data. Actual salaries vary by employer, certifications, and experience.

Data Sources & Methodology

Source: BLS, OEWS , released .

Compiled and verified by Dr. Maria Chen, MD, a licensed anesthesiologist with 10+ years of clinical experience. · View source data at BLS.gov