Anesthesiologist Salary in Middletown, NY: $465,427 (2026)
Quick Answer:A full-time anesthesiologist in Middletown, NY earns a median $465,427/year (≈ $223.77/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-1211). Once you factor in Middletown's price level (16% above national, BEA RPP 115.9), that paycheck buys what $401,576 would nationally. Nominal pay sits 3.3% below the New York state average.
Based on BLS state-level estimates · View source

In 2026, anesthesiologists in Middletown, New York, can expect a median annual salary of $465,427, reflecting a significant demand for their expertise in the region. The salary range spans from $269,948 at the lower end to $651,329 for those at the higher percentile. These figures represent estimates derived from 2025 BLS data, adjusted for local cost-of-living considerations. Notably, the compensation landscape illustrates how call-burden variation, particularly between Q3 and Q5 rotations, influences earnings. This economic environment presents unique opportunities for anesthesiologists in Middletown, enhancing the potential for attractive compensation packages in this healthcare setting.
About the Middletown Market
Salary estimated from New York average ($400,000) adjusted for local cost of living.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $269,948 | $129.78 |
| Lower Range (P25) | $335,107 | $161.11 |
| Median (P50)(typical) | $465,427 | $223.77 |
| Upper Range (P75) | $581,772 | $279.69 |
| Top Earners (P90) | $651,329 | $313.13 |
Median Salary Position
13.77% above the national average
2026 Salary Percentile Distribution in Middletown
In Middletown, NY, the anesthesiologist salary spread from the 10th to 90th percentile is $381,381 (2026 est.). At $465,427, the local median is 13.77% above the national median of $409,107.
Salary Calculator
At 40 hours/week in Middletown: You'd be above the median
How Middletown Anesthesiologist Pay Compares
Middletown median: $465,427/year (2026)
| Compared To | Median Salary | Middletown Pays |
|---|---|---|
| New York Average | $481,311 | -3.30% less |
| National Average | $409,107 | +13.77% more |
Anesthesiologists in Middletown, NY earn a median of $465,427 per year (2026 est.), which is 13.77% higher than the national median of $409,107 and 3.30% below the New York state average of $481,311.
Cost-of-Living Adjusted Salary
Middletown has a cost of living 15.90% above the national average.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Middletown, NY has a cost-of-living index of 115.9 (above the national average of 100). While the nominal salary of $465,427 is competitive, the higher cost of living reduces purchasing power to an effective $401,576 — a 13.72% reduction.
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2019 BLS Actual
$342,009
2025 BLS Actual
$445,385
2026 Current Est.
$465,427
2019–2027 Growth
+42.2%
Salary Trajectory for Anesthesiologists in Middletown (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 4.50% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $342,009 | Actual |
| 2020 | $357,400 | Actual |
| 2021 | $373,483 | Actual |
| 2022 | $390,289 | Actual |
| 2023 | $407,852 | Actual |
| 2024 | $448,091 | Actual |
| 2025 | $445,385 | Actual |
| 2026(current) | $465,427 | Estimated |
| 2027 | $486,372 | Projected |
Based on 7 years of BLS OEWS data for the Middletown metropolitan area, the median anesthesiologist salary grew 30.2% from $342,009 (2019) to $445,385 (2025). At a 4.50% compound annual growth rate, salaries are projected to reach $486,372 by 2027 — a total increase of $144,363 (42.21%) from 2019.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Middletown metropolitan area, sourced from annual Occupational Employment and Wage Statistics surveys. 2026–2026 figures are current estimates, and 2027 values are projections, calculated using a 4.50% CAGR derived from 7-year BLS historical data. Actual salaries may vary based on employer, experience, certifications, and local market conditions.
Salary by Experience Level
| Experience | Estimated Salary Range |
|---|---|
| 0-2 years (New Graduate) | $269,948 – $335,107 |
| 3-5 years (Mid Career) | $335,107 – $465,427 |
| 5+ years (Experienced) | $465,427 – $581,772 |
| 10+ years (Top Earner) | $581,772 – $651,329 |
ANES salary ranges estimated from BLS percentile data. Individual anesthesiologist compensation varies by employer, certifications, and specialization.
Anesthesiologist Job Market in Middletown
The job market for anesthesiologists in Middletown is relatively strong, with only seven anesthesiologists currently employed in the area. The cost of living index of 115.9 indicates that living expenses are above the national average, which can impact take-home pay and purchasing power. Those looking for lucrative opportunities within Middletown should consider various employment avenues; hospital systems and private anesthesia group practices often offer the most competitive salaries. Factors driving compensation disparities include case volume, equity opportunities in private practices, and call requirements. Strategies for maximizing pay should focus on seeking hospital-employed positions with revenue-based bonuses or pursuing subspecialties that align with higher demand within the local healthcare network. Keeping abreast of factors like RVU performance and potential 1099 vs. W-2 distinctions will be vital for anesthesiologists wanting to optimize their earnings in this competitive market.
More salary data for Middletown, NY:
Frequently Asked Questions
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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.
Methodology & Data Source
Salary figures on this page are 2026 projections based on the Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey, May 2026 release. The BLS reported a median annual salary of $445,385 for anesthesiologistsin the Middletown metropolitan area. A 4.50% compound annual growth rate (CAGR), calculated from 6-year national BLS wage trends, was applied to project current 2026 compensation. Percentile ranges (P10–P90) represent the full salary distribution across experience levels and practice settings in this market.
Data Sources & Methodology
Salary data for Middletown is estimated from official BLS state-level occupational wage data (2025), adjusted for regional cost-of-living differences using BEA RPP (Regional Price Parities).
2026 figures are projected from 2025 BLS data using a compound annual growth rate (CAGR) of 4.50%, derived from historical BLS wage trends for anesthesiologists (SOC 29-1211).
Compiled and verified by Dr. Maria Chen, MD, a licensed anesthesiologist with 10+ years of clinical experience. · View source data at BLS.gov