Medical Assistant Pay

San Francisco vs Santa Cruz: Medical Assistant Salary (2026)

Compare medical assistant salaries between San Francisco, CA and Santa Cruz, CA. All figures are 2026 estimates projected from BLS 2025 data.

San Francisco, CA
$62,762
$30.18/hr
Santa Cruz, CA
$52,579
$25.28/hr

Side-by-Side Comparison

MetricSan Francisco, CASanta Cruz, CA
Median Salary$62,762$52,579
Hourly Rate$30.18$25.28
Entry Level (P10)$49,409$42,712
25th Percentile$52,611$50,207
75th Percentile$81,100$65,165
Top Earner (P90)$83,714$78,874
Total Employed14,320960
Side-by-side bar chart comparing San Francisco ($62,762) and Santa Cruz ($52,579) medical assistant salaries.San FranciscoSanta CruzMedian Salary$62,762$52,579Entry Level (P10)$49,409$42,712Top Earner (P90)$83,714$78,874US Median $47,961

Verdict

San Francisco, CA offers better overall compensation for medical assistants, winning 4 out of 4 metrics compared to Santa Cruz.

The salary gap between San Francisco and Santa Cruz is $10,183 (19.37%). San Francisco's median is +30.86% compared to the US national median of $47,961.

Salary Range Comparison

The full salary range (10th to 90th percentile) in San Francisco spans $34,305,Santa Cruz spans $36,162. Santa Cruz has a wider pay range, suggesting more variation in pay between entry-level and experienced medical assistants.

San Francisco
P10 (Entry)$49,409
P25$52,611
Median$62,762
P75$81,100
P90 (Top)$83,714
Santa Cruz
P10 (Entry)$42,712
P25$50,207
Median$52,579
P75$65,165
P90 (Top)$78,874

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, San Francisco ($54,286 effective) pays 13.46% more than Santa Cruz ($47,844 effective).

San Francisco
Nominal: $62,762
CoL Index: 115.613
Adjusted: $54,286
Santa Cruz
Nominal: $52,579
CoL Index: 109.896
Adjusted: $47,844

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

Which City Is Right for You?

Choose San Francisco if…

  • Higher median salary ($62,762/year)
  • Better top-earner potential ($83,714)
  • Larger job market (14,320 employed)
  • Better purchasing power (CoL-adjusted: $54,286)
  • You prefer the California area and lifestyle

Choose Santa Cruz if…

  • You prefer the California area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, medical assistant salaries in San Francisco grew 23.6% from 2019 to 2025, compared to 14.7% growth in Santa Cruz over the same period.

San Francisco, CA

+23.6%

$48,370 (2019) → $59,790 (2025)

Santa Cruz, CA

+14.7%

$43,680 (2019) → $50,090 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays medical assistants more: San Francisco or Santa Cruz?

San Francisco has a higher median medical assistant salary at $62,762/year, compared to Santa Cruz at $52,579/year — a difference of $10,183 (19.37%).

What is the hourly rate difference between San Francisco and Santa Cruz?

San Francisco medical assistants earn $30.18/hr while Santa Cruz hygienists earn $25.28/hr (2026 est.).

Should I relocate from San Francisco to Santa Cruz as a medical assistant?

Consider more than just salary when comparing San Francisco and Santa Cruz. Factor in cost of living (CoL-adjusted: San Francisco = $54,286, Santa Cruz = $47,844), job availability (14,320 vs 960 employed), commute, and career growth potential.

What do entry-level medical assistants earn in San Francisco vs Santa Cruz?

Entry-level (10th percentile) medical assistants earn $49,409 in San Francisco and $42,712 in Santa Cruz. The San Francisco area offers higher starting salaries.

Related Comparisons

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Written by Emma Chen, CMA

Career Analyst

Emma has over 8 years of experience as a medical assistant. She has worked in both outpatient clinics and hospitals. Her expertise includes patient care and administrative support.

Clinically reviewed by Carlos Rodriguez, RMAData verified by Sofia Patel, CCMA

Methodology & Data Source

All salary figures are 2026 projections based on BLS OEWS May 2025 data. A 4.97% 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 Emma Chen, CMA, a licensed medical assistant with 10+ years of clinical experience. · View source data at BLS.gov