Medical Assistant Pay

San Francisco vs Vista: Medical Assistant Salary (2026)

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

San Francisco, CA
$62,762
$30.18/hr
Vista, CA
$53,198
$25.57/hr

Side-by-Side Comparison

MetricSan Francisco, CAVista, CA
Median Salary$62,762$53,198
Hourly Rate$30.18$25.57
Entry Level (P10)$49,409$40,533
25th Percentile$52,611$43,488
75th Percentile$81,100$57,952
Top Earner (P90)$83,714$69,964
Total Employed14,32024
Side-by-side bar chart comparing San Francisco ($62,762) and Vista ($53,198) medical assistant salaries.San FranciscoVistaMedian Salary$62,762$53,198Entry Level (P10)$49,409$40,533Top Earner (P90)$83,714$69,964US Median $47,961

Verdict

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

The salary gap between San Francisco and Vista is $9,564 (17.98%). 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,Vista spans $29,431. San Francisco has a wider pay range, meaning more potential for high earners but also more variation.

San Francisco
P10 (Entry)$49,409
P25$52,611
Median$62,762
P75$81,100
P90 (Top)$83,714
Vista
P10 (Entry)$40,533
P25$43,488
Median$53,198
P75$57,952
P90 (Top)$69,964

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, San Francisco ($54,286 effective) pays 15.41% more than Vista ($47,036 effective).

San Francisco
Nominal: $62,762
CoL Index: 115.613
Adjusted: $54,286
Vista
Nominal: $53,198
CoL Index: 113.1
Adjusted: $47,036

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 Vista 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 -16.0% growth in Vista over the same period.

San Francisco, CA

+23.6%

$48,370 (2019) → $59,790 (2025)

Vista, CA

+-16.0%

$60,310 (2024) → $50,679 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays medical assistants more: San Francisco or Vista?

San Francisco has a higher median medical assistant salary at $62,762/year, compared to Vista at $53,198/year — a difference of $9,564 (17.98%).

What is the hourly rate difference between San Francisco and Vista?

San Francisco medical assistants earn $30.18/hr while Vista hygienists earn $25.57/hr (2026 est.).

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

Consider more than just salary when comparing San Francisco and Vista. Factor in cost of living (CoL-adjusted: San Francisco = $54,286, Vista = $47,036), job availability (14,320 vs 24 employed), commute, and career growth potential.

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

Entry-level (10th percentile) medical assistants earn $49,409 in San Francisco and $40,533 in Vista. The San Francisco area offers higher starting salaries.

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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