Salary Levels by Experience
| Experience Level | Salary Range | Est. Annual Net |
|---|---|---|
| Resident | $70,000–$95,000 | ~$62,483 |
| Junior Attending | $194,000–$254,000 | ~$148,573 |
| Senior Attending | $248,000–$313,000 | ~$179,962 |
| Division Chief | $308,000–$410,000 | ~$221,690 |
Tax Breakdown at $238,000 (Bi-Weekly)
| Component | Per Paycheck | Annual | % of Gross |
|---|---|---|---|
| Gross Pay | $9,153.85 | $238,000 | 100% |
| Federal Income Tax | −$1,862.42 | −$48,423 | 20.3% |
| CA State Income Tax | −$707.85 | −$18,404 | 7.7% |
| FICA (SS + Medicare) | −$565.81 | −$14,711 | 6.2% |
| Net Take-Home | $6,018 | ~$156,462 | 65.7% |
What Drives Pediatrician Pay in San Francisco
Pediatricians in New York City provide primary and specialty care for children across a vast network of hospital pediatric departments, academic medical centers, and independent private practices. NYC's enormous family population and concentration of top-ranked children's hospitals make it one of the most active pediatric medicine markets in the country.
Pediatric subspecialties such as pediatric cardiology, neonatology, and pediatric surgery command pay 40–80% above general pediatricians in NYC. General pediatricians in private practice in affluent neighborhoods like the Upper East Side or Park Slope often benefit from high patient retention and a mix of well-child visits that support stable revenue. NYC's public hospital pediatricians, including those at Bellevue's pediatric unit, often work under union agreements that include pension benefits offsetting lower base salaries.
- Pediatric subspecialty vs. general pediatrics
- Academic medical center vs. private practice
- Patient panel size and payer mix
- Administrative or medical directorship roles
Top San Francisco Employers
Major employers hiring pediatricians in San Francisco include: UCSF, Kaiser SF, Sutter Health, California Pacific Medical Center.
Tax note: A pediatrician earning $220,000 in NYC will take home roughly $130,000–$140,000 after all income taxes, a relatively modest net figure that reflects why many pediatricians supplement income through academic research grants or medical consulting.
Frequently Asked Questions
A pediatrician earning $238,000 in San Francisco takes home approximately $156,462 per year, or $6,018 per bi-weekly paycheck, after all taxes. The effective tax rate is 34.3%.
San Francisco pediatrician salaries range from $70,000–$95,000 at entry level to $308,000–$410,000 for senior professionals. The median mid-career salary is approximately $238,000.
Pediatric reimbursement rates from Medicaid (which covers a large share of San Francisco children) and commercial insurers are structurally lower than adult medicine rates; combined with lower procedure volume compared to surgical specialties, this drives pediatrician salaries below most other physician specialties despite a lengthy training pathway.
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