Salary Levels by Experience
| Experience Level | Salary Range | Est. Annual Net |
|---|---|---|
| Resident | $66,000–$89,000 | ~$62,907 |
| Junior Attending | $182,000–$237,000 | ~$155,932 |
| Senior Attending | $232,000–$293,000 | ~$190,950 |
| Division Chief | $288,000–$384,000 | ~$237,089 |
Tax Breakdown at $222,000 (Bi-Weekly)
| Component | Per Paycheck | Annual | % of Gross |
|---|---|---|---|
| Gross Pay | $8,538.46 | $222,000 | 100% |
| Federal Income Tax | −$1,665.50 | −$43,303 | 19.5% |
| No Washington State Tax 🎉 | $0.00 | $0.00 | 0.0% |
| FICA (SS + Medicare) | −$551.35 | −$14,335 | 6.5% |
| Net Take-Home | $6,322 | ~$164,362 | 74.0% |
What Drives Pediatrician Pay in Seattle
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 Seattle Employers
Major employers hiring pediatricians in Seattle include: UW Medicine, Swedish Health, Providence Health Seattle.
Tax note: At $222,000 in Seattle, pediatricians benefit from no Washington state income tax — only federal taxes and FICA apply. This saves roughly $11,000–$20,000 per year compared to working in a high-tax state.
Frequently Asked Questions
A pediatrician earning $222,000 in Seattle takes home approximately $164,362 per year, or $6,322 per bi-weekly paycheck, after all taxes. The effective tax rate is 26.0%.
Seattle pediatrician salaries range from $66,000–$89,000 at entry level to $288,000–$384,000 for senior professionals. The median mid-career salary is approximately $222,000.
Pediatric reimbursement rates from Medicaid (which covers a large share of Seattle 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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