Salary Levels by Experience
| Experience Level | Salary Range | Est. Annual Net |
|---|---|---|
| CA-1 to CA-3 Resident | $70,000–$97,000 | ~$63,093 |
| Junior Attending | $389,000–$486,000 | ~$262,525 |
| Senior Attending | $486,000–$626,000 | ~$323,375 |
| Chief / Pain Specialist | $605,000–$810,000 | ~$399,347 |
Tax Breakdown at $464,000 (Bi-Weekly)
| Component | Per Paycheck | Annual | % of Gross |
|---|---|---|---|
| Gross Pay | $17,846.15 | $464,000 | 100% |
| Federal Income Tax | −$4,872.96 | −$126,697 | 27.3% |
| CA State Income Tax | −$1,582.62 | −$41,148 | 8.9% |
| FICA (SS + Medicare) | −$770.08 | −$20,022 | 4.3% |
| Net Take-Home | $10,621 | ~$276,133 | 59.5% |
What Drives Anesthesiologist Pay in San Francisco
Anesthesiologists in New York City provide perioperative care across a vast network of hospital operating rooms, ambulatory surgery centers, and obstetric units. The city's high surgical volume and concentration of complex cases at academic quaternary-care centers keep compensation firmly at the top of the physician pay scale.
Pain management subspecialization commands a significant pay premium, as does cardiac and pediatric anesthesia. NYC's unionized hospital environment means many staff anesthesiologists also benefit from robust defined-benefit pension plans that add substantial long-term value beyond base salary. Locum tenens opportunities in the metro area provide additional earning potential for experienced attendings.
- Subspecialty focus (cardiac, pain, pediatric anesthesia)
- Call burden and night/weekend availability
- Academic title and teaching responsibilities
- Hospital vs. ambulatory surgery center setting
Top San Francisco Employers
Major employers hiring anesthesiologists in San Francisco include: UCSF, Kaiser SF, Sutter Health, California Pacific Medical Center.
Tax note: An anesthesiologist earning $430,000 in NYC should anticipate roughly $195,000–$220,000 in combined federal, state, and city taxes, making tax-deferred vehicles like 457(b) plans particularly valuable for hospital employees.
Frequently Asked Questions
An anesthesiologist earning $464,000 in San Francisco takes home approximately $276,133 per year, or $10,621 per bi-weekly paycheck, after all taxes. The effective tax rate is 40.5%.
San Francisco anesthesiologist salaries range from $70,000–$97,000 at entry level to $605,000–$810,000 for senior professionals. The median mid-career salary is approximately $464,000.
In San Francisco's hospital-dominated market, CRNAs typically work under physician supervision rather than independently, which preserves the attending anesthesiologist's billing leverage and has kept physician compensation relatively insulated compared to markets in other states.
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