Salary Levels by Experience
| Experience Level | Salary Range | Est. Annual Net |
|---|---|---|
| CA-1 to CA-3 Resident | $66,000–$91,000 | ~$63,611 |
| Junior Attending | $364,000–$455,000 | ~$283,136 |
| Senior Attending | $455,000–$586,000 | ~$352,678 |
| Chief / Pain Specialist | $566,000–$758,000 | ~$440,915 |
Tax Breakdown at $434,000 (Bi-Weekly)
| Component | Per Paycheck | Annual | % of Gross |
|---|---|---|---|
| Gross Pay | $16,692.31 | $434,000 | 100% |
| Federal Income Tax | −$4,469.12 | −$116,197 | 26.8% |
| No Washington State Tax 🎉 | $0.00 | $0.00 | 0.0% |
| FICA (SS + Medicare) | −$742.96 | −$19,317 | 4.5% |
| Net Take-Home | $11,480 | ~$298,486 | 68.8% |
What Drives Anesthesiologist Pay in Seattle
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 Seattle Employers
Major employers hiring anesthesiologists in Seattle include: UW Medicine, Swedish Health, Providence Health Seattle.
Tax note: At $434,000 in Seattle, anesthesiologists benefit from no Washington state income tax — only federal taxes and FICA apply. This saves roughly $22,000–$39,000 per year compared to working in a high-tax state.
Frequently Asked Questions
An anesthesiologist earning $434,000 in Seattle takes home approximately $298,486 per year, or $11,480 per bi-weekly paycheck, after all taxes. The effective tax rate is 31.2%.
Seattle anesthesiologist salaries range from $66,000–$91,000 at entry level to $566,000–$758,000 for senior professionals. The median mid-career salary is approximately $434,000.
In Seattle'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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