Nurse Anesthetists (CRNA) Salary

San Francisco vs West Sacramento: Nurse Anesthetist Salary (2026)

Compare nurse anesthetist salaries between San Francisco, CA and West Sacramento, CA. All figures are 2026 estimates projected from BLS 2025 data.

San Francisco, CA
$306,024
$147.12/hr
West Sacramento, CA
$277,133
$133.24/hr

Side-by-Side Comparison

MetricSan Francisco, CAWest Sacramento, CA
Median Salary$306,024$277,133
Hourly Rate$147.12$133.24
Entry Level (P10)$183,733$190,350
25th Percentile$252,943$247,304
75th Percentile$391,710$348,609
Top Earner (P90)$473,097$402,001
Total Employed1429
Side-by-side bar chart comparing San Francisco ($306,024) and West Sacramento ($277,133) nurse anesthetist salaries.San FranciscoWest SacramentoMedian Salary$306,024$277,133Entry Level (P10)$183,733$190,350Top Earner (P90)$473,097$402,001US Median $248,893

Verdict

San Francisco, CA offers better overall compensation for nurse anesthetists, winning 4 out of 4 metrics compared to West Sacramento.

The salary gap between San Francisco and West Sacramento is $28,891 (10.42%). San Francisco's median is +22.95% compared to the US national median of $248,893.

Salary Range Comparison

The full salary range (10th to 90th percentile) in San Francisco spans $289,364,West Sacramento spans $211,651. San Francisco has a wider pay range, meaning more potential for high earners but also more variation.

San Francisco
P10 (Entry)$183,733
P25$252,943
Median$306,024
P75$391,710
P90 (Top)$473,097
West Sacramento
P10 (Entry)$190,350
P25$247,304
Median$277,133
P75$348,609
P90 (Top)$402,001

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, San Francisco ($270,578 effective) pays 10.42% more than West Sacramento ($245,034 effective).

San Francisco
Nominal: $306,024
CoL Index: 113.1
Adjusted: $270,578
West Sacramento
Nominal: $277,133
CoL Index: 113.1
Adjusted: $245,034

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 ($306,024/year)
  • Better top-earner potential ($473,097)
  • Larger job market (142 employed)
  • Better purchasing power (CoL-adjusted: $270,578)
  • You prefer the California area and lifestyle

Choose West Sacramento if…

  • You prefer the California area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, nurse anesthetist salaries in San Francisco grew 23.7% from 2022 to 2025, compared to -9.0% growth in West Sacramento over the same period.

San Francisco, CA

+23.7%

$235,120 (2022) → $290,897 (2025)

West Sacramento, CA

+-9.0%

$289,501 (2024) → $263,434 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays nurse anesthetists more: San Francisco or West Sacramento?

San Francisco has a higher median nurse anesthetist salary at $306,024/year, compared to West Sacramento at $277,133/year — a difference of $28,891 (10.42%).

What is the hourly rate difference between San Francisco and West Sacramento?

San Francisco nurse anesthetists earn $147.12/hr while West Sacramento hygienists earn $133.24/hr (2026 est.).

Should I relocate from San Francisco to West Sacramento as a nurse anesthetist?

Consider more than just salary when comparing San Francisco and West Sacramento. Factor in cost of living (CoL-adjusted: San Francisco = $270,578, West Sacramento = $245,034), job availability (142 vs 9 employed), commute, and career growth potential.

What do entry-level nurse anesthetists earn in San Francisco vs West Sacramento?

Entry-level (10th percentile) nurse anesthetists earn $183,733 in San Francisco and $190,350 in West Sacramento. The West Sacramento area offers higher starting salaries.

Related Comparisons

AJ

Written by Alexandra Johnson, MSN, CRNA

Career Analyst

Alexandra Johnson has 10 years of experience as a nurse anesthetist. She specializes in anesthesia for orthopedic surgeries. She works in a regional medical center.

Clinically reviewed by Michael Lee, DNP, CRNAData verified by Fatima Ahmad, MSN, CRNA

Methodology & Data Source

All salary figures are 2026 projections based on BLS OEWS May 2025 data. A 5.20% 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 Alexandra Johnson, MSN, CRNA, a licensed nurse anesthetist with 10+ years of clinical experience. · View source data at BLS.gov