California · BLS May 2025

How much does an internal medicine physician make in California?

Also called internist. SOC 29-1216.

An internal medicine physician in California earns a median of $313,890 a year ($150.91 an hour), about $16,565 a month after federal, state and FICA tax. Figure from the BLS Occupational Employment and Wage Statistics survey. The survey counted 6,370 of these jobs in California in May 2025.

Median pay · California

$313,890A year, or $151 an hour.
Take-home a month$16,565After federal, state and FICA tax at 36.7%
Worth at national prices$283,499Prices here sit at 110.7 against 100
Against the nation22.3% aboveNational median $256,560
What general internal medicine physicians earn in California, May 2025
PercentileAnnualHourly
10th percentile1 in 10 earn less$74,180$36
25th percentile$129,110$62
MedianHalf earn more, half less$313,890$151
75th percentile$388,150$187
90th percentile1 in 10 earn more$441,710$212
MeanAll pay divided by all jobs$273,270$131

Wage survey · BLS May 2025

How we got this
  1. Median wage in CaliforniaBLS OEWS May 2025. Half of the people in this job were paid more than this, half less.$313,890
  2. Median hourly wagePublished separately by BLS, not divided out of the annual figure.$150.91
  3. Take-home after federal, state and FICA tax$16,565 a month at an effective rate of 36.7%.$198,782 a year
  4. Worth at national average pricesPrices in California sit at 110.7 against a national 100 (BEA, 2024).$283,499
  5. Against the national medianThe national median is $256,560.22.3% above
  6. Jobs countedA concentration of 0.81 against the nation's 1.00.6,370
What we assumed
  • Wages are BLS OEWS survey estimates for May 2025, not job postings or offers.
  • OEWS surveys wage and salary workers. The self-employed and business owners are outside it.
  • Take-home assumes one 2026 filer, filing single, taking the standard deduction, with no dependents, pre-tax retirement contributions or local income tax.
  • Regional price parities compare price levels between places in one year. They are not inflation, and they do not adjust for what a household actually buys.
Technical details

Method occupation-wage-v1Data bls-oews-2025-05-v1, us-tax-2026-v1, bea-rpp-2024-v1, census-acs5-2024-v1

What lands in the bank

Tax year 2026 · Interactive

Estimated on the median salary of $313,890 in California, for a single filer taking the standard deduction in 2026. Explore other wage levels and filing statuses below.

$313,890
$70,000$445,000
Filing status:
Gross salary breakdown$313,890
Net 63%
Fed 23%
CA 8%
FICA 5%
Annual take-home$198,782After all taxes
Monthly deposit$16,565Estimated per month
Biweekly paycheck$7,645Every 2 weeks (26/yr)
Effective tax rate36.7%Total tax burden
Federal income tax$72,996 / yr
California state income tax$25,097 / yr
FICA (Social Security & Medicare)$17,015 / yr

Run the numbers on your own pay

Same U.S. tax tables as the rest of the site. Change the salary, state, or filing status.

What $313,890 is worth in California

Prices in California sit at 110.7 against a national average of 100, so $313,890 earned here buys what $283,499 buys at national average prices.

  • Rents. 154.3 against 100, the component that moves most between states.
  • Against local households. The median household in California takes in $99,122, so this occupation's median is 3.17 times that, on one income.
  • How common the job is here. 19% less concentrated in California than in the country as a whole.

Compare two places properly →

Reading the numbers

What stands out for internal medicine physicians in California

BLS does not publish exact figures above $239,200 a year ($115.00 an hour). At least one percentile in California reaches that cap, so the top of the range is higher than the table can show.

Rents in California index at 154.3 (U.S. = 100) while prices overall index at 110.7, a gap of +43.6 pts. For a renter, housing moves the local cost of living more than anything else.

One median paycheck here is 3.2 times the median household income in California ($99,122), a figure that counts every earner in the home.

The gap between the ends is wide: the 90th percentile ($441,710) is 6 times the 10th ($74,180). The survey does not say who sits where in that range. It records no experience, shift or employer.

Common questions

Internal Medicine Physician pay in California, answered

How much does an internal medicine physician make in California?

The median wage for internal medicine physicians in California is $313,890 a year, or $150.91 an hour.

Half earn more than that and half earn less. The figure comes from the Bureau of Labor Statistics occupational wage survey for May 2025.

What is the average internal medicine physician salary in California?

BLS’s mean (average) wage for internal medicine physicians in California is $273,270 a year. The median is $313,890.

The mean sits higher when a smaller group of high earners pulls the average up. For a typical paycheck, the median is the better middle.

What is the hourly pay for an internal medicine physician in California?

The median hourly wage is $150.91. At a full-time year that lines up with about $313,890 a year.

BLS May 2025; hourly and annual figures come from the same survey.

What is the starting salary for an internal medicine physician in California?

BLS does not publish starting pay. The closest figure it does publish is the low end of the range: in California, the lowest-paid 10% of internal medicine physicians earn under $74,180 a year and a quarter earn under $129,110 ($35.66 and $62.07 an hour).

New hires often start somewhere in that band, but the May 2025 survey does not record experience, so read it as a floor to compare an offer against rather than a typical first salary.

What is the salary range for an internal medicine physician in California?

The overall salary range for internal medicine physicians in California spans from $74,180 for the bottom 10% to $441,710 for top earners.

The middle 50% earn between $129,110 and $388,150 a year, with the overall median at $313,890.

What is the take-home pay for an internal medicine physician in California?

On the median wage of $313,890, a single filer taking the 2026 standard deduction keeps an estimated $198,782 a year, or roughly $16,565 a month.

That is after federal, state and FICA tax, an effective rate of 36.7%.

California takes $25,097 of it in state income tax.

How much does an internal medicine physician make a month in California?

On the median annual salary of $313,890, estimated take-home pay is roughly $16,565 a month after federal, state, and FICA taxes.

For workers paid on a standard biweekly schedule (26 pay periods per year), each paycheck is approximately $7,645 net.

Do internal medicine physicians earn more in California than in the rest of the country?

Yes. The median in California is 22.3% above the national median of $256,560.

Nominal pay is only half the comparison: prices in California sit at 110.7 against a national 100, so the gap in what the money buys is different from the gap in the salary.

Is $313,890 a good salary in California?

It is 3.17 times the median household income of $99,122. A household often has more than one earner, so a single salary at this level goes further than the ratio alone suggests.

Prices in California run at 110.7 against a national average of 100, with rents at 154.3, so $313,890 here buys about what $283,499 buys at national average prices.

What do the highest-paid internal medicine physicians earn in California?

The top tenth earn $441,710 a year or more. The 10th-percentile wage is $74,180.

Experience, specialty, employer and the part of California someone works in all move a wage inside that range; the survey reports the spread, not the reason for it.

How many internal medicine physicians are there in California?

The survey counted 6,370 of these jobs in California for May 2025.

That makes the occupation 19% less concentrated here than in the country as a whole. It counts wage and salary jobs, so the self-employed are outside it.

Sources

Where this data comes from

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