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Crunching costs, sorting signals, rendering insights.
Crunching costs, sorting signals, rendering insights.
Real salary distribution from 288 tracked cities across 46 states. Compare entry-level, median, and senior compensation — then adjust for cost of living.
The data below covers the full spectrum — from six-figure metros to markets where the math is tighter. The national median salary for Medical Records Specialists in 2026 is $54,703, with entry-level positions averaging $39,386 and senior roles reaching $77,678. But those numbers flatten a reality with enormous geographic variation — Sunnyvale pays a median of $99,640, while other markets fall well below the national average. We tracked 288 cities to build the complete picture.
A career as a Medical Records Specialist sits at the intersection of Healthcare Support and Healthcare Support. Most professionals enter with Postsecondary certificate, and the field is characterized by growing. The work itself is office/remote. Understanding that context matters: it explains why certain markets pay premiums and others lag.
$60,630 separates the highest and lowest-paying cities. A Medical Records Specialist in Sunnyvale, California earns a median of $99,640 — $60,630 more than their counterpart in Toledo, Ohio ($39,010). That gap alone is more than many cities' annual rent. For early-career professionals, the geographic pay premium is worth the math.
The salary distribution for Medical Records Specialists reveals a $38,292 spread from entry to senior. At $54,703, the median sits $25,664 below the national median household income of $80,367. Context matters: this is an individual salary, compared against household income. The P10 floor of $39,386 represents early-career or part-time positions, while the $77,678 ceiling captures experienced professionals in premium markets.
Compare the extremes: the highest-paying trio of cities (Sunnyvale, Santa Clara, Irvine) averages $93,060, while the lowest-paying trio (Toledo, Detroit, Akron) averages $39,323. The $53,737 difference is the kind of number that reshapes career strategy — assuming the cost of living cooperates.
A Medical Records Specialist in Sunnyvale, California earns a median of $99,640 — $60,630 more than their counterpart in Toledo, Ohio ($39,010). That gap alone is more than many cities' annual rent.
| Country | Coverage | Entry (P10) | Median | Senior (P90) |
|---|---|---|---|---|
| United States | 288 | $39,386 | $54,703 | $77,678 |
| United Kingdom | 27 | £21,254 | £29,520 | £41,919 |
| Canada | 21 | CA$32,413 | CA$45,018 | CA$63,926 |
| Australia | 13 | A$36,640 | A$50,889 | A$72,263 |
| Sweden | 24 | 223,509 kr | 310,430 kr | 440,810 kr |
| State | Cities | Entry (P10) | Median | Senior (P90) |
|---|---|---|---|---|
| California | 61 | $47,537 | $66,023 | $93,753 |
| Massachusetts | 4 | $45,938 | $63,803 | $90,600 |
| Hawaii | 1 | $45,684 | $63,450 | $90,099 |
| District of Columbia | 1 | $42,300 | $58,750 | $83,425 |
| New Jersey | 4 | $41,792 | $58,045 | $82,424 |
| Washington | 8 | $40,989 | $56,929 | $80,839 |
| New York | 5 | $38,577 | $53,580 | $76,083 |
| Rhode Island | 1 | $38,578 | $53,580 | $76,084 |
| Florida | 22 | $38,285 | $53,174 | $75,507 |
| Colorado | 11 | $37,624 | $52,255 | $74,203 |
| New Hampshire | 1 | $37,562 | $52,170 | $74,081 |
| Nevada | 5 | $37,495 | $52,076 | $73,948 |
| Arizona | 12 | $37,309 | $51,818 | $73,581 |
| Oregon | 5 | $37,224 | $51,700 | $73,414 |
| Idaho | 3 | $37,111 | $51,543 | $73,192 |
| Connecticut | 5 | $36,818 | $51,136 | $72,613 |
| Utah | 4 | $36,716 | $50,995 | $72,413 |
| Virginia | 7 | $36,112 | $50,156 | $71,221 |
| South Carolina | 3 | $35,645 | $49,507 | $70,299 |
| Alaska | 1 | $35,532 | $49,350 | $70,077 |
| Illinois | 5 | $35,126 | $48,786 | $69,276 |
| North Carolina | 9 | $34,254 | $47,574 | $67,556 |
| New Mexico | 3 | $33,840 | $47,000 | $66,740 |
| Montana | 1 | $33,840 | $47,000 | $66,740 |
| Tennessee | 6 | $33,727 | $46,843 | $66,517 |
| Texas | 40 | $33,561 | $46,612 | $66,189 |
| Minnesota | 2 | $33,502 | $46,530 | $66,073 |
| Wisconsin | 2 | $33,333 | $46,295 | $65,739 |
| Georgia | 6 | $33,220 | $46,138 | $65,517 |
| Pennsylvania | 3 | $33,163 | $46,060 | $65,405 |
| Kansas | 4 | $32,994 | $45,825 | $65,072 |
| Michigan | 6 | $32,881 | $45,668 | $64,849 |
| Kentucky | 2 | $32,487 | $45,120 | $64,071 |
| Maryland | 1 | $32,486 | $45,120 | $64,070 |
| Nebraska | 2 | $32,148 | $44,650 | $63,403 |
| South Dakota | 1 | $32,148 | $44,650 | $63,403 |
| Oklahoma | 4 | $31,302 | $43,475 | $61,735 |
| North Dakota | 1 | $31,133 | $43,240 | $61,401 |
| Louisiana | 4 | $30,710 | $42,653 | $60,567 |
| Missouri | 4 | $30,710 | $42,653 | $60,567 |
| Alabama | 5 | $30,592 | $42,488 | $60,333 |
| Indiana | 3 | $30,118 | $41,830 | $59,399 |
| Arkansas | 1 | $30,118 | $41,830 | $59,399 |
| Iowa | 2 | $29,779 | $41,360 | $58,731 |
| Ohio | 6 | $29,723 | $41,282 | $58,620 |
| Mississippi | 1 | $28,426 | $39,480 | $56,062 |
The state salary map for Medical Records Specialists: California at $66,023, Massachusetts at $63,803, Hawaii at $63,450 lead the pack. The bottom tier — Mississippi ($39,480), Ohio ($41,282), Iowa ($41,360) — shows how regional economics reshape compensation. Across all 46 states with data, the state-level spread alone is $26,543.
When you adjust the top-paying cities for cost of living, the ranking reshuffles. Sunnyvale ($99,640 nominal, 212 cost index) delivers $47,000 in purchasing power — maintaining its lead even after cost adjustment. This is the metric that matters for anyone considering a geo-based career move.
Raw salary divided by the local cost index — this shows where your paycheck buys the most.
| # | City | Nominal Salary | Cost Index | Adjusted Salary | Est. Take-Home |
|---|---|---|---|---|---|
| 1 | Sunnyvale California | $99,640 | 212 | $47,000 | $61,792 |
| 2 | Santa Clara California | $93,060 | 198 | $47,000 | $58,038 |
| 3 | Irvine California | $86,480 | 184 | $47,000 | $54,284 |
| 4 | San Francisco California | $85,070 | 181 | $47,000 | $53,479 |
| 5 | Carlsbad California | $83,660 | 178 | $47,000 | $52,675 |
| 6 | San Jose California | $83,190 | 177 | $47,000 | $52,407 |
| 7 | Fremont California | $83,190 | 177 | $47,000 | $52,407 |
| 8 | Berkeley California | $81,310 | 173 | $47,000 | $51,334 |
| 9 | Costa Mesa California | $81,310 | 173 | $47,000 | $51,334 |
| 10 | Huntington Beach California | $79,430 | 169 | $47,000 | $50,262 |
From a career planning perspective, Medical Records Specialist offers a $38,292 earning range. The 2.0× progression is steady — not explosive, but reliable. The typical entry requires Postsecondary certificate. Day-to-day, expect office/remote work environments. With data from 288 cities, the geographic flexibility is substantial — this career travels well.
The weighted national median salary for Medical Records Specialists is $54,703 in 2026, based on BLS Occupational Employment and Wage Statistics across 288 U.S. metro areas. Entry-level (10th percentile) averages $39,386, while experienced professionals at the 90th percentile average $77,678.
The highest-paying city for Medical Records Specialists is Sunnyvale, California with a median salary of $99,640. The top 3 cities are Sunnyvale ($99,640), Santa Clara ($93,060), Irvine ($86,480). Note: high-paying cities often have higher costs of living — check the cost-adjusted rankings above for purchasing power.
The lowest median Medical Records Specialist salary in our data is in Toledo, Ohio at $39,010. However, lower-paying cities often have significantly lower costs of living, which can offset the pay gap. Always compare salary data alongside local cost of living.
Entry-level Medical Records Specialists (10th percentile) average $39,386 nationally. This varies by city — in the highest-paying markets, entry-level pay can be close to $71,741. Experience, certifications, and employer type all influence starting salary.
At the 90th percentile (senior level), Medical Records Specialists average $77,678 nationally — $38,292 more than entry-level. In top-paying cities, senior Medical Records Specialists can earn up to $141,489.
The top-paying states for Medical Records Specialists are California ($66,023 median), Massachusetts ($63,803 median), Hawaii ($63,450 median). State averages are computed across all tracked cities in each state, weighted equally.
The typical education path for a Medical Records Specialist involves Postsecondary certificate. The field is in the Healthcare Support sector (Healthcare Support), and the career outlook is growing. Work style is typically office/remote.
With a national median of $54,703 and representation across 288 metro areas, Medical Records Specialist offers a foundation that can be strengthened by strategic location choices. The $38,292 gap between entry and senior pay shows room for salary growth. Industry outlook: growing.
All salary data on this page is sourced from the Bureau of Labor Statistics (BLS) Occupational Employment and Wage Statistics (OEWS) program, which surveys employers across U.S. metropolitan areas. We present 10th percentile (entry), 50th percentile (median), and 90th percentile (senior) pay benchmarks. Cost-of-living adjustments use our core database of 288 cities.
Salary data is sourced from the Bureau of Labor Statistics (BLS) Occupational Employment and Wage Statistics (OEWS) program, which surveys employers across U.S. metropolitan and non-metropolitan areas. We present the 10th percentile (entry-level), 50th percentile (median), and 90th percentile (senior) pay benchmarks.
Cost-of-living adjustments use Livably's core index derived from Zillow rent data, Census income surveys, and regional BLS price data. Take-home pay estimates apply simplified federal brackets, 7.65% FICA, and state income tax rates from the Tax Foundation.
State and national averages are computed as simple means across all tracked cities with data for this occupation. Rankings are updated monthly as new BLS releases become available.