Physician (general practice) (United States)

Provides primary medical care in clinics, surgeries, and hospitals. One of the highest-paid roles in every covered country.

BLS 2024 reference median: $230,000 gross. Take-home varies by state — see the state breakdown below.

Frequently asked questions

What is a US physician (general practice)'s take-home pay at the median salary?
The 2024 BLS median physician (general practice) salary is $230,000 gross. After federal income tax + state income tax (California baseline) + FICA, take-home is $152,197 per year ($12,683 per month, 33.8% effective).
Which US state gives a physician (general practice) the highest take-home?
Across the 5 currently-supported states, Texas yields the highest net at the physician (general practice) median ($169,614); California yields the lowest ($152,197) — a $17,417 per-year delta driven entirely by state income tax (federal + FICA are identical).
What is the marginal tax rate on a US physician (general practice) salary?
At the $230,000 median, the next 100 of gross retains $56 in California — a marginal rate of 43.6%. Marginal rate is what applies to overtime, bonuses, and pre-tax 401(k) reductions.
Where does the US median physician (general practice) salary come from?
BLS Occupational Employment Statistics May 2024 release. It is a national median — actual salaries vary substantially by metro area (a SF Bay Area physician (general practice) earns well above the national median; a rural-Midwest one well below). Plug your actual salary into the calculator above; switch the state picker to see the state-specific net.
What is NOT included in this US take-home calculation?
Pre-tax 401(k), HSA, FSA contributions, employer-sponsored health insurance premiums deducted from gross, RSU vesting, and any local/city income tax (NYC, Philadelphia, Detroit, etc.) are not modeled in v1. The calculator assumes the median is base salary, federal + state + FICA only.