Medical Billing Salary

Cleveland vs Lima: Medical Billing and Coding Specialist Salary (2026)

Compare medical billing and coding specialist salaries between Cleveland, OH and Lima, OH. All figures are 2026 estimates projected from BLS 2025 data.

Cleveland, OH
$36,765
$17.68/hr
Lima, OH
$28,106
$13.52/hr

Side-by-Side Comparison

MetricCleveland, OHLima, OH
Median Salary$36,765$28,106
Hourly Rate$17.68$13.52
Entry Level (P10)$23,448$22,172
25th Percentile$28,385$23,602
75th Percentile$45,234$28,723
Top Earner (P90)$55,897$36,693
Total Employed1,81090
Side-by-side bar chart comparing Cleveland ($36,765) and Lima ($28,106) medical billing and coding specialist salaries.ClevelandLimaMedian Salary$36,765$28,106Entry Level (P10)$23,448$22,172Top Earner (P90)$55,897$36,693US Median $30,349

Verdict

Cleveland, OH offers better overall compensation for medical billing and coding specialists, winning 4 out of 4 metrics compared to Lima.

The salary gap between Cleveland and Lima is $8,659 (30.81%). Cleveland's median is +21.14% compared to the US national median of $30,349.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Cleveland spans $32,449,Lima spans $14,521. Cleveland has a wider pay range, meaning more potential for high earners but also more variation.

Cleveland
P10 (Entry)$23,448
P25$28,385
Median$36,765
P75$45,234
P90 (Top)$55,897
Lima
P10 (Entry)$22,172
P25$23,602
Median$28,106
P75$28,723
P90 (Top)$36,693

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Cleveland ($39,144 effective) pays 24.88% more than Lima ($31,344 effective).

Cleveland
Nominal: $36,765
CoL Index: 93.923
Adjusted: $39,144
Lima
Nominal: $28,106
CoL Index: 89.669
Adjusted: $31,344

Cost-of-living adjustment: salary × (100 / CoL index). Index of 100 = national average.

Which City Is Right for You?

Choose Cleveland if…

  • Higher median salary ($36,765/year)
  • Better top-earner potential ($55,897)
  • Larger job market (1,810 employed)
  • Better purchasing power (CoL-adjusted: $39,144)
  • You prefer the Ohio area and lifestyle

Choose Lima if…

  • You prefer the Ohio area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, medical billing and coding specialist salaries in Cleveland grew -23.5% from 2021 to 2025, compared to -25.6% growth in Lima over the same period.

Cleveland, OH

+-23.5%

$46,950 (2021) → $35,931 (2025)

Lima, OH

+-25.6%

$36,930 (2021) → $27,469 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays medical billing and coding specialists more: Cleveland or Lima?

Cleveland has a higher median medical billing and coding specialist salary at $36,765/year, compared to Lima at $28,106/year — a difference of $8,659 (30.81%).

What is the hourly rate difference between Cleveland and Lima?

Cleveland medical billing and coding specialists earn $17.68/hr while Lima hygienists earn $13.52/hr (2026 est.).

Should I relocate from Cleveland to Lima as a medical billing and coding specialist?

Consider more than just salary when comparing Cleveland and Lima. Factor in cost of living (CoL-adjusted: Cleveland = $39,144, Lima = $31,344), job availability (1,810 vs 90 employed), commute, and career growth potential.

What do entry-level medical billing and coding specialists earn in Cleveland vs Lima?

Entry-level (10th percentile) medical billing and coding specialists earn $23,448 in Cleveland and $22,172 in Lima. The Cleveland area offers higher starting salaries.

Related Comparisons

AP

Written by Amina Patel, CPC

Career Analyst

Amina has 10 years of experience in medical billing. She specializes in outpatient coding for multi-specialty practices.

Clinically reviewed by Liam Johnson, RHITData verified by Sofia Nguyen, CCS

Methodology & Data Source

All salary figures are 2026 projections based on BLS OEWS May 2025 data. A 2.32% 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 Amina Patel, CPC, a licensed medical billing and coding specialist with 10+ years of clinical experience. · View source data at BLS.gov