Medical Billing Salary

Hermiston vs Portland: Medical Billing and Coding Specialist Salary (2026)

Compare medical billing and coding specialist salaries between Hermiston, OR and Portland, OR. All figures are 2026 estimates projected from BLS 2025 data.

Hermiston, OR
$32,087
$15.43/hr
Portland, OR
$36,729
$17.66/hr

Side-by-Side Comparison

MetricHermiston, ORPortland, OR
Median Salary$32,087$36,729
Hourly Rate$15.43$17.66
Entry Level (P10)$23,943$28,622
25th Percentile$27,348$29,987
75th Percentile$39,215$45,073
Top Earner (P90)$49,205$50,734
Total Employed61,340
Side-by-side bar chart comparing Hermiston ($32,087) and Portland ($36,729) medical billing and coding specialist salaries.HermistonPortlandMedian Salary$32,087$36,729Entry Level (P10)$23,943$28,622Top Earner (P90)$49,205$50,734US Median $30,349

Verdict

Portland, OR offers better overall compensation for medical billing and coding specialists, winning 4 out of 4 metrics compared to Hermiston.

The salary gap between Hermiston and Portland is $4,642 (14.47%). Portland's median is +21.02% compared to the US national median of $30,349.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Hermiston spans $25,262,Portland spans $22,112. Hermiston has a wider pay range, meaning more potential for high earners but also more variation.

Hermiston
P10 (Entry)$23,943
P25$27,348
Median$32,087
P75$39,215
P90 (Top)$49,205
Portland
P10 (Entry)$28,622
P25$29,987
Median$36,729
P75$45,073
P90 (Top)$50,734

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Portland ($34,840 effective) pays 11.40% more than Hermiston ($31,274 effective).

Hermiston
Nominal: $32,087
CoL Index: 102.6
Adjusted: $31,274
Portland
Nominal: $36,729
CoL Index: 105.421
Adjusted: $34,840

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

Which City Is Right for You?

Choose Hermiston if…

  • You prefer the Oregon area and lifestyle

Choose Portland if…

  • Higher median salary ($36,729/year)
  • Better top-earner potential ($50,734)
  • Larger job market (1,340 employed)
  • Better purchasing power (CoL-adjusted: $34,840)
  • You prefer the Oregon area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, medical billing and coding specialist salaries in Hermiston grew -42.4% from 2024 to 2025, compared to -31.8% growth in Portland over the same period.

Hermiston, OR

+-42.4%

$54,490 (2024) → $31,359 (2025)

Portland, OR

+-31.8%

$52,630 (2021) → $35,896 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays medical billing and coding specialists more: Hermiston or Portland?

Portland has a higher median medical billing and coding specialist salary at $36,729/year, compared to Hermiston at $32,087/year — a difference of $4,642 (14.47%).

What is the hourly rate difference between Hermiston and Portland?

Hermiston medical billing and coding specialists earn $15.43/hr while Portland hygienists earn $17.66/hr (2026 est.).

Should I relocate from Hermiston to Portland as a medical billing and coding specialist?

Consider more than just salary when comparing Hermiston and Portland. Factor in cost of living (CoL-adjusted: Hermiston = $31,274, Portland = $34,840), job availability (6 vs 1,340 employed), commute, and career growth potential.

What do entry-level medical billing and coding specialists earn in Hermiston vs Portland?

Entry-level (10th percentile) medical billing and coding specialists earn $23,943 in Hermiston and $28,622 in Portland. The Portland area offers higher starting salaries.
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