Medical Billing Salary

Orlando vs Palm Coast: Medical Billing and Coding Specialist Salary (2026)

Compare medical billing and coding specialist salaries between Orlando, FL and Palm Coast, FL. All figures are 2026 estimates projected from BLS 2025 data.

Orlando, FL
$26,462
$12.73/hr
Palm Coast, FL
$26,729
$12.85/hr

Side-by-Side Comparison

MetricOrlando, FLPalm Coast, FL
Median Salary$26,462$26,729
Hourly Rate$12.73$12.85
Entry Level (P10)$20,124$18,800
25th Percentile$21,560$22,127
75th Percentile$34,082$33,148
Top Earner (P90)$43,049$41,430
Total Employed2,32012
Side-by-side bar chart comparing Orlando ($26,462) and Palm Coast ($26,729) medical billing and coding specialist salaries.OrlandoPalm CoastMedian Salary$26,462$26,729Entry Level (P10)$20,124$18,800Top Earner (P90)$43,049$41,430US Median $30,349

Verdict

Orlando and Palm Coast are closely matched on overall medical billing and coding specialist compensation, each winning on different metrics.

The salary gap between Orlando and Palm Coast is $267 (1.01%). Palm Coast's median is -11.93% compared to the US national median of $30,349.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Orlando spans $22,925,Palm Coast spans $22,630. Orlando has a wider pay range, meaning more potential for high earners but also more variation.

Orlando
P10 (Entry)$20,124
P25$21,560
Median$26,462
P75$34,082
P90 (Top)$43,049
Palm Coast
P10 (Entry)$18,800
P25$22,127
Median$26,729
P75$33,148
P90 (Top)$41,430

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Palm Coast ($26,517 effective) pays 1.63% more than Orlando ($26,092 effective).

Orlando
Nominal: $26,462
CoL Index: 101.418
Adjusted: $26,092
Palm Coast
Nominal: $26,729
CoL Index: 100.8
Adjusted: $26,517

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

Which City Is Right for You?

Choose Orlando if…

  • Better top-earner potential ($43,049)
  • Larger job market (2,320 employed)
  • You prefer the Florida area and lifestyle

Choose Palm Coast if…

  • Higher median salary ($26,729/year)
  • Better purchasing power (CoL-adjusted: $26,517)
  • You prefer the Florida area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, medical billing and coding specialist salaries in Orlando grew -31.8% from 2021 to 2025, compared to -43.7% growth in Palm Coast over the same period.

Orlando, FL

+-31.8%

$37,910 (2021) → $25,862 (2025)

Palm Coast, FL

+-43.7%

$46,369 (2024) → $26,123 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays medical billing and coding specialists more: Orlando or Palm Coast?

Palm Coast has a higher median medical billing and coding specialist salary at $26,729/year, compared to Orlando at $26,462/year — a difference of $267 (1.01%).

What is the hourly rate difference between Orlando and Palm Coast?

Orlando medical billing and coding specialists earn $12.73/hr while Palm Coast hygienists earn $12.85/hr (2026 est.).

Should I relocate from Orlando to Palm Coast as a medical billing and coding specialist?

Consider more than just salary when comparing Orlando and Palm Coast. Factor in cost of living (CoL-adjusted: Orlando = $26,092, Palm Coast = $26,517), job availability (2,320 vs 12 employed), commute, and career growth potential.

What do entry-level medical billing and coding specialists earn in Orlando vs Palm Coast?

Entry-level (10th percentile) medical billing and coding specialists earn $20,124 in Orlando and $18,800 in Palm Coast. The Orlando 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