Richmond vs San Francisco: Medical Billing and Coding Specialist Salary (2026)
Compare medical billing and coding specialist salaries between Richmond, CA and San Francisco, CA. All figures are 2026 estimates projected from BLS 2025 data.
Side-by-Side Comparison
| Metric | Richmond, CA | San Francisco, CA |
|---|---|---|
| Median Salary | $35,743 | $44,153▲ |
| Hourly Rate | $17.18 | $21.23▲ |
| Entry Level (P10) | $24,432 | $29,388▲ |
| 25th Percentile | $29,243 | $34,344▲ |
| 75th Percentile | $45,502 | $51,500▲ |
| Top Earner (P90) | $55,402 | $63,779▲ |
| Total Employed | 25 | 1,880▲ |
Verdict
San Francisco, CA offers better overall compensation for medical billing and coding specialists, winning 4 out of 4 metrics compared to Richmond.
The salary gap between Richmond and San Francisco is $8,410 (23.53%). San Francisco's median is +45.48% compared to the US national median of $30,349.
Salary Range Comparison
The full salary range (10th to 90th percentile) in Richmond spans $30,970,San Francisco spans $34,391. San Francisco has a wider pay range, suggesting more variation in pay between entry-level and experienced medical billing and coding specialists.
Cost-of-Living Adjusted Comparison
After cost-of-living adjustment, San Francisco ($38,190 effective) pays 20.84% more than Richmond ($31,603 effective).
Cost-of-living adjustment: salary × (100 / CoL index). Index of 100 = national average.
Which City Is Right for You?
Choose Richmond if…
- ✓You prefer the California area and lifestyle
Choose San Francisco if…
- ✓Higher median salary ($44,153/year)
- ✓Better top-earner potential ($63,779)
- ✓Larger job market (1,880 employed)
- ✓Better purchasing power (CoL-adjusted: $38,190)
- ✓You prefer the California area and lifestyle
Historical Salary Growth Comparison
Based on BLS OEWS metropolitan area data, medical billing and coding specialist salaries in Richmond grew -54.1% from 2024 to 2025, compared to -29.8% growth in San Francisco over the same period.
Richmond, CA
$76,059 (2024) → $34,933 (2025)
San Francisco, CA
$61,470 (2021) → $43,152 (2025)
View Full Salary Data
Richmond, CA
San Francisco, CA
Frequently Asked Questions
Which city pays medical billing and coding specialists more: Richmond or San Francisco?
What is the hourly rate difference between Richmond and San Francisco?
Should I relocate from Richmond to San Francisco as a medical billing and coding specialist?
What do entry-level medical billing and coding specialists earn in Richmond vs San Francisco?
Related Comparisons
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.
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