Medical Billing and Coding Specialist Salary in San Ramon, CA: $35,042 (2026)
Quick Answer:A full-time medical billing and coding specialist in San Ramon, CA earns a median $35,042/year (≈ $16.84/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-2072). Once you factor in San Ramon's price level (13% above national, BEA RPP 113.1), that paycheck buys what $30,983 would nationally. Nominal pay sits 0.1% below the California state average.
Based on BLS state-level estimates · View source

The projected median annual salary for medical billing and coding specialists in San Ramon, CA, is $35,042 for 2026, indicating a notable increase compared to the national median of $30,349. This local pay figure falls within a salary range from $24,583 at the lower end (P10) to $54,315 at the higher end (P90). Such forecasts are derived from 2025 BLS data and adjusted to reflect regional price variations. In San Ramon, specialized roles that require coding for inpatient services generally offer higher compensation than those focused on outpatient coding or risk adjustment. This is reflective of both local market demands and the unique skill sets needed for different coding environments.
About the San Ramon Market
Salary estimated from California average ($66,000) adjusted for local cost of living.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $24,583 | $11.82 |
| Lower Range (P25) | $28,961 | $13.93 |
| Median (P50)(typical) | $35,042 | $16.84 |
| Upper Range (P75) | $44,229 | $21.26 |
| Top Earners (P90) | $54,315 | $26.11 |
Median Salary Position
15.46% above the national average
2026 Salary Percentile Distribution in San Ramon
In San Ramon, CA, the medical billing and coding specialist salary spread from the 10th to 90th percentile is $29,732 (2026 est.). At $35,042, the local median is 15.46% above the national median of $30,349.
Salary Calculator
At 40 hours/week in San Ramon: You'd be in the lower-middle range
How San Ramon Medical Billing and Coding Specialist Pay Compares
San Ramon median: $35,042/year (2026)
| Compared To | Median Salary | San Ramon Pays |
|---|---|---|
| California Average | $35,077 | -0.10% less |
| National Average | $30,349 | +15.46% more |
Medical Billing and Coding Specialists in San Ramon, CA earn a median of $35,042 per year (2026 est.), which is 15.46% higher than the national median of $30,349 and 0.10% below the California state average of $35,077.
Cost-of-Living Adjusted Salary
San Ramon has a cost of living 13.10% above the national average.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
San Ramon, CA has a cost-of-living index of 113.1 (above the national average of 100). While the nominal salary of $35,042 is competitive, the higher cost of living reduces purchasing power to an effective $30,983 — a 11.58% reduction.
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2021 BLS Actual
$31,247
2025 BLS Actual
$34,247
2026 Current Est.
$35,042
2021–2027 Growth
+14.7%
Salary Trajectory for Medical Billing and Coding Specialists in San Ramon (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2021 | $31,247 | Actual |
| 2022 | $31,595 | Actual |
| 2023 | $32,667 | Actual |
| 2024 | $74,565 | Actual |
| 2025 | $34,247 | Actual |
| 2026(current) | $35,042 | Estimated |
| 2027 | $35,854 | Projected |
Based on 5 years of BLS OEWS data for the San Ramon metropolitan area, the median medical billing and coding specialist salary grew 9.6% from $31,247 (2021) to $34,247 (2025). At a 2.32% compound annual growth rate, salaries are projected to reach $35,854 by 2027 — a total increase of $4,607 (14.74%) from 2021.
Note: Historical values (2021–2025) are actual BLS OEWS figures for the San Ramon metropolitan area, sourced from annual Occupational Employment and Wage Statistics surveys. 2026–2026 figures are current estimates, and 2027 values are projections, calculated using a 2.32% CAGR derived from 5-year BLS historical data. Actual salaries may vary based on employer, experience, certifications, and local market conditions.
Salary by Experience Level
| Experience | Estimated Salary Range |
|---|---|
| 0-2 years (New Graduate) | $24,583 – $28,961 |
| 3-5 years (Mid Career) | $28,961 – $35,042 |
| 5+ years (Experienced) | $35,042 – $44,229 |
| 10+ years (Top Earner) | $44,229 – $54,315 |
MBS salary ranges estimated from BLS percentile data. Individual medical billing and coding specialist compensation varies by employer, certifications, and specialization.
Medical Billing and Coding Specialist Job Market in San Ramon
Analysts predict stable growth of 2.32% annually in this field, with 19 medical billing and coding specialists already employed in San Ramon. Although the local cost of living index stands at 113.1, which is above the national average, it affects take-home salaries and purchasing power for these specialists. Employers that typically offer higher pay include hospital inpatient coding departments and third-party coding companies, with positions in physician group practice coding often being competitive as well. Factors driving the wage disparity include subspecialties, where inpatient CCS roles tend to surpass others in remuneration. Furthermore, credential stacking (CPC plus CCS and CRC), productivity-based bonuses, and the growing trend of remote work can significantly influence earnings. Aspiring professionals might consider pursuing additional certifications and skills in risk adjustment and remote coding to maximize their earning potential in the San Ramon market.
More salary data for San Ramon, CA:
Frequently Asked Questions
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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
Salary figures on this page are 2026 projections based on the Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey, May 2026 release. The BLS reported a median annual salary of $34,247 for medical billing and coding specialistsin the San Ramon metropolitan area. A 2.32% compound annual growth rate (CAGR), calculated from 6-year national BLS wage trends, was applied to project current 2026 compensation. Percentile ranges (P10–P90) represent the full salary distribution across experience levels and practice settings in this market.
Data Sources & Methodology
Salary data for San Ramon is estimated from official BLS state-level occupational wage data (2025), adjusted for regional cost-of-living differences using BEA RPP (Regional Price Parities).
2026 figures are projected from 2025 BLS data using a compound annual growth rate (CAGR) of 2.32%, derived from historical BLS wage trends for medical billing and coding specialists (SOC 29-2072).
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