Medical Assistant Pay

Milpitas vs Sacramento: Medical Assistant Salary (2026)

Compare medical assistant salaries between Milpitas, CA and Sacramento, CA. All figures are 2026 estimates projected from BLS 2025 data.

Milpitas, CA
$50,345
$24.21/hr
Sacramento, CA
$65,050
$31.27/hr

Side-by-Side Comparison

MetricMilpitas, CASacramento, CA
Median Salary$50,345$65,050
Hourly Rate$24.21$31.27
Entry Level (P10)$40,332$47,583
25th Percentile$42,469$51,089
75th Percentile$55,208$80,858
Top Earner (P90)$66,420$81,971
Total Employed167,410
Side-by-side bar chart comparing Milpitas ($50,345) and Sacramento ($65,050) medical assistant salaries.MilpitasSacramentoMedian Salary$50,345$65,050Entry Level (P10)$40,332$47,583Top Earner (P90)$66,420$81,971US Median $47,961

Verdict

Sacramento, CA offers better overall compensation for medical assistants, winning 4 out of 4 metrics compared to Milpitas.

The salary gap between Milpitas and Sacramento is $14,705 (29.21%). Sacramento's median is +35.63% compared to the US national median of $47,961.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Milpitas spans $26,088,Sacramento spans $34,388. Sacramento has a wider pay range, suggesting more variation in pay between entry-level and experienced medical assistants.

Milpitas
P10 (Entry)$40,332
P25$42,469
Median$50,345
P75$55,208
P90 (Top)$66,420
Sacramento
P10 (Entry)$47,583
P25$51,089
Median$65,050
P75$80,858
P90 (Top)$81,971

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Sacramento ($60,982 effective) pays 37.00% more than Milpitas ($44,514 effective).

Milpitas
Nominal: $50,345
CoL Index: 113.1
Adjusted: $44,514
Sacramento
Nominal: $65,050
CoL Index: 106.67
Adjusted: $60,982

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

Which City Is Right for You?

Choose Milpitas if…

  • You prefer the California area and lifestyle

Choose Sacramento if…

  • Higher median salary ($65,050/year)
  • Better top-earner potential ($81,971)
  • Larger job market (7,410 employed)
  • Better purchasing power (CoL-adjusted: $60,982)
  • You prefer the California area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, medical assistant salaries in Milpitas grew -16.0% from 2024 to 2025, compared to 55.5% growth in Sacramento over the same period.

Milpitas, CA

+-16.0%

$57,076 (2024) → $47,961 (2025)

Sacramento, CA

+55.5%

$39,850 (2019) → $61,970 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays medical assistants more: Milpitas or Sacramento?

Sacramento has a higher median medical assistant salary at $65,050/year, compared to Milpitas at $50,345/year — a difference of $14,705 (29.21%).

What is the hourly rate difference between Milpitas and Sacramento?

Milpitas medical assistants earn $24.21/hr while Sacramento hygienists earn $31.27/hr (2026 est.).

Should I relocate from Milpitas to Sacramento as a medical assistant?

Consider more than just salary when comparing Milpitas and Sacramento. Factor in cost of living (CoL-adjusted: Milpitas = $44,514, Sacramento = $60,982), job availability (16 vs 7,410 employed), commute, and career growth potential.

What do entry-level medical assistants earn in Milpitas vs Sacramento?

Entry-level (10th percentile) medical assistants earn $40,332 in Milpitas and $47,583 in Sacramento. The Sacramento area offers higher starting salaries.

Related Comparisons

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Written by Emma Chen, CMA

Career Analyst

Emma has over 8 years of experience as a medical assistant. She has worked in both outpatient clinics and hospitals. Her expertise includes patient care and administrative support.

Clinically reviewed by Carlos Rodriguez, RMAData verified by Sofia Patel, CCMA

Methodology & Data Source

All salary figures are 2026 projections based on BLS OEWS May 2025 data. A 4.97% 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 Emma Chen, CMA, a licensed medical assistant with 10+ years of clinical experience. · View source data at BLS.gov