ASC administrators and other medical and health services managers earned a mean annual wage of approximately $140,970 in 2025, with New York topping all states at $184,960 and Georgia leading when wages are adjusted for cost of living, according to data released May 15 by the Bureau of Labor Statistics.
Below are the mean annual and hourly wages for medical and health services managers in all 50 states and Washington, D.C., based on May 2025 salary data published by the bureau. Becker’s also calculated mean hourly wages adjusted for each state’s cost of living using 2025 cost-of-living index data from World Population Review.
| State | Annual wage | Hourly wage | Cost of living index (2025) | Hourly mean wage, adjusted by cost of living |
| Alabama | $105,940 | $50.93 | 88.6 | $57.48 |
| Alaska | $159,080 | $76.48 | 124.9 | $61.23 |
| Arizona | $144,130 | $69.29 | 110.7 | $62.59 |
| Arkansas | $101,500 | $48.80 | 89.6 | $54.46 |
| California | $159,170 | $76.52 | 142.3 | $53.77 |
| Colorado | $150,380 | $72.30 | 102.7 | $70.40 |
| Connecticut | $148,630 | $71.46 | 112.7 | $63.41 |
| Delaware | $166,210 | $79.91 | 101.9 | $78.42 |
| District of Columbia | $162,210 | $77.99 | 138.8 | $56.19 |
| Florida | $135,410 | $65.10 | 102.2 | $63.70 |
| Georgia | $152,220 | $73.19 | 92.5 | $79.12 |
| Hawaii | $156,310 | $75.15 | 185.0 | $40.62 |
| Idaho | $125,550 | $60.36 | 99.9 | $60.42 |
| Illinois | $139,160 | $66.90 | 94.7 | $70.64 |
| Indiana | $124,860 | $60.03 | 91.0 | $65.97 |
| Iowa | $116,020 | $55.78 | 89.7 | $62.19 |
| Kansas | $125,580 | $60.38 | 88.8 | $68.00 |
| Kentucky | $123,590 | $59.42 | 92.5 | $64.24 |
| Louisiana | $125,410 | $60.29 | 92.3 | $65.32 |
| Maine | $140,150 | $67.38 | 113.0 | $59.63 |
| Maryland | $148,720 | $71.50 | 115.4 | $61.96 |
| Massachusetts | $161,150 | $77.48 | 141.2 | $54.87 |
| Michigan | $127,430 | $61.26 | 90.1 | $67.99 |
| Minnesota | $134,720 | $64.77 | 94.6 | $68.47 |
| Mississippi | $109,680 | $52.73 | 87.3 | $60.40 |
| Missouri | $121,880 | $58.60 | 89.0 | $65.84 |
| Montana | $124,400 | $59.81 | 95.5 | $62.63 |
| Nebraska | $126,560 | $60.85 | 92.6 | $65.71 |
| Nevada | $129,560 | $62.29 | 100.2 | $62.17 |
| New Hampshire | $155,100 | $74.57 | 111.4 | $66.94 |
| New Jersey | $178,050 | $85.60 | 115.1 | $74.37 |
| New Mexico | $134,280 | $64.56 | 93.7 | $68.90 |
| New York | $184,960 | $88.92 | 125.1 | $71.08 |
| North Carolina | $135,710 | $65.25 | 97.8 | $66.72 |
| North Dakota | $124,000 | $59.62 | 91.4 | $65.23 |
| Ohio | $127,900 | $61.49 | 94.3 | $65.21 |
| Oklahoma | $115,820 | $55.68 | 86.0 | $64.74 |
| Oregon | $167,090 | $80.33 | 111.8 | $71.85 |
| Pennsylvania | $117,690 | $56.58 | 97.2 | $58.21 |
| Rhode Island | $131,360 | $63.15 | 110.6 | $57.10 |
| South Carolina | $129,160 | $62.10 | 94.7 | $65.58 |
| South Dakota | $130,720 | $62.85 | 91.9 | $68.39 |
| Tennessee | $128,340 | $61.70 | 90.3 | $68.33 |
| Texas | $128,860 | $61.95 | 92.1 | $67.26 |
| Utah | $134,450 | $64.64 | 102.2 | $63.25 |
| Vermont | $152,120 | $73.14 | 113.6 | $64.38 |
| Virginia | $142,340 | $68.43 | 100.8 | $67.89 |
| Washington | $162,380 | $78.07 | 114.1 | $68.42 |
| West Virginia | $136,050 | $65.41 | 88.3 | $74.08 |
| Wisconsin | $152,150 | $73.15 | 97.7 | $74.87 |
| Wyoming | $117,280 | $56.39 | 93.7 | $60.18 |
At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.