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JakartaWhy Washington DC pays Physician Assistants 44% above the United States median
A typical physician assistant in Washington DC, DC earns about $211,000 a year — 44% above the United States median for the same occupation. That premium is real cash, but Washington DC’s cost-of-living index is 100 (100 = US baseline), so the extra pay has to be judged against rent and prices, not collected as a pure raise.
Physician assistants examine, diagnose, and treat patients under a physician's supervision. Healthcare pay in Washington DC, DC is sensitive to setting, shifts, and public vs private employers. The $211,000 median is a useful average, not what a night-shift specialist or a clinic role will actually land. Long-term employment for this occupation is modeled at about +27% over a decade — a national sketch, not a Washington DC, DC hiring guarantee.
The percentiles on this page are observed metro figures for Physician Assistant in Washington DC, DC, not a national median multiplied by a pay index. That matters: you are looking at how this labour market actually priced the role, including local industry mix. They are still estimates of the market — not a promise of what one employer will offer.
Among the 9 United States metros we can compare for this role, Washington DC posts the highest median. The next metro, San Diego, sits at $191,000 (-9% vs Washington DC), while Chicago sits at $128,000. Use those gaps to test a relocation thesis: a 15% cash raise that lands in a much more expensive metro can disappear in rent.
Washington DC’s COL index (100) sits nearer the global baseline, so headline and adjusted pay are not far apart ($211,000 vs $211,000). Rent still matters: the 1-bedroom model is $1,650 / month, about 12% of take-home, with leftover near $10,800.
If you are comparing a Washington DC office offer with a location-flexible one, the United States national median for this role is about $147,000. Local pay is 44% higher — a $64,000 gap. Remote employers often anchor to the national figure; on-site employers in Washington DC are anchoring to this page.
World Bank consumer-price inflation for United States was about 2.9% in 2024; an illustrative model tied to inflation and the occupation’s outlook suggests pay has risen about 24% over the last few years. H-1B / employment-based green card is the usual skilled-hire route (selective for typical hires): Most skilled foreign hires enter via employer-sponsored H-1B (lottery-capped) or specialty routes; permanent residence usually follows an employment-based petition. At 2.3× United States GDP per capita, this median is well above a typical national living standard. Unemployment was about 4.2% in 2025. None of that is tax, immigration, or career advice — run the calculators and confirm rules officially.
How to read a physician assistant offer in Washington DC
Start with gross cash, not the recruiting headline. If an offer lands near $211,000, you are in the lower half of this metro’s observed distribution; near $211,000 you are already paid like a stronger local hire. Then subtract a realistic tax path (simplified national effective rate here is about 19%, leaving $171,626 a year) and a housing number you would actually accept — not only the $1,650 model.
Because the 90th percentile is about 2.0× the 10th, two physician assistant jobs in Washington DC can be different careers that share a title. Ask what sits in the package (bonus, overtime, equity, on-call) before you treat $211,000 as a fair target.
Demand and the physician assistant pipeline
Occupation-level employment for physician assistants is projected at about +27% over ten years. That is a national sketch of demand, not a forecast that Washington DC will hire at that rate. Local openings still follow Washington DC’s industry mix — hospitals, studios, public employers, or product companies — which is already baked into the observed percentiles more than into the outlook percentage.
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