Cost of living by state
Weighing a move? Compare any two states side by side — cost of living, taxes, and demographics — then pick your specialty to see what that salary is really worth once it's adjusted for local prices. Green means cheaper or better; red means pricier or worse.
Overall cost of living
North Carolina is 14.2% cheaper overall than District of Columbia.
What Orthopedic Surgery pay is really worth
Median pay → estimated after-tax take-home → adjusted for each state's cost of living.
District of Columbia
BLS doesn't publish a wage for Orthopedic Surgery in District of Columbia. Cost of living and taxes below still apply.
North Carolina
- Median pay
- $372,620
- After tax
- $244,737
$259,530worth here
Pay source: BLS OEWS May 2025 — “Orthopedic Surgeons, Except Pediatric”.
Take-home is an estimate for a single filer taking the standard deduction (federal + FICA + state income tax, wages only) — not tax advice.
| Metric | District of Columbia | North Carolina |
|---|---|---|
| Cost of living (US avg = 100) | ||
| Overall cost of living | 109.9 | 94.3 |
| Housing (rent) | 155.0 | 81.4 |
| Utilities | 112.8 | 88.6 |
| Goods | 106.5 | 96.6 |
| Other services | 103.0 | 98.2 |
| Taxes | ||
| Top income tax rate | 10.75% | 4.25% |
| Sales tax (avg) | 6% | 7% |
| Property tax (effective) | 0.61% | 0.62% |
| About the state | ||
| Population | 672,079 | 10,584,340 |
| Median household income | $106,287 | $69,904 |
| Median age | 34.9 | 39.1 |
| Homeownership rate | 41.10% | 66.40% |
| Median home value | $724,600 | $259,400 |
Sources: U.S. Bureau of Economic Analysis, Regional Price Parities (2024) · U.S. Census Bureau QuickFacts · Tax Foundation. Figures are the latest published; cost-of-living is a price-level index, not tax-adjusted take-home pay.
Browse all state profiles
VitalPost shows sourced, public data for context only — it isn't financial or tax advice. Cost-of-living is a price-level index (US average = 100); taxes shown are statewide/averaged and don't capture local income or the specifics of your situation.