Real-pay ranking

Best states for pediatric surgery

Ranked by what's actually left: each state's wage, minus estimated federal, FICA and state income tax, then adjusted for local prices. The biggest headline salary is often not the best deal.

For pediatric surgery, adjusted take-home is highest in Ohio at $282,119 — about 65% further than New Jersey, the lowest of the 3 states BLS publishes.

#StateAnnual meanEst. take-homeAdjusted take-home
1Ohio$395,190$261,806$282,119
2New York$433,430$271,386$251,516
3New Jersey$280,020$186,306$171,237

Method: annual mean wage from U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (OEWS), May 2025 (“Pediatric Surgeons”, May 2025); take-home estimated for a single filer taking the standard deduction (federal + FICA + state income tax, wages only — Tax Foundation for state brackets); adjusted using U.S. Bureau of Economic Analysis, Regional Price Parities (2024) price levels where US average = 100. Only states with both a published wage and a published price level can be ranked honestly, so 3 states appear. This is an estimate for comparison, not tax advice, and wages exclude many self-employed/partnership physicians. VitalPost shows sourced public data for context only.