LPN Salary

San Francisco vs Sacramento: Licensed Practical Nurse Salary (2026)

Compare licensed practical nurse salaries between San Francisco, CA and Sacramento, CA. All figures are 2026 estimates projected from BLS 2025 data.

San Francisco, CA
$99,686
$47.92/hr
Sacramento, CA
$86,219
$41.46/hr

Side-by-Side Comparison

MetricSan Francisco, CASacramento, CA
Median Salary$99,686$86,219
Hourly Rate$47.92$41.46
Entry Level (P10)$80,226$69,413
25th Percentile$86,304$80,998
75th Percentile$110,044$101,831
Top Earner (P90)$115,340$110,858
Total Employed8,8004,760
Side-by-side bar chart comparing San Francisco ($99,686) and Sacramento ($86,219) licensed practical nurse salaries.San FranciscoSacramentoMedian Salary$99,686$86,219Entry Level (P10)$80,226$69,413Top Earner (P90)$115,340$110,858US Median $68,071

Verdict

San Francisco, CA offers better overall compensation for licensed practical nurses, winning 4 out of 4 metrics compared to Sacramento.

The salary gap between San Francisco and Sacramento is $13,467 (15.62%). San Francisco's median is +46.44% compared to the US national median of $68,071.

Salary Range Comparison

The full salary range (10th to 90th percentile) in San Francisco spans $35,114,Sacramento spans $41,445. Sacramento has a wider pay range, suggesting more variation in pay between entry-level and experienced licensed practical nurses.

San Francisco
P10 (Entry)$80,226
P25$86,304
Median$99,686
P75$110,044
P90 (Top)$115,340
Sacramento
P10 (Entry)$69,413
P25$80,998
Median$86,219
P75$101,831
P90 (Top)$110,858

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, San Francisco ($86,224 effective) pays 6.68% more than Sacramento ($80,828 effective).

San Francisco
Nominal: $99,686
CoL Index: 115.613
Adjusted: $86,224
Sacramento
Nominal: $86,219
CoL Index: 106.67
Adjusted: $80,828

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

Which City Is Right for You?

Choose San Francisco if…

  • Higher median salary ($99,686/year)
  • Better top-earner potential ($115,340)
  • Larger job market (8,800 employed)
  • Better purchasing power (CoL-adjusted: $86,224)
  • You prefer the California area and lifestyle

Choose Sacramento if…

  • You prefer the California area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, licensed practical nurse salaries in San Francisco grew 39.7% from 2019 to 2025, compared to 38.7% growth in Sacramento over the same period.

San Francisco, CA

+39.7%

$67,520 (2019) → $94,310 (2025)

Sacramento, CA

+38.7%

$58,830 (2019) → $81,570 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays licensed practical nurses more: San Francisco or Sacramento?

San Francisco has a higher median licensed practical nurse salary at $99,686/year, compared to Sacramento at $86,219/year — a difference of $13,467 (15.62%).

What is the hourly rate difference between San Francisco and Sacramento?

San Francisco licensed practical nurses earn $47.92/hr while Sacramento hygienists earn $41.46/hr (2026 est.).

Should I relocate from San Francisco to Sacramento as a licensed practical nurse?

Consider more than just salary when comparing San Francisco and Sacramento. Factor in cost of living (CoL-adjusted: San Francisco = $86,224, Sacramento = $80,828), job availability (8,800 vs 4,760 employed), commute, and career growth potential.

What do entry-level licensed practical nurses earn in San Francisco vs Sacramento?

Entry-level (10th percentile) licensed practical nurses earn $80,226 in San Francisco and $69,413 in Sacramento. The San Francisco area offers higher starting salaries.

Related Comparisons

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Written by Aisha Malik, LPN

Career Analyst

Aisha has 10 years of experience as a licensed practical nurse. She specializes in pediatric nursing. Aisha has worked in various outpatient clinics.

Clinically reviewed by Daniel Thompson, LPNData verified by Maria Gonzalez, LPN

Methodology & Data Source

All salary figures are 2026 projections based on BLS OEWS May 2025 data. A 5.70% 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 Aisha Malik, LPN, a licensed licensed practical nurse with 10+ years of clinical experience. · View source data at BLS.gov