Salario de Médico en Ohio (2026)
El salario promedio de un Médico en Ohio es de $258,000/año. Después de impuestos, tu sueldo neto estimado es de $182,498/año ($15,208/mes).
Desglose del Sueldo Neto
| Categoría | Cantidad |
|---|---|
Sueldo Neto Anual | $182,498 |
Sueldo Neto Mensual | $15,208 |
Sueldo Neto Quincenal | $7,019 |
Sueldo Neto por Hora basado en 2,080 hrs/año | $88/hr |
Impuesto Federal | $53,864 |
Impuesto Estatal | $5,936 |
Impuestos FICA | $15,702 |
Tasa Efectiva de Impuesto impuestos totales ÷ salario bruto | 29.26% |
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Rangos de Salario de Médico en Ohio
No todas las Médicos ganan lo mismo — ni de cerca
Ohio physician comp varies by health system and metro. Cleveland Clinic, University Hospitals Cleveland, OhioHealth (Columbus), Cincinnati Children's, UC Health (Cincinnati), and TriHealth anchor the major-system markets; private practice and Mercy Health round out the field. Comp runs 5-15% below SF / NY / Boston peers but cost-of-living differential is meaningfully larger. Here are real ranges by specialty in 2026:
Orthopedic Surgeon
$540,000–$720,000
Cleveland Clinic Sports Medicine + spine subspecialty premium
Neurosurgeon
$600,000–$820,000
Cleveland Clinic + UH Cleveland top centers nationally
Cardiologist (Interventional)
$470,000–$640,000
Cleveland Clinic Heart, Vascular & Thoracic Institute is #1 US-ranked
Radiologist
$420,000–$555,000
Cincinnati + Columbus + Cleveland markets all robust
Anesthesiologist
$385,000–$510,000
CRNA market growing; OB anesthesia premium at academic centers
Emergency Medicine
$340,000–$430,000
MetroHealth Cleveland Trauma Level I + Mercy Health Trauma I
Psychiatrist
$280,000–$385,000
Severe shortage statewide — telepsychiatry growing rapidly
OB/GYN
$295,000–$395,000
OH med-mal climate moderate; Cleveland Clinic + UH high-risk OB
Internal Medicine / Hospitalist
$240,000–$320,000
Volume-based; nocturnist adds $30-50K
Family Medicine / Primary Care
$220,000–$295,000
Lowest ceiling; Direct Primary Care growing in Columbus / Cincinnati
Vale la pena saber: Cleveland Clinic and Cincinnati Children's are the two structural Ohio anchors — both consistently ranked in the top tier nationally for their specialties (Cleveland Clinic Heart #1 US for 30+ years; Cincinnati Children's perennially top-3 US peds). The Cleveland Clinic Foundation employment model (salaried, no productivity bonus, group practice) shapes Cleveland physician comp materially.
The Ohio physician shortage and the academic-system advantage
#1
Cleveland Clinic Cardiology — ranked #1 US for 30+ consecutive years
~$120k
OH Department of Health Loan Repayment max for primary care HPSA service
Top 3
Cincinnati Children's — perennially top-3 US pediatric hospital
Ohio has roughly 36,000 active physicians for 11.8 million residents — a ratio that runs slightly below the national average and creates real recruiting leverage outside the major academic centers.
Signing bonuses of $25,000-$75,000 are standard at community hospitals and Mercy Health regional sites; rural and underserved Ohio (Appalachian region, far southeast) offer HPSA designation premiums.
Ohio Department of Health Loan Repayment Program offers up to $120,000 forgiveness for primary care physicians serving in HPSA-designated areas. The federal NHSC program stacks for additional forgiveness.
Locum tenens rates: hospitalists $150-$210/hour; ER physicians $190-$270/hour. Cleveland Clinic and Cincinnati Children's both run substantial locum/per-diem markets supplementing employed staff.
Ohio as a place to live — what actually matters for physicians
Ohio is three metros with distinct medical ecosystems. Cleveland is academic + Cleveland Clinic Foundation (salaried-group model). Columbus is OhioHealth + OSU Wexner + Nationwide Children's (private-practice and academic mix). Cincinnati is Cincinnati Children's + UC Health + TriHealth + Mercy Health.
Ohio's progressive 0-3.5% income tax with the top rate above $115K means most attendings pay top rate — but RITA / CCA local Earned Income Tax (1.5-2.5% in major cities, 0% in townships) is the residence-choice math every Ohio physician works through.
What Ohio offers in return: Cleveland Clinic and Cincinnati Children's are world-class anchors for any specialty hosting research / academic appointment. Cost-of-living arbitrage is structural — a $400K orthopedic surgeon owns a $750K home in Westlake (Cleveland) or Mason (Cincinnati) instead of renting in San Francisco. Four-season climate, lake-effect winters in the north, mild winters in the south.
How Ohio taxes work for physicians (and where the moves matter)
Ohio progressive 0-3.5% with the top rate above $115K means a $250K new attending owes roughly $5,800 in OH state tax; a $450K specialist owes ~$12,400; a $700K surgical subspecialist owes ~$21,000. Combined federal + Ohio + Medicare marginal rate at $500K is roughly 39-41% — meaningfully lower than CA's 46-48% on equivalent comp. The structural Ohio item every physician works around is local Earned Income Tax (RITA / CCA) at 1.5-2.5%. Columbus 2.5%, Cleveland 2.5%, Cincinnati 1.8%, Akron 2.5%, township residents 0%. A $450K physician living in Westlake (2.0% local) pays $9,000/year local; township residence (0% local) saves it entirely.
eligibility is broad in Ohio. Cleveland Clinic Foundation, University Hospitals, MetroHealth, Akron Children's, OhioHealth, OSU Wexner Medical Center, Nationwide Children's, Cincinnati Children's, UC Health, TriHealth, Mercy Health are all PSLF-qualifying (501(c)(3) non-profits or government entities). 10 years of qualifying payments → tax-free forgiveness on remaining federal loan balance. For a physician with $300K-$500K in med school debt, PSLF can be worth $200K-$400K in pre-tax-equivalent value vs traditional repayment.
Ohio retirement income credit caps at $200/year — small relative to Pennsylvania's full retirement-income exemption. A senior physician retiring with $300K+ of + pension + Social Security pays Ohio state tax on most of it at the 3.5% top rate. Over a 25-year retirement on $250K/year withdrawals, that's $200K-$220K cumulative state tax. Some senior OH physicians execute relocation-to-PA or FL/NC at retirement; for $1M+ pre-tax balances the math saves $150-300K in lifetime state tax. Many stay in Ohio because cost-of-living + family ties + Cleveland Clinic / Cincinnati Children's emeritus appointments outweigh the relocation savings.
Ohio physician employment models matter for tax planning. Cleveland Clinic Foundation is a salaried-group model — physicians are employees with structured comp + + matching defined contribution + standard benefits package; little room for 1099 / Solo / SEP-IRA structures. Private-practice physicians in Columbus / Cincinnati have access to the full menu — partnership buy-in, defined benefit / cash balance plans (especially for surgical subspecialists clearing $700K+), profit-sharing 401(k), Solo 401(k) for moonlighting income. Ohio conforms to federal Section 199A QBI 20% deduction with full phaseout at SSTB thresholds — physicians as SSTB lose the deduction above ~$257K single / ~$515K MFJ taxable income (2026).
- →Township residence (0% RITA / CCA) saves $7,000-$15,000/year for $400-700K attending comp — material residence-choice math.
- →Max / ($24,500 in 2026) — pre-tax federal AND Ohio. At ~40% combined marginal, $9,800/year tax savings.
- → eligibility verification: Cleveland Clinic, UH, MetroHealth, OhioHealth, OSU Wexner, Nationwide Children's, Cincinnati Children's, UC Health all qualify. Annual employer certification through StudentAid.gov.
- →Backdoor Roth IRA ($7,500 in 2026) — required at attending income; Direct Roth phased out ~$146K single.
- →Defined-benefit / cash-balance plan for surgical subspecialists at $700K+ private-practice comp — can shelter $150-250K/year in addition to profit-sharing.
- →Disability insurance (own-occupation, specialty-specific) — premiums not deductible if paid personally, but benefits tax-free; mandatory at attending career start.
- →Late-career relocation modeling at $1M+ pre-tax balances — PA full retirement exemption + 3.07% flat saves $150-300K lifetime vs Ohio's full taxation.
Three Ohio physician markets — what each one looks like
Ohio's physician geography is dominated by three distinct academic-clinical hubs with materially different comp structures, employment models, and lifestyles.
Cleveland (Cleveland Clinic / University Hospitals / MetroHealth)
Attending: Hospitalist $245K-$325K · Specialist $370K-$580K · Surgical subspecialist $550K-$820K+Cleveland Clinic Foundation is the structural Cleveland anchor — salaried-group model, ~75K employees, ranked #1 US for cardiology 30+ years, top-tier for digestive, urology, neurology, rheumatology. University Hospitals (UH) Cleveland Medical Center + Rainbow Babies & Children's is the academic counterweight. MetroHealth handles Trauma Level I + safety-net population. Akron Children's, Akron General (now Cleveland Clinic Akron), Summa Health round out Northeast Ohio. Workforce housing in Westlake, Avon, Bay Village (West Side) or Solon, Hudson, Beachwood (East Side).
Cleveland Clinic's salaried-group model is materially different from private practice — physicians are employees with structured comp, no productivity bonus, predictable hours, full benefits + . Many physicians choose Cleveland Clinic deliberately for the lifestyle / academic appointment / research access trade-off vs higher private-practice ceiling. Lake-effect winters Nov-March are real.
Columbus (OhioHealth / OSU Wexner / Nationwide Children's / Mount Carmel)
Attending: Hospitalist $250K-$330K · Specialist $370K-$580K · Surgical subspecialist $560K-$830KColumbus is Ohio's fastest-growing metro and the most balanced physician market — OhioHealth (largest non-profit health system in central Ohio, ~16 hospitals), Ohio State Wexner Medical Center (academic, adjacent to The Ohio State University), Nationwide Children's (top-10 US pediatric hospital), Mount Carmel Health (Trinity Health affiliate). Private practice is robust. Workforce housing in Dublin, Powell, Westerville, New Albany — top-tier suburbs $400-700K with strong schools and 25-35 minute commutes.
Columbus is Ohio's structural growth market — population growing ~2% annually, housing market healthy but not bubble-territory. Nationwide Children's has expanded substantially over the past decade and is recruiting heavily across pediatric specialties. The OSU Wexner academic appointment + Nationwide Children's combination is among the most established physician-scientist career paths in the Midwest.
Cincinnati (Cincinnati Children's / UC Health / TriHealth / Mercy Health)
Attending: Hospitalist $240K-$320K · Specialist $365K-$565K · Surgical subspecialist $545K-$810KCincinnati Children's Hospital Medical Center is the structural Cincinnati anchor — perennially top-3 US pediatric hospital, especially strong in cardiology, gastroenterology, pulmonology, and pediatric surgery. UC Health (academic, adjacent to University of Cincinnati) is the adult academic counterweight. TriHealth, Mercy Health, The Christ Hospital, and St. Elizabeth Healthcare (Northern Kentucky cross-river) round out the market. Workforce housing in Mason, Wyoming, Hyde Park, Indian Hill, or cross-river Boone County KY (KY tax structure arbitrage).
Cincinnati's pediatric specialty depth is structural — the Big 4 Cincinnati → Cincinnati Children's pipeline rivals Boston or Philadelphia for pediatric subspecialty career formation. Boone County KY residence (cross-river) is the established arbitrage — KY tax + identical Cincinnati hospital commute.
The Ohio physician career arc — residency to retirement
Ohio physician careers typically start in residency at $65K-$85K (PGY1-PGY7 depending on specialty). Cleveland Clinic, OSU Wexner, UC Health, and University of Cincinnati residencies are all -qualifying. Most OH residents stack moonlighting / per-diem work, prioritize PSLF-qualifying employer choice immediately upon completion, and benefit from Ohio's structurally cheap housing relative to coastal markets — many residents own homes by year 3 of residency in Cleveland / Columbus / Cincinnati.
Years 1-5 as an attending are the foundation phase. Hospitalist starting comp $245K-$330K; specialist $365K-$500K; surgical subspecialist $545K-$700K. Most OH new attendings max / immediately, complete Backdoor Roth annually, and continue qualifying payments. Decision points: Cleveland Clinic salaried-group vs private practice (academic salaries 10-20% below private but with research time + faculty appointment + lifestyle), OhioHealth / OSU Wexner Columbus academic-private mix, Cincinnati Children's pediatric subspecialty path. Township residence (0% RITA / CCA) is the early-career structural tax win.
Years 5-15 are the peak earning band. Established specialists clear $450-650K; surgical subspecialists at major centers clear $700K-$1M+. Partner-track in private practice typically completes years 5-10 — buy-in $75-300K, partner comp adds $100-250K above associate level. at private practice or major employers becomes meaningful at this comp band. Many OH specialists in this band purchase Lake Erie (Cleveland) or Hocking Hills (Columbus) second homes; charitable giving via donor-advised funds is increasingly common at $500K+ comp.
Late career (years 15+) is where the OH structure increasingly bites at retirement modeling. By age 55-60, most senior OH attendings have $1.5M-$3M+ in pre-tax accounts. Ohio's $200 retirement income credit cap means a physician withdrawing $250K/year in retirement pays roughly $8,000-$9,000/year in OH state tax — over 25-30 years of retirement, $200-270K cumulative. Many senior OH physicians execute relocation-to-PA (full retirement exemption + 3.07% flat) at retirement; others stay in-state for cost-of-living + family ties + emeritus appointments at Cleveland Clinic / Cincinnati Children's. Late-career township residence in central Ohio (0% RITA) reduces in-state retirement burden meaningfully.
Where physicians actually live in Ohio
The hospitals are concentrated in Cleveland's University Circle, downtown Columbus and the Wexner medical campus, and Cincinnati's Pill Hill / Children's hub — but Ohio physicians overwhelmingly live in suburban communities 20-35 minutes out. Cleveland physicians split roughly evenly between West Side (Westlake, Bay Village, Avon, Rocky River — closer to Cleveland Clinic main campus) and East Side (Solon, Hudson, Beachwood, Pepper Pike — closer to UH Cleveland and the Cleveland Clinic East Side network). Columbus physicians cluster heavily in the northern arc — Dublin, Powell, Westerville, New Albany, Bexley — with Dublin and Upper Arlington as the top-tier districts. Cincinnati physicians settle Mason / West Chester (north), Wyoming / Indian Hill / Hyde Park (central east), or Northern Kentucky cross-river (Boone County) for tax arbitrage. Many central Ohio physicians choose Delaware County township residence specifically for the 0% RITA / CCA local tax advantage.
Westlake / Bay Village (Cleveland West)
Cleveland Clinic main campus 25 min · top schools · $500-850K · lake-effect winters
Solon / Hudson (Cleveland East)
UH Cleveland + Cleveland Clinic East · top-tier schools · $450-750K
Dublin / New Albany (Columbus)
Top-tier suburban schools · OhioHealth + OSU access · $500-900K
Delaware County townships (Columbus)
0% RITA / CCA local tax · 30 min downtown · $450-650K · structural tax win
Mason / Indian Hill (Cincinnati)
Cincinnati Children's + UC Health access · top schools · $450-1.5M tier
Boone County KY (Cincinnati cross-river)
KY tax arbitrage · Cincinnati hospital commute · $400-650K · cross-river structural
Suburb selection in Ohio is a tax math + school district decision more than anything else. The top-tier school districts (Olentangy, Dublin, Upper Arlington in Columbus; Solon and Beachwood in Cleveland; Indian Hill, Mariemont, Wyoming in Cincinnati) carry premium home prices but remain dramatically affordable vs equivalent California or Northeast suburban tier. Cleveland Clinic main campus + Hopkins Airport area drives commute geography on the West Side; the East Side cluster around UH and the Cleveland Clinic East network. Lake-effect winters meaningfully shape Cleveland-area suburb selection — many physicians prioritize garage-attached housing and tested ATV-style snow contractors over architectural preferences. Ohio's structural cost-of-living arbitrage is what physicians describe most consistently as the reason they stay — a $750K Westlake or Mason home is genuinely lifestyle-equivalent to a $2M+ Bay Area equivalent on equivalent comp.
¿Es la decisión correcta?
Should you practice medicine in Ohio?
A tu favor
- +Cleveland Clinic and Cincinnati Children's are world-class institutions with national-tier research + clinical reputations
- +Cost-of-living arbitrage is structural — $400K specialist owns $750K home in suburbs vs renting in SF / NY
- +Township residence (0% RITA / CCA) saves $7,000-$15,000/year for attending-tier comp
- +PSLF eligibility broad — Cleveland Clinic, UH, OhioHealth, OSU, Nationwide Children's, Cincinnati Children's, UC Health all qualify
- +Combined federal + state marginal rate at $500K is ~40% (vs ~46-48% in CA) — material
- +Cincinnati Boone County KY cross-river arbitrage offers lower KY combined tax structure
Vale la pena saber antes de firmar
- −Top 3.5% state rate kicks in above $115K — most attendings effectively pay top rate
- −RITA / CCA local tax 1.5-2.5% in major cities — adds $7-15K/year for big-city residents at attending comp
- −$200 retirement income credit cap is meaningfully less generous than PA's full exemption
- −Lake-effect winters Nov-March affect Cleveland operations and lifestyle
- −Pre-IPO / unicorn / VC ecosystem materially smaller than coastal — limited industry-research-physician hybrid roles
- −Cleveland Clinic Foundation salaried-group model caps comp upside vs private practice in some specialties
Mercado Laboral en Ohio
Ohio tiene demanda activa de Médicos.
Perspectivas de crecimiento: 3% growth through 2032 (about as fast as average)
Puestos relacionados:
Costo de Vida en Ohio
Ohio tiene un costo de vida variado según la región.
💰 Sueldo neto mensual: $15,208
🏠 Renta típica: $1,600/mo
📊 Después de renta: $13,608/mo
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