Surgeon Salary in Washington (2026)
✓ No state income taxAverage Surgeon pay in Washington
$382,200/year
≈ $184/hour before tax
After tax (single filer)
$266,675/year
$22,223/month · effective tax rate 30.23%
- Federal $96,904
- FICA $18,621
- Take-home
Pay by role in Washington
- Surgeon (CT / neuro / oncology / general)BLS · middle 50%$177,720–$506,150
- Orthopedic SurgeonBLS · middle 50%$205,020–$577,990
See the full tax breakdown
| Category | Amount |
|---|---|
Annual Take-Home Pay | $266,675 |
Monthly Take-Home Pay | $22,223 |
Biweekly Take-Home Pay | $10,257 |
Hourly Take-Home Pay based on 2,080 hrs/year | $128/hr |
Federal Tax | $96,904 |
State Tax | $0 |
FICA Taxes | $18,621 |
Effective Tax Rate total taxes ÷ gross salary | 30.23% |
Not all Surgeons earn the same — not even close
Washington's surgeon market is concentrated at UW Medicine (University of Washington Medical Center plus Harborview Medical Center — UW's flagship campus operates one of the country's busiest Level 1 trauma centers serving the WAMI region of WA + AK + MT + ID), Virginia Mason Franciscan Health (post-2021 merger, ~20K employees), Swedish Medical Center (now part of Providence Health), Seattle Children's Hospital (top-15 nationally ranked pediatric), and MultiCare Health System (Tacoma-based ~20K employees). Surgical subspecialty depth is unusually strong for a non-NY/CA/MA market driven by WAMI trauma referral concentration.
Surgeon (CT / neuro / oncology / general)
$177,720–$506,150
UW Medicine CT surgery · Swedish + Virginia Mason + MultiCare · WAMI heart transplant referral
Source: BLS May 2025 · Surgeons, All Other · Washington · middle 50%
Orthopedic Surgeon
$205,020–$577,990
UW Sports Med · Virginia Mason · MultiCare · Proliance Surgeons (largest US private orthopedic practice)
Source: BLS May 2025 · Orthopedic Surgeons, Except Pediatric · Washington · middle 50%
Worth knowing: Harborview Medical Center is the structural depth feature most national surgeon-market surveys understate for WA. Operated by UW Medicine and owned by King County, Harborview is the only Level 1 trauma center for the WAMI region (Washington, Alaska, Montana, Idaho) — covering ~27% of US land area but serving the trauma needs of all four states. This trauma concentration drives sustained surgical demand across neurosurgery, orthopedic trauma, general/trauma surgery, and burn surgery. Senior trauma surgeons at Harborview clear $515-865K TC. UW Medicine's transplant center plus Seattle Children's Hospital top-15 pediatric ranking add academic surgical specialty depth. Proliance Surgeons (Bellevue-based, ~750 physicians + advanced practice providers across 100+ care centers) is the largest US private orthopedic surgery practice — distinctively structured for WA. The WA 0% state income tax (no income tax) plus no city earnings tax means take-home for senior surgical subspecialists at $700K+ TC is among the highest US after-tax surgical comp — compared to $700K MA surgeon paying ~9% state combined ($63K state tax), WA surgeon at same TC pays $0 state. WA Capital Gains Tax 7% applies only above $270K threshold per RCW 82.87 — most surgeon income is fully exempt. WA Cares Fund 0.58% capped at $870/year on W-2 wages.
Sources & Methodology
- →IRS Rev. Proc. 2025-32 — 2026 federal brackets and standard deduction
- →IRS Notice 2025-67 — 2026 retirement-plan contribution limits
- →IRS Rev. Proc. 2025-19 — 2026 HSA contribution limits
- →Social Security Administration — 2026 Social Security wage base
- →BLS Occupational Employment and Wage Statistics — Surgeon wage data for Washington
Salary figures are market estimates for Surgeons in Washington and vary by employer, specialty, seniority, and metro. Take-home math assumes a single filer with no dependents, the standard deduction, and no state income tax (Washington levies none). Local taxes, insurance premiums, and pre-tax contributions will move your number — run the calculator for your own situation.
Run your own numbers
- Washington paycheck calculator → · 401(k), HSA, dependents
- Bonus calculator → · year-end, sign-on, retention
- 1099 tax calculator → · self-employment tax 15.3%
- Capital-gains calculator → · long-term rates, NIIT, state tax
Frequently Asked Questions
Find answers to common questions about your taxes and our calculator.
Compare Two States
See how income tax, take-home pay, and total tax burden differ between any two US states side by side.
State 1
State 2