CNA Salary

San Francisco vs West Sacramento: Certified Nursing Assistant Salary (2026)

Compare certified nursing assistant salaries between San Francisco, CA and West Sacramento, CA. All figures are 2026 estimates projected from BLS 2025 data.

San Francisco, CA
$59,725
$28.71/hr
West Sacramento, CA
$49,079
$23.60/hr

Side-by-Side Comparison

MetricSan Francisco, CAWest Sacramento, CA
Median Salary$59,725$49,079
Hourly Rate$28.71$23.60
Entry Level (P10)$49,736$40,922
25th Percentile$53,261$44,185
75th Percentile$62,760$55,516
Top Earner (P90)$75,125$61,133
Total Employed11,7909
Side-by-side bar chart comparing San Francisco ($59,725) and West Sacramento ($49,079) certified nursing assistant salaries.San FranciscoWest SacramentoMedian Salary$59,725$49,079Entry Level (P10)$49,736$40,922Top Earner (P90)$75,125$61,133US Median $45,007

Verdict

San Francisco, CA offers better overall compensation for certified nursing assistants, winning 4 out of 4 metrics compared to West Sacramento.

The salary gap between San Francisco and West Sacramento is $10,646 (21.69%). San Francisco's median is +32.70% compared to the US national median of $45,007.

Salary Range Comparison

The full salary range (10th to 90th percentile) in San Francisco spans $25,389,West Sacramento spans $20,211. San Francisco has a wider pay range, meaning more potential for high earners but also more variation.

San Francisco
P10 (Entry)$49,736
P25$53,261
Median$59,725
P75$62,760
P90 (Top)$75,125
West Sacramento
P10 (Entry)$40,922
P25$44,185
Median$49,079
P75$55,516
P90 (Top)$61,133

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, San Francisco ($51,659 effective) pays 19.05% more than West Sacramento ($43,394 effective).

San Francisco
Nominal: $59,725
CoL Index: 115.613
Adjusted: $51,659
West Sacramento
Nominal: $49,079
CoL Index: 113.1
Adjusted: $43,394

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 ($59,725/year)
  • Better top-earner potential ($75,125)
  • Larger job market (11,790 employed)
  • Better purchasing power (CoL-adjusted: $51,659)
  • You prefer the California area and lifestyle

Choose West Sacramento if…

  • You prefer the California area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, certified nursing assistant salaries in San Francisco grew 35.4% from 2019 to 2025, compared to -5.9% growth in West Sacramento over the same period.

San Francisco, CA

+35.4%

$41,410 (2019) → $56,080 (2025)

West Sacramento, CA

+-5.9%

$48,992 (2024) → $46,084 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays certified nursing assistants more: San Francisco or West Sacramento?

San Francisco has a higher median certified nursing assistant salary at $59,725/year, compared to West Sacramento at $49,079/year — a difference of $10,646 (21.69%).

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

San Francisco certified nursing assistants earn $28.71/hr while West Sacramento hygienists earn $23.60/hr (2026 est.).

Should I relocate from San Francisco to West Sacramento as a certified nursing assistant?

Consider more than just salary when comparing San Francisco and West Sacramento. Factor in cost of living (CoL-adjusted: San Francisco = $51,659, West Sacramento = $43,394), job availability (11,790 vs 9 employed), commute, and career growth potential.

What do entry-level certified nursing assistants earn in San Francisco vs West Sacramento?

Entry-level (10th percentile) certified nursing assistants earn $49,736 in San Francisco and $40,922 in West Sacramento. The San Francisco area offers higher starting salaries.

Related Comparisons

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Written by Emily Chen, BSN, RN

Career Analyst

Emily has over 10 years of experience in nursing. She focuses on workforce trends in nursing. Emily has worked in various healthcare settings, including hospitals and long-term care facilities.

Clinically reviewed by Michael Rodriguez, CNAData verified by Sara Patel, RN

Methodology & Data Source

All salary figures are 2026 projections based on BLS OEWS May 2025 data. A 6.50% 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 Emily Chen, BSN, RN, a licensed certified nursing assistant with 10+ years of clinical experience. · View source data at BLS.gov