BLS metro-level wage data places Medical Transcriptionists pay in Sacramento-Roseville-Folsom, CA at a median of $48,440 per year ($23.29/hr/hour), drawn from the OEWS May 2025 release for this Metropolitan Statistical Area. Compared to the national median of $40,410, Sacramento-Roseville-Folsom pays +20% above, signaling either concentrated employer demand, a cost-of-living premium, or both. Approximately 170 medical transcriptionistss are employed across the Sacramento-Roseville-Folsom MSA in SOC 31-9094.

The Sacramento-Roseville-Folsom pay distribution spans from $39,150 at the 10th percentile to $58,120 at the 90th — a 1.5× spread that reflects experience tenure, specialization, employer size, and the difference between public-sector, nonprofit, and private-sector compensation inside the metro. The 25th percentile sits at $42,430 and the 75th at $48,660, so half of Sacramento-Roseville-Folsom-based medical transcriptionistss earn within that middle band.

Metro figures capture where you actually work, not just where you live — which matters for commuters. BLS draws metro boundaries from the OMB MSA definitions, so Sacramento-Roseville-Folsom, CA covers the central city plus outlying counties tied to the metro economically. Remember that OEWS wages reflect base pay only: employer-provided health insurance, retirement matches, stock options, signing bonuses, overtime, and tips are excluded and can add 20-40% to real total compensation. Before using this metro median as a negotiation anchor, triangulate against the same occupation's national profile (linked below), its state-wide CA data, and peer-metro comparisons — a median is a starting point, not a ceiling.