BLS metro-level wage data places Psychiatrists pay in Spokane-Spokane Valley, WA at a median of $301,790 per year ($145.09/hr/hour), drawn from the OEWS May 2025 release for this Metropolitan Statistical Area. Compared to the national median of $281,870, Spokane-Spokane Valley pays +7% above, signaling either concentrated employer demand, a cost-of-living premium, or both. Approximately 50 psychiatristss are employed across the Spokane-Spokane Valley MSA in SOC 29-1223.

The Spokane-Spokane Valley pay distribution spans from $142,570 at the 10th percentile to $333,010 at the 90th — a 2.3× 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 $186,300 and the 75th at $332,330, so half of Spokane-Spokane Valley-based psychiatristss 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 Spokane-Spokane Valley, WA 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 WA data, and peer-metro comparisons — a median is a starting point, not a ceiling.