Orthopedic Surgeons, Except Pediatric Salary: North Carolina vs West Virginia
Orthopedic Surgeons, Except Pediatric earn a median of $323,630 in North Carolina and $597,740 in West Virginia. That is a nominal gap of $274,110 (-45.9%), with West Virginia paying more before any cost-of-living adjustment.
Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics survey, May 2025 estimates. Cost-of-living adjustment uses BEA Regional Price Parities, most recent release.
The story behind the numbers
On raw wages, West Virginia pays $274,110 more per year than North Carolina for orthopedic surgeons, except pediatric, a gap of +45.9%.
After adjusting for cost of living, West Virginia still comes out ahead, with roughly $324,791 of extra purchasing power (+48.6% real gap). Local prices do not reverse the nominal advantage.
Full breakdown by location
Detailed wage, employment, and cost-of-living figures for orthopedic surgeons, except pediatric in each location. Click through to the full local salary page for percentiles, outlook, and peer areas.
North Carolina
- Median salary
- $323,630
- Mean salary
- $372,620
- Employment
- 560
- Location quotient
- 1.24
- Jobs per 1,000
- 0.1
- COL-adjusted median
- $343,097
- Regional Price Parity
- 94.3%
Exact state RPP match.
Full Orthopedic Surgeons, Except Pediatric page for North Carolina →
West Virginia
- Median salary
- $597,740
- Mean salary
- $522,050
- Employment
- 120
- Location quotient
- 1.87
- Jobs per 1,000
- 0.2
- COL-adjusted median
- $667,888
- Regional Price Parity
- 89.5%
Exact state RPP match.
Full Orthopedic Surgeons, Except Pediatric page for West Virginia →
Related pages
Keep digging into orthopedic surgeons, except pediatric from a different angle.
- National Orthopedic Surgeons, Except Pediatric salary page
- Compare a different occupation or location
Common questions about this comparison
What does the cost-of-living adjustment actually do? +
It divides each location's nominal median wage by its Regional Price Parity (RPP), which measures how local prices compare to the national average (100 = national). A wage of $100,000 in an area with RPP 120 has the same purchasing power as roughly $83,000 nationally.
Why would the nominal and adjusted winners disagree? +
High-cost metros often pay higher salaries, but not by enough to fully offset the higher cost of housing, goods, and services. When that happens, the location with the lower nominal wage actually offers more real purchasing power.
What is a location quotient? +
The location quotient measures how concentrated an occupation is in a given area versus the national average. A value of 2.0 means the occupation is twice as common there as nationally. It is a signal of what a state specializes in.