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Pharmacists Salary: Bismarck, ND vs San Francisco-Oakland-Fremont, CA

Pharmacists earn a median of $143,380 in Bismarck, ND and $177,410 in San Francisco-Oakland-Fremont, CA. That is a nominal gap of $34,030 (-19.2%), with San Francisco-Oakland-Fremont, CA 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.

$143,380
Bismarck, ND median
$157,519 after COL
$177,410
San Francisco-Oakland-Fremont, CA median
$153,452 after COL
-19.2%
Nominal gap
San Francisco-Oakland-Fremont, CA leads
+2.7%
Adjusted gap
Bismarck, ND leads after COL

The story behind the numbers

On raw wages, San Francisco-Oakland-Fremont, CA pays $34,030 more per year than Bismarck, ND for pharmacists, a gap of +19.2%.

After adjusting for cost of living, the picture flips. Bismarck, ND actually offers more purchasing power, effectively paying $4,067 more in national-price-level terms (a +2.7% real gap). The higher nominal wage in the other location is eaten up by higher local prices.

Full breakdown by location

Detailed wage, employment, and cost-of-living figures for pharmacists in each location. Click through to the full local salary page for percentiles, outlook, and peer areas.

Pharmacists

Bismarck, ND

Median salary
$143,380
Mean salary
$147,290
Employment
170
Location quotient
1.14
Jobs per 1,000
2.4
COL-adjusted median
$157,519
Regional Price Parity
91.0%

Exact metro RPP match.

Full Pharmacists page for Bismarck, ND →

Pharmacists

San Francisco-Oakland-Fremont, CA

Median salary
$177,410
Mean salary
$184,540
Employment
3,670
Location quotient
0.75
Jobs per 1,000
1.5
COL-adjusted median
$153,452
Regional Price Parity
115.6%

Exact metro RPP match.

Full Pharmacists page for San Francisco-Oakland-Fremont, CA →

Related pages

Keep digging into pharmacists from a different angle.

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 metro specializes in.