What is the best state to be a health information technologists and medical registrars?

By the Gera US Real Pay Index, Arkansas is the best state for a health information technologists and medical registrars: a BLS median of $93,300 is worth $103,373 after the 2025 state income tax ($3,430) and the 2024 BEA cost-of-living adjustment (RPP 86.9), an index of 153.6 where the average state is 100.

Does the highest-paying state also leave you best off?

Not necessarily. Arkansas has the highest headline BLS median for a health information technologists and medical registrars at $93,300, but after state tax and cost of living it ranks #1 of 50 on real pay (index 153.6). That gap is exactly what the Gera US Real Pay Index reveals.

GeraJobs / US Real Pay Index / Health Information Technologists and Medical Registrars

Best States to Be a Health Information Technologists and Medical Registrars

After 2025 state income tax and 2024 cost of living, a health information technologists and medical registrars salary goes furthest in Arkansas — a $93,300 BLS median worth $103,373 in real terms (Gera US Real Pay Index 153.6).

Which US states are best for a health information technologists and medical registrars after cost of living and tax?

For a health information technologists and medical registrars, the Gera US Real Pay Index ranks Arkansas #1: a $93,300 BLS median becomes $103,373 in cost-of-living-and-tax-adjusted terms (index 153.6). New Mexico ranks last ($44,586, index 66.2). Real BLS OEWS May 2025 across 50 states; re-dated annually.

Source:U.S. Bureau of Labor Statistics — Occupational Employment and Wage Statistics (OEWS)·As of May 2025 state estimates · updated annually · last refreshed 19 June 2026

Gera US Real Pay Index

Arkansas ranks #1 of 50 states for a health information technologists and medical registrars. Index 100 = the average state; 153.6 means pay goes 53.6% further after tax and cost of living.

How this is calculated

153.6

Health Information Technologists and Medical Registrars — real pay by state (best first)

#	State	BLS median	State tax	Cost (RPP)	Real pay	Index
1	Arkansas	$93,300	$3,430	86.9	$103,373	153.6
2	Wyoming	$88,560	—	92.7	$95,543	142.0
3	Wisconsin	$89,260	$3,579	94.1	$91,058	135.3
4	North Dakota	$81,170	$345	89.0	$90,856	135.0
5	Iowa	$80,600	$3,023	87.8	$88,395	131.3
6	Minnesota	$90,760	$4,683	98.6	$87,281	129.7
7	Montana	$79,140	$3,531	94.6	$79,887	118.7
8	Texas	$76,820	—	97.1	$79,149	117.6
9	California	$90,750	$4,318	110.7	$78,064	116.0
10	New Hampshire	$81,020	—	104.2	$77,780	115.6
11	Oregon	$86,230	$6,741	103.4	$76,904	114.3
12	Ohio	$71,330	$1,179	92.8	$75,615	112.3
13	Florida	$76,950	—	103.4	$74,410	110.6
14	Colorado	$78,470	$2,793	103.1	$73,436	109.1
15	Massachusetts	$81,420	$3,851	105.8	$73,346	109.0
16	Utah	$75,320	$3,427	98.9	$72,719	108.0
17	Louisiana	$65,620	$1,594	88.2	$72,587	107.8
18	Vermont	$73,130	$2,445	98.0	$72,159	107.2
19	Connecticut	$76,140	$2,613	103.6	$70,965	105.4
20	Tennessee	$64,560	—	91.9	$70,273	104.4
21	Georgia	$70,170	$3,135	96.3	$69,615	103.4
22	Alaska	$71,100	—	102.4	$69,461	103.2
23	South Dakota	$60,740	—	88.6	$68,566	101.9
24	Rhode Island	$72,120	$2,105	102.3	$68,455	101.7
25	Michigan	$67,150	$2,607	96.2	$67,080	99.7
26	New York	$75,320	$3,538	107.9	$66,514	98.8
27	West Virginia	$61,330	$2,024	89.5	$66,266	98.5
28	Delaware	$68,890	$3,206	99.8	$65,811	97.8
29	District of Columbia	$75,460	$3,539	109.9	$65,442	97.2
30	North Carolina	$63,010	$2,136	94.3	$64,536	95.9
31	Maryland	$70,040	$2,994	105.0	$63,878	94.9
32	Kansas	$60,030	$2,550	90.1	$63,818	94.8
33	Nevada	$63,610	—	100.0	$63,623	94.5
34	Missouri	$59,380	$1,910	90.8	$63,281	94.0
35	Illinois	$62,780	$2,967	100.0	$59,839	88.9
36	Pennsylvania	$59,980	$1,841	97.6	$59,585	88.5
37	Idaho	$56,300	$2,086	95.5	$56,772	84.4
38	Virginia	$59,060	$2,596	101.1	$55,847	83.0
39	Washington	$59,640	—	107.0	$55,732	82.8
40	New Jersey	$61,940	$1,874	108.8	$55,205	82.0
41	Nebraska	$49,520	$1,479	90.1	$53,318	79.2
42	Kentucky	$49,330	$1,842	90.2	$52,671	78.3
43	Mississippi	$47,000	$1,263	87.0	$52,600	78.2
44	Maine	$50,320	$1,782	97.0	$50,014	74.3
45	Oklahoma	$45,210	$1,610	87.8	$49,634	73.7
46	Arizona	$50,740	$794	100.7	$49,611	73.7
47	Indiana	$46,470	$1,364	93.3	$48,330	71.8
48	South Carolina	$44,530	$1,154	93.7	$46,269	68.7
49	Hawaii	$51,930	$2,423	110.0	$45,026	66.9
50	New Mexico	$42,000	$886	92.2	$44,586	66.2

"Real pay" = BLS median − 2025 state income tax, divided by the state's 2024 BEA cost of living (US = 100). Only the 50 states for which BLS publishes a median for this occupation are ranked; suppressed cells are excluded, never set to zero.

Where does your salary go furthest?

Enter a salary and a state. We adjust for 2025 state income tax and the 2024 BEA cost of living to show your real, purchasing-power-equivalent pay — then rank every state.

Gross annual salary (USD)Compare against state

In Arkansas, a $93,300 salary is worth about $103,134 in cost-of-living-and-tax-adjusted terms.

State income tax $3,639 (≈ top marginal 3.90% (upper bound)) · take-home $89,661 · BEA cost of living 86.9 (US = 100).

The same salary goes furthest in South Dakota — worth $105,321, a $2,188 gain over Arkansas.

#	State	Real value	Cost (RPP)
1	South Dakota	$105,321	88.6
2	Arkansas	$103,134	86.9
3	Louisiana	$102,601	88.2
4	Mississippi	$102,578	87.0
5	Iowa	$102,270	87.8
6	North Dakota	$102,258	89.0
7	Tennessee	$101,557	91.9
8	Oklahoma	$101,167	87.8
9	Wyoming	$100,657	92.7
10	Alabama	$99,788	88.8
11	Kentucky	$99,344	90.2
12	West Virginia	$99,224	89.5

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Estimate only. State income tax is approximated from each state's 2025 flat rate (or top marginal rate as an upper bound for graduated states) and ignores federal tax, deductions and credits. The pre-published occupation and state pages use exact 2025 bracket math. Cost of living is the 2024 BEA Regional Price Parity (All Items).

Health Information Technologists and Medical Registrars — real pay FAQ

What is the best state to be a health information technologists and medical registrars?: By the Gera US Real Pay Index, Arkansas is the best state for a health information technologists and medical registrars: a BLS median of $93,300 is worth $103,373 after the 2025 state income tax ($3,430) and the 2024 BEA cost-of-living adjustment (RPP 86.9), an index of 153.6 where the average state is 100.
Does the highest-paying state also leave you best off?: Not necessarily. Arkansas has the highest headline BLS median for a health information technologists and medical registrars at $93,300, but after state tax and cost of living it ranks #1 of 50 on real pay (index 153.6). That gap is exactly what the Gera US Real Pay Index reveals.
Where does a health information technologists and medical registrars salary go least far?: New Mexico ranks last of 50 states for a health information technologists and medical registrars: a $42,000 BLS median is worth only $44,586 after tax and cost of living (index 66.2). Higher local prices and/or income tax less far than the national average erode the headline pay.

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Related on GeraJobs

Gera US Real Pay Index — all states ranked — and how the index is calculated.
Methodology — the exact BLS + BEA + tax computation.
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Sources: U.S. Bureau of Labor Statistics — Occupational Employment and Wage Statistics (OEWS) (May 2025 state estimates, US federal public domain); U.S. Bureau of Economic Analysis — Regional Price Parities (All Items), by state (2024 (US = 100)); Tax Foundation — 2025 State Individual Income Tax Rates and Brackets. The Gera US Real Pay Index for a health information technologists and medical registrars is computed by GeraJobs from these figures; no figure is modelled or interpolated.