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Best States to Be a Healthcare Support Workers, All Other

After 2025 state income tax and 2024 cost of living, a healthcare support workers, all other salary goes furthest in District of Columbia — a $73,590 BLS median worth $63,859 in real terms (Gera US Real Pay Index 134.1).

Which US states are best for a healthcare support workers, all other after cost of living and tax?

For a healthcare support workers, all other, the Gera US Real Pay Index ranks District of Columbia #1: a $73,590 BLS median becomes $63,859 in cost-of-living-and-tax-adjusted terms (index 134.1). Louisiana ranks last ($37,858, index 79.5). Real BLS OEWS May 2025 across 51 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

Gera US Real Pay Index

District of Columbia ranks #1 of 51 states for a healthcare support workers, all other. Index 100 = the average state; 134.1 means pay goes 34.1% further after tax and cost of living.

How this is calculated
134.1

Healthcare Support Workers, All Other — real pay by state (best first)

#StateBLS medianState taxCost (RPP)Real payIndex
1District of Columbia$73,590$3,408109.9$63,859134.1
2Alaska$61,300102.4$59,887125.8
3Kansas$54,830$2,26090.1$58,367122.6
4Washington$62,040107.0$57,974121.8
5Delaware$57,760$2,52999.8$55,337116.2
6New Mexico$52,170$1,33892.2$55,125115.8
7Oklahoma$49,940$1,83587.8$54,763115.0
8Wyoming$49,94092.7$53,878113.2
9North Dakota$47,01089.0$52,845111.0
10Idaho$52,160$1,85095.5$52,684110.7
11Massachusetts$58,340$2,697105.8$52,614110.5
12Tennessee$47,94091.9$52,182109.6
13Indiana$49,900$1,46793.3$51,895109.0
14South Carolina$49,730$1,47693.7$51,472108.1
15Nevada$50,790100.0$50,801106.7
16South Dakota$44,61088.6$50,358105.8
17New York$56,510$2,503107.9$50,043105.1
18Kentucky$46,020$1,71090.2$49,147103.2
19Iowa$44,720$1,65987.8$49,065103.1
20Maine$49,100$1,70097.0$48,841102.6
21Arizona$49,940$774100.7$48,836102.6
22North Carolina$47,080$1,45994.3$48,365101.6
23Vermont$47,370$1,16898.0$47,16599.1
24Texas$45,25097.1$46,62297.9
25Georgia$46,750$1,87396.3$46,60597.9
26Ohio$43,620$41792.8$46,56897.8
27Wisconsin$44,850$1,22594.1$46,36397.4
28Illinois$48,360$2,253100.0$46,12796.9
29Rhode Island$47,600$1,185102.3$45,38095.3
30Utah$46,800$2,12998.9$45,18494.9
31Minnesota$45,930$1,65798.6$44,89294.3
32Pennsylvania$45,160$1,38697.6$44,86394.2
33Colorado$47,330$1,423103.1$44,54893.6
34New Jersey$49,600$1,193108.8$44,49093.4
35Florida$45,700103.4$44,19192.8
36Virginia$46,060$1,849101.1$43,72991.8
37New Hampshire$45,460104.2$43,64291.7
38California$49,130$1,044110.7$43,43091.2
39Missouri$39,940$99690.8$42,88290.1
40Oregon$47,510$3,353103.4$42,72189.7
41Nebraska$39,140$95590.1$42,37989.0
42Montana$41,410$1,30594.6$42,37489.0
43Arkansas$38,040$1,27586.9$42,28988.8
44Hawaii$48,620$2,185110.0$42,23388.7
45West Virginia$38,740$1,05789.5$42,10588.4
46Connecticut$44,550$1,080103.6$41,95688.1
47Michigan$40,280$1,46596.2$40,34184.7
48Maryland$43,680$1,742105.0$39,95783.9
49Alabama$36,760$1,57388.8$39,61583.2
50Mississippi$34,900$73087.0$39,29782.5
51Louisiana$34,040$64688.2$37,85879.5

"Real pay" = BLS median − 2025 state income tax, divided by the state's 2024 BEA cost of living (US = 100). Only the 51 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.

In District of Columbia, a $73,590 salary is worth about $59,762 in cost-of-living-and-tax-adjusted terms.

State income tax $7,911 (≈ top marginal 10.75% (upper bound)) · take-home $65,679 · BEA cost of living 109.9 (US = 100).

The same salary goes furthest in South Dakota — worth $83,072, a $23,310 gain over District of Columbia.

#StateReal valueCost (RPP)
1South Dakota$83,07288.6
2Arkansas$81,34686.9
3Louisiana$80,92688.2
4Mississippi$80,90887.0
5Iowa$80,66587.8
6North Dakota$80,65589.0
7Tennessee$80,10291.9
8Oklahoma$79,79587.8
9Wyoming$79,39392.7
10Alabama$78,70888.8
11Kentucky$78,35890.2
12West Virginia$78,26389.5

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).

Healthcare Support Workers, All Other — real pay FAQ

What is the best state to be a healthcare support workers, all other?
By the Gera US Real Pay Index, District of Columbia is the best state for a healthcare support workers, all other: a BLS median of $73,590 is worth $63,859 after the 2025 state income tax ($3,408) and the 2024 BEA cost-of-living adjustment (RPP 109.9), an index of 134.1 where the average state is 100.
Does the highest-paying state also leave you best off?
Not necessarily. District of Columbia has the highest headline BLS median for a healthcare support workers, all other at $73,590, but after state tax and cost of living it ranks #1 of 51 on real pay (index 134.1). That gap is exactly what the Gera US Real Pay Index reveals.
Where does a healthcare support workers, all other salary go least far?
Louisiana ranks last of 51 states for a healthcare support workers, all other: a $34,040 BLS median is worth only $37,858 after tax and cost of living (index 79.5). Higher local prices and/or income tax less far than the national average erode the headline pay.

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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 healthcare support workers, all other is computed by GeraJobs from these figures; no figure is modelled or interpolated.

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