AI Healthcare Data Engineer.
Sacramento.
$152,000
median salary, 9% above the national average
$114,000 to $194,000. Last updated April 2026.
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Data points to own the conversation.
AI Healthcare Data Engineer pay in Sacramento ranges from $114,000 to $194,000 in 2026. The median is $152,000, 9% above the national average. Sacramento is California's capital with a growing tech presence as Bay Area companies and remote workers seek lower costs. Every dollar in that range is negotiable if you come prepared.
Salary range
Where do you fall?
Salary by experience
The gap between entry and lead level is typically $137,000. Where you land depends on years of experience and what you bring to the table.
Entry (0-2 yrs)
$99,000
to $122,000
Mid (3-5 yrs)
$129,000
to $160,000
Senior (6-9 yrs)
$167,000
to $198,000
Lead (10+ yrs)
$190,000
to $236,000
Salary trend
+9% YoYTotal compensation
Base salary is not the full picture. Equity, bonus, and signing can add $66,000 to the total package.
Base
$152,000
Equity
$40,000
Bonus
$17,000
Signing
$9,000
Estimated total: $218,000
How Sacramento compares
Sacramento, CA
$152,000
Cost of living: 10% above average
National Average
$140,000
Sacramento is $12,000 above
AI Healthcare Data Engineer salary by city
Salary by role in Sacramento
What you should know
If you are interviewing for AI Healthcare Data Engineer roles in Sacramento, here is what you are walking into. Sacramento is California's capital with a growing tech presence as Bay Area companies and remote workers seek lower costs. State government is the largest employer, but healthcare, clean energy, and ag-tech are expanding rapidly. Salaries are lower than the Bay Area but the cost of living difference more than compensates. Compensation reflects the specialized knowledge needed to work with healthcare data formats (HL7, FHIR, DICOM) and privacy regulations (HIPAA, HITECH). Engineers who can build compliant data pipelines that prepare clinical data for ML model training earn premiums. Experience with de-identification, data harmonization across health systems, and real-world evidence generation is highly valued.
Junior healthcare data engineers start at $90,000 to $110,000. Mid-level engineers building HIPAA-compliant ML data pipelines reach $130,000 to $158,000. Senior engineers designing enterprise health data platforms earn $165,000 to $200,000. Directors of health data engineering can reach $220,000 to $280,000 in total compensation. In Sacramento, cost of living sits near the national average, so the numbers you see are roughly what you keep.
Base salary is not the full picture. Equity at health AI companies adds $15,000 to $60,000 annually. Bonuses of 10% to 18% are standard. Benefits often include comprehensive health coverage, continuing education stipends, and student loan repayment assistance. Some health systems offer pension benefits. And on the tax side: california's 13.3% top state rate applies. Sacramento has no city income tax. Despite the high state rate, the significantly lower housing costs compared to the Bay Area improve take home purchasing power. When someone quotes you $152,000, ask what the total package looks like. The gap between base and total comp is where real money hides.
On negotiation: Position yourself as Bay Area talent seeking Sacramento quality of life. Employers here are accustomed to offering 80 to 90% of Bay Area rates to attract relocating professionals. The range for AI Healthcare Data Engineers in Sacramento runs from $114,000 to $194,000. That is not a narrow window. Where you land inside it depends almost entirely on whether you negotiate and how well you prepare.
Sources: SEC filings, H-1B LCA (DOL), BLS OES, 50+ job posting platforms. COL: BEA Regional Price Parities (2025). Data verified by Justin Bartak, Founder & Chief AI Officer. Last verified April 8, 2026. Full methodology
Considering a related role?
- A API Developer in Sacramento earns $151,000 (1% less)
- The highest-paying role in Sacramento is Distinguished Engineer at $348,000
Common questions.
AI Healthcare Data Engineer salary in other cities
Other salaries in Sacramento
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