What to Pay a Physician Assistant in Fresno, CA (2026)
How to set your PA pay range in Fresno
Three pay positions, modeled against current Fresno market data. Pick the one that matches your comp philosophy and the role's strategic value.
PA salary percentile distribution in Fresno, CA
Where the Fresno market actually sits for PA base pay.
Most Fresno employers building a range for this role anchor the midpoint to the market median ($140,000) and set range width at 30–35% — a min of $122,000 and a max of $161,000. This keeps the band wide enough for experience-based progression without concentrating range penetration at the cap.
California pay transparency compliance for PA job postings
What you must post when hiring a PA in California.
| Requirement | Applies When | Penalty for Non-Compliance |
|---|---|---|
| Pay scale in job posting | 15+ employees, ≥1 in California | $100–$10,000 per violation |
| Good-faith range (no inflated bands) | All covered postings | $100–$10,000 per violation; escalates for repeat |
| Include bonuses and incentive pay (SB 642) | All covered postings from 2026 | Same penalty schedule |
| Provide pay scale to current employees on request | Any covered employer | $100–$10,000 per violation |
| Maintain wage history records for 3 years | All employers | Presumption against employer in disputes |
For a PA role in Fresno, a compliant good-faith range looks like $122,000 to $161,000. A good-faith range for this role is $122,000–$161,000. Ranges wider than ~50% have been challenged under CA enforcement actions.
Top PA employers in Fresno — who you're competing against
Top healthcare employers hiring PAs in the Fresno metro and what they're posting.
| Employer | Type | Disclosed Range | Sign-on Bonus |
|---|---|---|---|
| Community Health System | Health system | $132K–$165K | Very common ($8K–$15K) |
| Kaiser Permanente | Integrated health system | $132K–$165K | Very common ($8K–$15K) |
| Saint Agnes Medical Center | Health system | $132K–$165K | Very common ($8K–$15K) |
| Adventist Health | Health system | $132K–$165K | Very common ($8K–$15K) |
| Valley Children's Healthcare | Pediatric specialty | $132K–$165K | Very common ($8K–$15K) |
PA talent supply and hiring difficulty in Fresno
How hard is it to fill a PA role in Fresno.
Fresno PA market anchored by hospital systems, urgent care networks, and specialty practices. Surgical PA and emergency medicine PA command specialty premiums.
Skill premiums PA candidates command in Fresno, CA
| Skill / Credential | Pay Premium | Demand Signal |
|---|---|---|
| Surgical PA (CAQ-CV, CAQ-Ortho) | +10–15% | Very high |
| Emergency medicine PA | +8–13% | Very high |
| Bilingual Spanish | +4–7% | High |
| DEA prescriptive authority | Required | Standard |
PA total compensation in Fresno — what candidates expect beyond base
Total rewards mix for PAs in Fresno. "Prevalence" reflects share of Fresno disclosed-range postings including each element.
| Component | Typical Value | Prevalence in Fresno Postings |
|---|---|---|
| Base salary | $140,000 (median) | 100% |
| Productivity bonus (RVU-based) | $14K–$39K | ~62% |
| Sign-on bonus | $10K–$22K | ~64% |
| Loan repayment (FQHCs) | $25K–$50K total | ~22% |
| CME allowance | $3,000–$5,500/yr | ~90% |
| Estimated total comp benchmark | ~$165K–$196K | — |
Shift differentials and sign-on bonuses are typically table stakes rather than differentiators. Tuition reimbursement for LPN-to-RN bridge programs is increasingly the lever that wins competitive offers, particularly for early-career candidates.
PA pay by setting in Fresno — SNF, hospital, clinic, home health
Where the PA range splits by employer type in the Fresno metro.
| Setting | Median | Competitive Range | Hiring Difficulty |
|---|---|---|---|
| Primary care | $126,000 | $112K–$143K | Moderate |
| Hospital (hospitalist) | $148,000 | $132K–$168K | Very high |
| Surgical PA | $162,000 | $146K–$185K | Very high |
| Emergency medicine | $154,000 | $137K–$174K | Very high |
| Urgent care | $132,000 | $118K–$148K | Moderate |
FAQ: hiring a Physician Assistant in Fresno, CA
Related PA pay benchmarks — California metros and nearby nursing roles
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Data refreshed May 15, 2026. Next scheduled update: August 15, 2026.
© 2026 BetterComp. Market data informational only — not legal advice.