As of April 01, 2026, the average annual salary for hospital chief operating officer in the US is $514,188, equivalent to $247 per hour, $9,888 weekly, or $42,849 monthly. These figures, sourced from Salary.com’s real-time job posting scans, highlight competitive earning potential for hospital chief operating officer in cities like Santa Clara, San Jose, and Fremont.

Annually Salaries for hospital chief operating officer in the US vary widely, spanning from $429,547 to $642,610. Most professionals fall between the 25th percentile ($469,884) and 75th percentile ($581,409), while top earners (90th percentile) make $642,610 per year. This $111,525 pay gap underscores opportunities for salary growth through certifications, specialized skills like Leadership or Microsoft Office, or targeting high-paying regions like District of Columbia or California.

Location and experience significantly influence earnings. For example, District of Columbia hospital chief operating officer often earn 10.7% above national averages due to demand from Fortune 38 companies and industry startups. Professionals are advised to focus on high-growth sectors like to offset market challenges.

Based on HR-reported data: a national average with a geographic differential
hospital chief operating officer Salaries by Percentile
Percentile Salary Location Last Updated
10th Percentile hospital chief operating officer Salary $429,547 US April 01, 2026
25th Percentile hospital chief operating officer Salary $469,884 US April 01, 2026
50th Percentile hospital chief operating officer Salary $514,188 US April 01, 2026
75th Percentile hospital chief operating officer Salary $581,409 US April 01, 2026
90th Percentile hospital chief operating officer Salary $642,610 US April 01, 2026
25% $469,884 10% $429,547 90% $642,610 75% $581,409 $514,188 50%(Median) Didn’t find job title? Click
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What is A hospital chief operating officer ?

The salary of a hospital Chief Operating Officer (COO) typically ranges from $150,000 to $300,000 annually, depending on factors such as the size of the hospital, geographic location, and the individual's experience. The COO is responsible for overseeing the daily operations of the hospital, ensuring efficient service delivery, and implementing strategic initiatives to improve patient care and operational efficiency. Key responsibilities include managing staff, optimizing resource allocation, and collaborating with other executives to align operational goals with the hospital's mission. Additi...

Source: (as of 06/04/2025). Read more from

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Average Base Salary

Core compensation

 
 
 
469884
581409
514188

Average Total Cash Compensation

Includes base and annual incentives

 
 
 
612124
1256795
866217
These charts show the average base salary (core compensation), as well as the average total cash compensation for the job of hospital chief operating officer in the United States. The base salary for hospital chief operating officer ranges from $469,884 to $581,409 with the average base salary of $514,188. The total cash compensation, which includes base, and annual incentives, can vary anywhere from $612,124 to $1,256,795 with the average total cash compensation of $866,217.

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469884
581409

 

Jobs with a similar salary range to hospital chief operating officer : Chief Operations Officer, Deputy Chief Operating Officer, Deputy Chief Executive Officer