PA Salary

Fort Smith vs Hot Springs: Physician Assistant Salary (2026)

Compare physician assistant salaries between Fort Smith, AR and Hot Springs, AR. All figures are 2026 estimates projected from BLS 2025 data.

Fort Smith, AR
$123,819
$59.52/hr
Hot Springs, AR
$126,794
$60.96/hr

Side-by-Side Comparison

MetricFort Smith, ARHot Springs, AR
Median Salary$123,819$126,794
Hourly Rate$59.52$60.96
Entry Level (P10)$106,926$97,513
25th Percentile$117,144$126,794
75th Percentile$157,263$138,676
Top Earner (P90)$171,253$164,361
Total Employed7030
Side-by-side bar chart comparing Fort Smith ($123,819) and Hot Springs ($126,794) physician assistant salaries.Fort SmithHot SpringsMedian Salary$123,819$126,794Entry Level (P10)$106,926$97,513Top Earner (P90)$171,253$164,361US Median $140,391

Verdict

Fort Smith and Hot Springs are closely matched on overall physician assistant compensation, each winning on different metrics.

The salary gap between Fort Smith and Hot Springs is $2,975 (2.40%). Hot Springs's median is -9.69% compared to the US national median of $140,391.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Fort Smith spans $64,327,Hot Springs spans $66,848. Hot Springs has a wider pay range, suggesting more variation in pay between entry-level and experienced physician assistants.

Fort Smith
P10 (Entry)$106,926
P25$117,144
Median$123,819
P75$157,263
P90 (Top)$171,253
Hot Springs
P10 (Entry)$97,513
P25$126,794
Median$126,794
P75$138,676
P90 (Top)$164,361

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Hot Springs ($147,899 effective) pays 2.59% more than Fort Smith ($144,163 effective).

Fort Smith
Nominal: $123,819
CoL Index: 85.888
Adjusted: $144,163
Hot Springs
Nominal: $126,794
CoL Index: 85.73
Adjusted: $147,899

Cost-of-living adjustment: salary × (100 / CoL index). Index of 100 = national average.

Which City Is Right for You?

Choose Fort Smith if…

  • Better top-earner potential ($171,253)
  • Larger job market (70 employed)
  • You prefer the Arkansas area and lifestyle

Choose Hot Springs if…

  • Higher median salary ($126,794/year)
  • Better purchasing power (CoL-adjusted: $147,899)
  • You prefer the Arkansas area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, physician assistant salaries in Fort Smith grew 16.1% from 2020 to 2025, compared to 33.6% growth in Hot Springs over the same period.

Fort Smith, AR

+16.1%

$103,180 (2020) → $119,840 (2025)

Hot Springs, AR

+33.6%

$91,856 (2024) → $122,720 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays physician assistants more: Fort Smith or Hot Springs?

Hot Springs has a higher median physician assistant salary at $126,794/year, compared to Fort Smith at $123,819/year — a difference of $2,975 (2.40%).

What is the hourly rate difference between Fort Smith and Hot Springs?

Fort Smith physician assistants earn $59.52/hr while Hot Springs hygienists earn $60.96/hr (2026 est.).

Should I relocate from Fort Smith to Hot Springs as a physician assistant?

Consider more than just salary when comparing Fort Smith and Hot Springs. Factor in cost of living (CoL-adjusted: Fort Smith = $144,163, Hot Springs = $147,899), job availability (70 vs 30 employed), commute, and career growth potential.

What do entry-level physician assistants earn in Fort Smith vs Hot Springs?

Entry-level (10th percentile) physician assistants earn $106,926 in Fort Smith and $97,513 in Hot Springs. The Fort Smith area offers higher starting salaries.
JT

Written by Jessica Tran, MPAS, PA-C

Career Analyst

Jessica has 10 years of experience as a physician assistant. Her specialty is cardiology in an outpatient setting.

Clinically reviewed by Michael Chen, PA-CData verified by Amina Patel, MSPAS, PA-C

Methodology & Data Source

All salary figures are 2026 projections based on BLS OEWS May 2025 data. A 3.32% CAGR (derived from 6-year national BLS trends) was applied to estimate current compensation. Cost-of-living adjustments use BEA Regional Price Parity data. Actual salaries vary by employer, certifications, and experience.

Data Sources & Methodology

Source: BLS, OEWS , released .

Compiled and verified by Jessica Tran, MPAS, PA-C, a licensed physician assistant with 10+ years of clinical experience. · View source data at BLS.gov