SOC 11-9111 · DOL wage year 2026–27 · FY 2028 lottery
Medical and Health Services Managers H-1B wage levels in Buffalo-Cheektowaga, NY
For the maximum 4 lottery entries, the offered salary must be at least $190,424. Level III starts at $156,874, Level II at $123,344 and Level I at $89,794.
What is the H-1B prevailing wage for Medical and Health Services Managers in Buffalo, NY?
For the 2026–27 wage year (July 1, 2026 – June 30, 2027), the U.S. Department of Labor sets four H-1B prevailing wage levels for Medical and Health Services Managers (SOC 11-9111) in the Buffalo-Cheektowaga, NY wage area: Level I is $89,794 a year, Level II $123,344, Level III $156,874 and Level IV $190,424. Under the weighted H-1B lottery, a registration is entered once per wage level, so an offer of $190,424 or more gets four entries, while an offer from $89,794 up to $123,343 gets one. DHS projects selection odds of about 15%, 31%, 46% and 61% for Levels I to IV. Among 100 major H-1B metros, Buffalo, NY has the #17 highest Level IV wage for this job, 17% above the median metro ($162,656). The same $123,344 offer that is Level II here reaches Level IV in Huntsville, AL. These figures apply to the FY 2028 registration in March 2027.
| Wage level | Annual salary at least | Hourly | Lottery entries | DHS projected odds |
|---|---|---|---|---|
| Level I | $89,794 | $43.17 | 1 | 15.29% |
| Level II | $123,344 | $59.30 | 2 | 30.58% |
| Level III | $156,874 | $75.42 | 3 | 45.87% |
| Level IV | $190,424 | $91.55 | 4 | 61.16% |
Salary ladder
Where each level starts in Buffalo, NY
Thresholds here are above the major-metro median, so you need a bigger salary for the same number of entries.
Where a $123,344 offer lands
That's Level II here. For the same job, it reaches a higher level in these major metros.
Other New York metros
Frequently asked
What salary gets 4 H-1B lottery entries for Medical and Health Services Managers in Buffalo, NY?
At least $190,424 a year ($91.55/hour), the DOL OEWS Level IV wage for SOC 11-9111 in this area for 2026–27.
Which counties does this wage area cover?
Erie County, NY; Niagara County, NY.
Do these numbers apply to the March 2027 registration?
Yes. The FY 2028 registration in March 2027 uses the wage year in effect then, July 1, 2026 – June 30, 2027.
Medical and Health Services Managers wages in all 530 areas · All occupations in Buffalo-Cheektowaga, NY
Learn more: How to legitimately raise your wage level · Lottery level vs. LCA level · FY 2028 registration
Annual salary in U.S. dollars, rounded up. Source: DOL OFLC prevailing wage data, effective July 1, 2026 – June 30, 2027, computed directly from the DOL file (methodology). Page updated 2026-10-14.