SOC 11-9111 · DOL wage year 2026–27 · FY 2028 lottery
Medical and Health Services Managers H-1B wage levels in Fresno, CA
For the maximum 4 lottery entries, the offered salary must be at least $190,404. Level III starts at $153,213, Level II at $116,044 and Level I at $78,853.
What is the H-1B prevailing wage for Medical and Health Services Managers in Fresno, CA?
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 Fresno, CA wage area: Level I is $78,853 a year, Level II $116,044, Level III $153,213 and Level IV $190,404. Under the weighted H-1B lottery, a registration is entered once per wage level, so an offer of $190,404 or more gets four entries, while an offer from $78,853 up to $116,043 gets one. DHS projects selection odds of about 15%, 31%, 46% and 61% for Levels I to IV. Among 100 major H-1B metros, Fresno, CA has the #18 highest Level IV wage for this job, 17% above the median metro ($162,656). The same $116,044 offer that is Level II here reaches Level III in Pittsburgh, PA. 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 | $78,853 | $37.91 | 1 | 15.29% |
| Level II | $116,044 | $55.79 | 2 | 30.58% |
| Level III | $153,213 | $73.66 | 3 | 45.87% |
| Level IV | $190,404 | $91.54 | 4 | 61.16% |
Salary ladder
Where each level starts in Fresno, CA
Thresholds here are above the major-metro median, so you need a bigger salary for the same number of entries.
Where a $116,044 offer lands
That's Level II here. For the same job, it reaches a higher level in these major metros.
Other California metros
Frequently asked
What salary gets 4 H-1B lottery entries for Medical and Health Services Managers in Fresno, CA?
At least $190,404 a year ($91.54/hour), the DOL OEWS Level IV wage for SOC 11-9111 in this area for 2026–27.
Which counties does this wage area cover?
Fresno County, CA; Madera County, CA.
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 Fresno, CA
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.