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401(k), HSA and FSA: How Pre-Tax Deductions Cut Your Tax Bill

A dollar into your health plan saves more tax than a dollar into your 401(k). Here is why, and what each one really costs you.

Last reviewed 2026-11-08

Pre-tax deductions are the only lever on this list that reliably increases your net worth without increasing your salary. But they are not all equal — and the difference comes down to which taxes each one escapes.

Two tiers of pre-tax

Your W-2 has separate boxes for income tax wages (Box 1) and FICA wages (Boxes 3 and 5). Deductions differ in which boxes they reduce:

Which taxes each deduction avoids
DeductionFederal & state income taxSocial Security & Medicare
Traditional 401(k)Still paid
Health insurance premium
HSA (via payroll)
FSA
Roth 401(k)Still paidStill paid

The health, HSA and FSA row is why benefits people call them "Section 125" or "cafeteria plan" deductions. Escaping FICA as well as income tax makes them worth an extra 7.65% per dollar.

What $6,000 actually costs

A single filer on $100,000 in California, putting $6,000 aside three different ways:

Cost to take-home pay of setting aside $6,000, $100,000 salary, California, single filer
VehicleTake-home payReal cost to youTax saved
Nothing set aside$72,802——
Health premium / HSA / FSA$69,211$3,591
Traditional 401(k)$68,680$4,122
Roth 401(k)$66,802$6,000—

The traditional 401(k) line is the one worth sitting with. You moved $6,000 into an investment account and your take-home pay fell by $4,122. The other $1,878 came out of tax you would have paid anyway — an instant 31.3% uplift, before any market return.

The practical order of operations

  1. Contribute enough to capture the full employer match. A 50% match is a 50% instant return; nothing else comes close.
  2. Max the HSA if you have a high-deductible plan. It is the only triple-tax-advantaged account in the US system: deductible going in, growth untaxed, and withdrawals untaxed for medical costs. It also dodges FICA when taken through payroll.
  3. Fund an FSA up to what you will genuinely spend. Same tax treatment, but largely use-it-or-lose-it, so do not over-commit.
  4. Then fill the 401(k) toward the $24,500 limit, splitting traditional and Roth according to whether you expect a lower or higher tax rate in retirement.

One state-level caveat: Pennsylvania taxes 401(k) deferrals at the state level even though the federal government does not, so the saving there is smaller than this example suggests. Our Pennsylvania page models this correctly.

Put your own numbers in — the calculator has fields for 401(k), Roth, HSA, FSA and health premiums, and shows the effect on every line of your paycheck as you change them.