Updated · 2026 tax rules · Data: IRS, BLS, BEA, HUD · How we calculate

Medical Secretary and Administrative Assistant Salary in Cleveland, OH

Medical Secretaries and Administrative Assistants in the Cleveland, OH metro area earn a median $45,920 a year — 0% less than the national median. After 2026 taxes, that is $38,596 take-home, or $3,216 a month.

Median salary
$45,920
$22.08 per hour
Typical range
$38,290 – $59,390
10th to 90th percentile
Jobs in Cleveland, OH
7,120
1.12× national concentration
▼2.4%
Pay trend: The median for medical secretaries and administrative assistants in Cleveland, OH fell from $47,050 (May 2024) to $45,920 (May 2025). That trailed inflation (2.4%), so buying power slipped about 4.8%.

Take-home pay calculator

Pre-filled with the median medical secretary and administrative assistant salary in Cleveland, OH. Enter your own offer to see your paycheck.

Medical Secretary and Administrative Assistant in Cleveland, OH
Deductions, kids & local tax

2026 tax year. Federal brackets from IRS Rev. Proc. 2025-32.

Your take-home pay
$38,596
per year · effective tax rate 15.9%
$3,216Monthly
$1,608Twice a month
$1,484Every 2 weeks
$18.56Hourly
  • Federal income tax$3,330
  • Social Security (6.2%)$2,847
  • Medicare (1.45%)$666
  • Ohio income tax$480
  • Take-home pay$38,596

Marginal rate: 12% federal + 2.75% state

Living in Cleveland? City residents also pay Cleveland’s city income tax — about $1,148 a year on this salary — which lowers take-home pay to $37,448 ($3,121 a month). Choose “Cleveland” under City income tax in the calculator. Suburban residents usually don’t pay it.

Got an offer somewhere else? Compare it with this one after taxes and rent →

Medical Secretary and Administrative Assistant pay by experience in Cleveland, OH

PercentileSalaryHourlyTake-home / yrPer month
10th percentile (entry level)$38,290$18.41$32,675$2,723
25th percentile$39,270$18.88$33,436$2,786
Median (50th)$45,920$22.08$38,596$3,216
75th percentile$48,450$23.29$40,560$3,380
90th percentile (top earners)$59,390$28.55$49,049$4,087

Wages: BLS Occupational Employment and Wage Statistics, May 2025. Take-home: single filer, Ohio resident, 2026 tax rules.

What $45,920 buys in Cleveland, OH

Prices in Cleveland, OH are 6.1% lower than the U.S. average (housing costs are 21% below the national average). Adjusted for local prices, a median medical secretary and administrative assistant's $38,596 take-home pay has the buying power of $41,094 in a typical American city.

1-bedroom rent
$1,048
33% of monthly take-home
2-bedroom rent
$1,268
39% of monthly take-home
Left after 1-BR rent
$2,168
per month for everything else

Rents: HUD Fair Market Rents, FY2026 (40th-percentile gross rent incl. utilities). Price levels: BEA Regional Price Parities, 2024.

Medical Secretary and Administrative Assistant jobs are about as common in Cleveland, OH as in the U.S. overall (location quotient 1.12).

Best-paying cities for medical secretaries and administrative assistants, adjusted for cost of living

Cleveland, OH ranks #6 of 69 metro areas once taxes and local prices are taken into account.

#Metro areaMedian salaryTake-homeReal value*
1San Jose, CA $69,350$54,380$49,247
2Seattle, WA $60,350$50,671$45,595
3Sacramento, CA $57,730$46,302$43,407
4San Francisco, CA $61,330$48,932$42,324
5Winston, NC $46,370$38,097$41,390
6Cleveland, OH $45,920$38,596$41,094
7Albuquerque, NM $47,310$39,127$40,950
8Cincinnati, OH $46,180$38,798$40,682

*Take-home pay divided by the BEA price level, so every city is measured in U.S.-average dollars. See all 69 metros →

About the job: medical secretaries and administrative assistants

Perform secretarial duties using specific knowledge of medical terminology and hospital, clinic, or laboratory procedures. Duties may include scheduling appointments, billing patients, and compiling and recording medical charts, reports, and correspondence.

Typical education
High school diploma or equivalent
Work experience
None required
On-the-job training
Moderate-term on-the-job training
Job outlook, 2025–35
+4.8% (about average)

Source: BLS Standard Occupational Classification and Employment Projections, 2025–35.

Medical Secretary and Administrative Assistant salaries elsewhere in Ohio

Frequently asked questions

How much does a medical secretary and administrative assistant make in Cleveland, OH?

The median medical secretary and administrative assistant salary in the Cleveland, OH metro area is $45,920 a year, or about $22.08 an hour, according to the Bureau of Labor Statistics (May 2025). The middle half earn between $39,270 and $48,450.

What is a medical secretary and administrative assistant’s take-home pay in Cleveland, OH?

On the median $45,920 salary, a single filer living in Ohio takes home about $38,596 a year ($3,216 a month) after federal tax, Social Security, Medicare and $480 in Ohio taxes in 2026.

Is Cleveland, OH a good place to work as a medical secretary and administrative assistant?

Pay here is 0% below the national median of $45,930. Local prices are 6.1% below the U.S. average, so the take-home pay buys what $41,094 would in a typical U.S. city. Cleveland, OH ranks #6 of 69 metro areas for cost-of-living-adjusted pay in this job.

Can a medical secretary and administrative assistant afford rent in Cleveland, OH?

HUD’s fair market rent for a one-bedroom in Cleveland, OH is $1,048 a month ($1,268 for two bedrooms) — 33% of a median medical secretary and administrative assistant’s monthly take-home pay. Financial planners usually suggest keeping rent under about 30%.

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