Medical Secretary and Administrative Assistant Salary in Kansas City, MO
Medical Secretaries and Administrative Assistants in the Kansas City, MO-KS metro area earn a median $45,160 a year — 2% less than the national median. After 2026 taxes, that is $37,281 take-home, or $3,107 a month.
Take-home pay calculator
Pre-filled with the median medical secretary and administrative assistant salary in Kansas City, MO. Enter your own offer to see your paycheck.
- Federal income tax$3,239
- Social Security (6.2%)$2,800
- Medicare (1.45%)$655
- Missouri income tax$1,185
- Take-home pay$37,281
Marginal rate: 12% federal + 4.70% state
Living in Kansas City, MO? City residents also pay Kansas City, MO’s Earnings Tax — about $452 a year on this salary — which lowers take-home pay to $36,829 ($3,069 a month). Choose “Kansas City, MO” under City income tax in the calculator. Suburban residents usually don’t pay it.
The Kansas City, MO-KS metro spans Missouri, Kansas. Pick the state you live in — state income tax follows your residence.
Got an offer somewhere else? Compare it with this one after taxes and rent →
Medical Secretary and Administrative Assistant pay by experience in Kansas City, MO
| Percentile | Salary | Hourly | Take-home / yr | Per month |
|---|---|---|---|---|
| 10th percentile (entry level) | $37,610 | $18.08 | $31,569 | $2,631 |
| 25th percentile | $39,530 | $19.00 | $33,022 | $2,752 |
| Median (50th) | $45,160 | $21.71 | $37,281 | $3,107 |
| 75th percentile | $48,800 | $23.46 | $40,035 | $3,336 |
| 90th percentile (top earners) | $56,950 | $27.38 | $46,200 | $3,850 |
Wages: BLS Occupational Employment and Wage Statistics, May 2025. Take-home: single filer, Missouri resident, 2026 tax rules.
What $45,160 buys in Kansas City, MO
Prices in Kansas City, MO are 7.5% lower than the U.S. average (housing costs are 13% below the national average). Adjusted for local prices, a median medical secretary and administrative assistant's $37,281 take-home pay has the buying power of $40,285 in a typical American city.
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 less concentrated in Kansas City, MO than nationally (location quotient 0.69), so openings may be scarcer.
Best-paying cities for medical secretaries and administrative assistants, adjusted for cost of living
Kansas City, MO ranks #11 of 69 metro areas once taxes and local prices are taken into account.
| # | Metro area | Median salary | Take-home | Real value* |
|---|---|---|---|---|
| 1 | San Jose, CA | $69,350 | $54,380 | $49,247 |
| 2 | Seattle, WA | $60,350 | $50,671 | $45,595 |
| 3 | Sacramento, CA | $57,730 | $46,302 | $43,407 |
| 4 | San Francisco, CA | $61,330 | $48,932 | $42,324 |
| 5 | Winston, NC | $46,370 | $38,097 | $41,390 |
| 6 | Cleveland, OH | $45,920 | $38,596 | $41,094 |
| 7 | Albuquerque, NM | $47,310 | $39,127 | $40,950 |
| 8 | Cincinnati, OH | $46,180 | $38,798 | $40,682 |
| 11 | Kansas City, MO | $45,160 | $37,281 | $40,285 |
*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 Missouri
- St. Louis, MO — $45,620
Frequently asked questions
How much does a medical secretary and administrative assistant make in Kansas City, MO?
The median medical secretary and administrative assistant salary in the Kansas City, MO-KS metro area is $45,160 a year, or about $21.71 an hour, according to the Bureau of Labor Statistics (May 2025). The middle half earn between $39,530 and $48,800.
What is a medical secretary and administrative assistant’s take-home pay in Kansas City, MO?
On the median $45,160 salary, a single filer living in Missouri takes home about $37,281 a year ($3,107 a month) after federal tax, Social Security, Medicare and $1,185 in Missouri taxes in 2026.
Is Kansas City, MO a good place to work as a medical secretary and administrative assistant?
Pay here is 2% below the national median of $45,930. Local prices are 7.5% below the U.S. average, so the take-home pay buys what $40,285 would in a typical U.S. city. Kansas City, MO ranks #11 of 69 metro areas for cost-of-living-adjusted pay in this job.
Can a medical secretary and administrative assistant afford rent in Kansas City, MO?
HUD’s fair market rent for a one-bedroom in Kansas City, MO is $1,193 a month ($1,355 for two bedrooms) — 38% of a median medical secretary and administrative assistant’s monthly take-home pay. Financial planners usually suggest keeping rent under about 30%.
Related jobs in Kansas City, MO
- First-Line Supervisor of Office and Administrative Support Workers — $66,780
- Executive Secretary and Executive Administrative Assistant — $64,460
- Postal Service Mail Carrier — $61,010
- Production, Planning, and Expediting Clerks — $53,360
- Bookkeeping, Accounting, and Auditing Clerks — $50,940
- Billing and Posting Clerk — $49,980
- Secretaries and Administrative Assistants, Except Legal, Medical, and Executive — $46,810
- Office Clerks, General — $45,640
- Shipping, Receiving, and Inventory Clerks — $45,460
- Customer Service Representative — $44,350
- Teller — $38,470
- Receptionist and Information Clerk — $37,210