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

Medical Secretary and Administrative Assistant Salary in Los Angeles, CA

Medical Secretaries and Administrative Assistants in the Los Angeles-Long Beach-Anaheim, CA metro area earn a median $51,410 a year — 12% more than the national median. After 2026 taxes, that is $41,686 take-home, or $3,474 a month.

Median salary
$51,410
$24.72 per hour
Typical range
$38,650 – $74,220
10th to 90th percentile
Jobs in Los Angeles, CA
40,380
1.04× national concentration
▲1.3%
Pay trend: The median for medical secretaries and administrative assistants in Los Angeles, CA rose from $50,770 (May 2024) to $51,410 (May 2025). That trailed inflation (2.4%), so buying power slipped about 1.1%.

Take-home pay calculator

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

Medical Secretary and Administrative Assistant in Los Angeles, CA
Deductions, kids & local tax

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

Your take-home pay
$41,686
per year · effective tax rate 18.9%
$3,474Monthly
$1,737Twice a month
$1,603Every 2 weeks
$20.04Hourly
  • Federal income tax$3,989
  • Social Security (6.2%)$3,187
  • Medicare (1.45%)$745
  • California income tax$1,134
  • CA State Disability Insurance (SDI)$668
  • Take-home pay$41,686

Marginal rate: 12% federal + 6.00% state

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

Medical Secretary and Administrative Assistant pay by experience in Los Angeles, CA

PercentileSalaryHourlyTake-home / yrPer month
10th percentile (entry level)$38,650$18.58$32,197$2,683
25th percentile$45,570$21.91$37,391$3,116
Median (50th)$51,410$24.72$41,686$3,474
75th percentile$60,370$29.02$48,231$4,019
90th percentile (top earners)$74,220$35.68$57,353$4,779

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

What $51,410 buys in Los Angeles, CA

Prices in Los Angeles, CA are 13.6% higher than the U.S. average (housing costs are 1.70× the national average). Adjusted for local prices, a median medical secretary and administrative assistant's $41,686 take-home pay has the buying power of $36,706 in a typical American city.

1-bedroom rent
$2,245
65% of monthly take-home
2-bedroom rent
$2,755
79% of monthly take-home
Left after 1-BR rent
$1,229
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 Los Angeles, CA as in the U.S. overall (location quotient 1.04).

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

Los Angeles, CA ranks #49 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
49Los Angeles, CA$51,410$41,686$36,706

*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 California

Frequently asked questions

How much does a medical secretary and administrative assistant make in Los Angeles, CA?

The median medical secretary and administrative assistant salary in the Los Angeles-Long Beach-Anaheim, CA metro area is $51,410 a year, or about $24.72 an hour, according to the Bureau of Labor Statistics (May 2025). The middle half earn between $45,570 and $60,370.

What is a medical secretary and administrative assistant’s take-home pay in Los Angeles, CA?

On the median $51,410 salary, a single filer living in California takes home about $41,686 a year ($3,474 a month) after federal tax, Social Security, Medicare and $1,802 in California taxes in 2026.

Is Los Angeles, CA a good place to work as a medical secretary and administrative assistant?

Pay here is 12% above the national median of $45,930. Local prices are 13.6% above the U.S. average, so the take-home pay buys what $36,706 would in a typical U.S. city. Los Angeles, CA ranks #49 of 69 metro areas for cost-of-living-adjusted pay in this job.

Can a medical secretary and administrative assistant afford rent in Los Angeles, CA?

HUD’s fair market rent for a one-bedroom in Los Angeles, CA is $2,245 a month ($2,755 for two bedrooms) — 65% 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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