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

Medical Secretary and Administrative Assistant Salary in New York, NY

Medical Secretaries and Administrative Assistants in the New York-Newark-Jersey City, NY-NJ metro area earn a median $49,230 a year — 7% more than the national median. After 2026 taxes, that is $39,675 take-home, or $3,306 a month.

Median salary
$49,230
$23.67 per hour
Typical range
$38,950 – $63,560
10th to 90th percentile
Jobs in New York, NY
52,640
0.90× national concentration
▲0.1%
Pay trend: The median for medical secretaries and administrative assistants in New York, NY rose from $49,180 (May 2024) to $49,230 (May 2025). That trailed inflation (2.4%), so buying power slipped about 2.3%.

Take-home pay calculator

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

Medical Secretary and Administrative Assistant in New York, NY
Deductions, kids & local tax

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

Your take-home pay
$39,675
per year · effective tax rate 19.4%
$3,306Monthly
$1,653Twice a month
$1,526Every 2 weeks
$19.07Hourly
  • Federal income tax$3,728
  • Social Security (6.2%)$3,052
  • Medicare (1.45%)$714
  • New York income tax$2,061
  • Take-home pay$39,675

Marginal rate: 12% federal + 5.40% state

Living in New York City? City residents also pay New York City’s city income tax — about $1,478 a year on this salary — which lowers take-home pay to $38,197 ($3,183 a month). Choose “New York City” under City income tax in the calculator. Suburban residents usually don’t pay it.

The New York-Newark-Jersey City, NY-NJ metro spans New York, New Jersey. 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 New York, NY

PercentileSalaryHourlyTake-home / yrPer month
10th percentile (entry level)$38,950$18.73$31,970$2,664
25th percentile$46,280$22.25$37,464$3,122
Median (50th)$49,230$23.67$39,675$3,306
75th percentile$58,450$28.10$46,585$3,882
90th percentile (top earners)$63,560$30.56$50,415$4,201

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

What $49,230 buys in New York, NY

Prices in New York, NY are 12.6% higher than the U.S. average (housing costs are 1.49× the national average). Adjusted for local prices, a median medical secretary and administrative assistant's $39,675 take-home pay has the buying power of $35,247 in a typical American city.

1-bedroom rent
$2,378
72% of monthly take-home
2-bedroom rent
$2,697
82% of monthly take-home
Left after 1-BR rent
$928
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 New York, NY as in the U.S. overall (location quotient 0.90).

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

New York, NY ranks #61 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
61New York, NY$49,230$39,675$35,247

*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 New York

Frequently asked questions

How much does a medical secretary and administrative assistant make in New York, NY?

The median medical secretary and administrative assistant salary in the New York-Newark-Jersey City, NY-NJ metro area is $49,230 a year, or about $23.67 an hour, according to the Bureau of Labor Statistics (May 2025). The middle half earn between $46,280 and $58,450.

What is a medical secretary and administrative assistant’s take-home pay in New York, NY?

On the median $49,230 salary, a single filer living in New York takes home about $39,675 a year ($3,306 a month) after federal tax, Social Security, Medicare and $2,061 in New York taxes in 2026.

Is New York, NY a good place to work as a medical secretary and administrative assistant?

Pay here is 7% above the national median of $45,930. Local prices are 12.6% above the U.S. average, so the take-home pay buys what $35,247 would in a typical U.S. city. New York, NY ranks #61 of 69 metro areas for cost-of-living-adjusted pay in this job.

Can a medical secretary and administrative assistant afford rent in New York, NY?

HUD’s fair market rent for a one-bedroom in New York, NY is $2,378 a month ($2,697 for two bedrooms) — 72% 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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