Medical Secretary and Administrative Assistant Salary in Sacramento, CA
Medical Secretaries and Administrative Assistants in the Sacramento-Roseville-Folsom, CA metro area earn a median $57,730 a year — 26% more than the national median. After 2026 taxes, that is $46,302 take-home, or $3,859 a month.
Take-home pay calculator
Pre-filled with the median medical secretary and administrative assistant salary in Sacramento, CA. Enter your own offer to see your paycheck.
- Federal income tax$4,748
- Social Security (6.2%)$3,579
- Medicare (1.45%)$837
- California income tax$1,513
- CA State Disability Insurance (SDI)$750
- Take-home pay$46,302
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 Sacramento, CA
| Percentile | Salary | Hourly | Take-home / yr | Per month |
|---|---|---|---|---|
| 10th percentile (entry level) | $42,340 | $20.36 | $34,967 | $2,914 |
| 25th percentile | $46,490 | $22.35 | $38,081 | $3,173 |
| Median (50th) | $57,730 | $27.75 | $46,302 | $3,859 |
| 75th percentile | $64,060 | $30.80 | $50,907 | $4,242 |
| 90th percentile (top earners) | $76,580 | $36.82 | $58,794 | $4,900 |
Wages: BLS Occupational Employment and Wage Statistics, May 2025. Take-home: single filer, California resident, 2026 tax rules.
What $57,730 buys in Sacramento, CA
Prices in Sacramento, CA are 6.7% higher than the U.S. average (housing costs are 1.30× the national average). Adjusted for local prices, a median medical secretary and administrative assistant's $46,302 take-home pay has the buying power of $43,407 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 about as common in Sacramento, CA as in the U.S. overall (location quotient 1.15).
Best-paying cities for medical secretaries and administrative assistants, adjusted for cost of living
Sacramento, CA ranks #3 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 |
*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
- San Jose, CA — $69,350
- San Francisco, CA — $61,330
- Fresno, CA — $48,120
- Riverside, CA — $49,820
- San Diego, CA — $51,650
- Los Angeles, CA — $51,410
- Oxnard, CA — $49,800
Frequently asked questions
How much does a medical secretary and administrative assistant make in Sacramento, CA?
The median medical secretary and administrative assistant salary in the Sacramento-Roseville-Folsom, CA metro area is $57,730 a year, or about $27.75 an hour, according to the Bureau of Labor Statistics (May 2025). The middle half earn between $46,490 and $64,060.
What is a medical secretary and administrative assistant’s take-home pay in Sacramento, CA?
On the median $57,730 salary, a single filer living in California takes home about $46,302 a year ($3,859 a month) after federal tax, Social Security, Medicare and $2,264 in California taxes in 2026.
Is Sacramento, CA a good place to work as a medical secretary and administrative assistant?
Pay here is 26% above the national median of $45,930. Local prices are 6.7% above the U.S. average, so the take-home pay buys what $43,407 would in a typical U.S. city. Sacramento, CA ranks #3 of 69 metro areas for cost-of-living-adjusted pay in this job.
Can a medical secretary and administrative assistant afford rent in Sacramento, CA?
HUD’s fair market rent for a one-bedroom in Sacramento, CA is $1,812 a month ($2,241 for two bedrooms) — 47% 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 Sacramento, CA
- Executive Secretary and Executive Administrative Assistant — $87,910
- First-Line Supervisor of Office and Administrative Support Workers — $77,350
- Billing and Posting Clerk — $58,190
- Bookkeeping, Accounting, and Auditing Clerks — $56,840
- Secretaries and Administrative Assistants, Except Legal, Medical, and Executive — $55,020
- Customer Service Representative — $49,940
- Office Clerks, General — $48,940
- Shipping, Receiving, and Inventory Clerks — $47,660
- Receptionist and Information Clerk — $45,140