Medical Secretary and Administrative Assistant Salary in Wilmington, NC
Medical Secretaries and Administrative Assistants in the Wilmington, NC metro area earn a median $40,040 a year — 13% less than the national median. After 2026 taxes, that is $33,263 take-home, or $2,772 a month.
Take-home pay calculator
Pre-filled with the median medical secretary and administrative assistant salary in Wilmington, NC. Enter your own offer to see your paycheck.
- Federal income tax$2,625
- Social Security (6.2%)$2,482
- Medicare (1.45%)$581
- North Carolina income tax$1,089
- Take-home pay$33,263
Marginal rate: 12% federal + 3.99% state
Got an offer somewhere else? Compare it with this one after taxes and rent →
Medical Secretary and Administrative Assistant pay by experience in Wilmington, NC
| Percentile | Salary | Hourly | Take-home / yr | Per month |
|---|---|---|---|---|
| 10th percentile (entry level) | $36,200 | $17.40 | $30,331 | $2,528 |
| 25th percentile | $37,560 | $18.06 | $31,370 | $2,614 |
| Median (50th) | $40,040 | $19.25 | $33,263 | $2,772 |
| 75th percentile | $46,730 | $22.47 | $38,372 | $3,198 |
| 90th percentile (top earners) | $50,330 | $24.20 | $41,121 | $3,427 |
Wages: BLS Occupational Employment and Wage Statistics, May 2025. Take-home: single filer, North Carolina resident, 2026 tax rules.
What $40,040 buys in Wilmington, NC
Prices in Wilmington, NC are 3.6% lower than the U.S. average (housing costs are 7% below the national average). Adjusted for local prices, a median medical secretary and administrative assistant's $33,263 take-home pay has the buying power of $34,498 in a typical American city.
Rents: HUD Fair Market Rents, FY2026 (40th-percentile gross rent incl. utilities). Price levels: BEA Regional Price Parities, 2024.
Wilmington, NC has 2.3× the national concentration of medical secretary and administrative assistant jobs — a strong local market for this occupation.
Best-paying cities for medical secretaries and administrative assistants, adjusted for cost of living
Wilmington, NC ranks #66 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 |
| 66 | Wilmington, NC | $40,040 | $33,263 | $34,498 |
*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 North Carolina
- Winston, NC — $46,370
- Greensboro, NC — $44,500
- Durham, NC — $46,860
- Raleigh, NC — $46,600
- Charlotte, NC — $45,650
- Asheville, NC — $41,520
Frequently asked questions
How much does a medical secretary and administrative assistant make in Wilmington, NC?
The median medical secretary and administrative assistant salary in the Wilmington, NC metro area is $40,040 a year, or about $19.25 an hour, according to the Bureau of Labor Statistics (May 2025). The middle half earn between $37,560 and $46,730.
What is a medical secretary and administrative assistant’s take-home pay in Wilmington, NC?
On the median $40,040 salary, a single filer living in North Carolina takes home about $33,263 a year ($2,772 a month) after federal tax, Social Security, Medicare and $1,089 in North Carolina taxes in 2026.
Is Wilmington, NC a good place to work as a medical secretary and administrative assistant?
Pay here is 13% below the national median of $45,930. Local prices are 3.6% below the U.S. average, so the take-home pay buys what $34,498 would in a typical U.S. city. Wilmington, NC ranks #66 of 69 metro areas for cost-of-living-adjusted pay in this job.
Can a medical secretary and administrative assistant afford rent in Wilmington, NC?
HUD’s fair market rent for a one-bedroom in Wilmington, NC is $1,380 a month ($1,512 for two bedrooms) — 50% 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 Wilmington, NC
- Office Clerks, General — $39,380
- Customer Service Representative — $38,100