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

Medical Assistant Salary in Richmond, VA

Medical Assistants in the Richmond, VA metro area earn a median $44,490 a year — 3% less than the national median. After 2026 taxes, that is $36,184 take-home, or $3,015 a month.

Median salary
$44,490
$21.39 per hour
Typical range
$37,810 – $46,940
10th to 90th percentile
Jobs in Richmond, VA
3,210
0.92× national concentration
▲12.5%
Pay trend: The median for medical assistants in Richmond, VA rose from $39,550 (May 2024) to $44,490 (May 2025). That beat inflation (2.4%), a real raise of about 10.1%.

Take-home pay calculator

Pre-filled with the median medical assistant salary in Richmond, VA. Enter your own offer to see your paycheck.

Medical Assistant in Richmond, VA
Deductions, kids & local tax

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

Your take-home pay
$36,184
per year · effective tax rate 18.7%
$3,015Monthly
$1,508Twice a month
$1,392Every 2 weeks
$17.40Hourly
  • Federal income tax$3,159
  • Social Security (6.2%)$2,758
  • Medicare (1.45%)$645
  • Virginia income tax$1,744
  • Take-home pay$36,184

Marginal rate: 12% federal + 5.75% state

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

Medical Assistant pay by experience in Richmond, VA

PercentileSalaryHourlyTake-home / yrPer month
10th percentile (entry level)$37,810$18.18$31,200$2,600
25th percentile$38,730$18.62$31,887$2,657
Median (50th)$44,490$21.39$36,184$3,015
75th percentile$45,910$22.07$37,243$3,104
90th percentile (top earners)$46,940$22.57$38,011$3,168

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

What $44,490 buys in Richmond, VA

Prices in Richmond, VA are 2.1% lower than the U.S. average (housing costs are 1% below the national average). Adjusted for local prices, a median medical assistant's $36,184 take-home pay has the buying power of $36,976 in a typical American city.

1-bedroom rent
$1,505
50% of monthly take-home
2-bedroom rent
$1,653
55% of monthly take-home
Left after 1-BR rent
$1,510
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 Assistant jobs are about as common in Richmond, VA as in the U.S. overall (location quotient 0.92).

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

Richmond, VA ranks #35 of 63 metro areas once taxes and local prices are taken into account.

#Metro areaMedian salaryTake-homeReal value*
1Seattle, WA $61,500$51,595$46,427
2Sacramento, CA $61,970$49,400$46,311
3San Jose, CA $61,940$49,378$44,717
4Milwaukee, WI $49,590$40,625$41,908
5San Francisco, CA $59,790$47,807$41,351
6Portland, OR $56,240$43,277$41,052
7Minneapolis, MN $52,570$42,369$40,420
8Kansas City, MO $45,300$37,387$40,399
35Richmond, VA$44,490$36,184$36,976

*Take-home pay divided by the BEA price level, so every city is measured in U.S.-average dollars. See all 63 metros →

About the job: medical assistants

Perform administrative and certain clinical duties under the direction of a physician. Administrative duties may include scheduling appointments, maintaining medical records, billing, and coding information for insurance purposes. Clinical duties may include taking and recording vital signs and medical histories, preparing patients for examination, drawing blood, and administering medications as directed by physician.

Typical education
Postsecondary nondegree award
Work experience
None required
On-the-job training
None
Job outlook, 2025–35
+12.9% (much faster than average)

Source: BLS Standard Occupational Classification and Employment Projections, 2025–35.

Medical Assistant salaries elsewhere in Virginia

Frequently asked questions

How much does a medical assistant make in Richmond, VA?

The median medical assistant salary in the Richmond, VA metro area is $44,490 a year, or about $21.39 an hour, according to the Bureau of Labor Statistics (May 2025). The middle half earn between $38,730 and $45,910.

What is a medical assistant’s take-home pay in Richmond, VA?

On the median $44,490 salary, a single filer living in Virginia takes home about $36,184 a year ($3,015 a month) after federal tax, Social Security, Medicare and $1,744 in Virginia taxes in 2026.

Is Richmond, VA a good place to work as a medical assistant?

Pay here is 3% below the national median of $45,690. Local prices are 2.1% below the U.S. average, so the take-home pay buys what $36,976 would in a typical U.S. city. Richmond, VA ranks #35 of 63 metro areas for cost-of-living-adjusted pay in this job.

Can a medical assistant afford rent in Richmond, VA?

HUD’s fair market rent for a one-bedroom in Richmond, VA is $1,505 a month ($1,653 for two bedrooms) — 50% of a median medical assistant’s monthly take-home pay. Financial planners usually suggest keeping rent under about 30%.

Related jobs in Richmond, VA

Cost of living & all salaries in Richmond, VA →