Medical Records Specialist Salary

Medical Records Specialists earn a median $51,140 a year nationally. Healthcare Practitioners and Technical Occupations

U.S. median
$51,140
$24.59 per hour
Range
$37,000 – $81,150
10th to 90th percentile
Employed
194,720
across the U.S.

Medical Records Specialist take-home pay calculator

Starts at the national median. Pick your state to see your real paycheck.

Medical Records Specialist
Deductions, kids & local tax

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

Your take-home pay
$43,271
per year · effective tax rate 15.4%
$3,606Monthly
$1,803Twice a month
$1,664Every 2 weeks
$20.80Hourly
  • Federal income tax$3,957
  • Social Security (6.2%)$3,171
  • Medicare (1.45%)$742
  • Texas income tax$0
  • Take-home pay$43,271

Marginal rate: 12% federal + 0.00% state

Pay by experience

PercentileSalaryHourlyTake-home (no state tax)
10th percentile (entry level)$37,000$17.79$31,910
25th percentile$43,490$20.91$37,124
Median (50th)$51,140$24.59$43,271
75th percentile$64,820$31.16$54,263
90th percentile (top earners)$81,150$39.01$65,919

Best cities for medical records specialists (after tax & cost of living)

#Metro areaMedianTake-homeReal value*Jobs
1San Jose, CA$86,890$64,976$58,843920
2Winston, NC$62,590$50,482$54,847520
3Milwaukee, WI$65,730$52,883$54,554750
4Cleveland, OH$61,950$51,036$54,3381,810
5Sacramento, CA$75,150$57,921$54,2991,340
6Columbia, SC$62,650$49,917$53,295640
7Madison, WI$61,860$49,944$51,336490
8Oklahoma City, OK$57,420$46,279$51,1891,110
9Albuquerque, NM$60,020$48,751$51,023770
10Omaha, NE$56,830$46,137$50,197760
11Buffalo, NY$60,230$47,919$49,997830
12San Francisco, CA$74,400$57,463$49,7031,880
13Providence, RI$62,030$50,312$49,435860
14Seattle, WA$65,530$54,833$49,3402,830
15Charleston, SC$61,950$49,397$48,926460
16Memphis, TN$53,100$44,846$48,651660
17Des Moines, IA$54,270$44,375$48,391490
18Hartford, CT$61,320$49,616$48,290480
19Anchorage, AK$60,620$50,888$48,272610
20Huntington, WV$52,000$42,353$47,898470
21Durham, NC$57,290$46,435$47,591620
22Salt Lake City, UT$58,900$47,822$47,4101,180
23Atlanta, GA$58,950$47,110$47,0822,790
24Minneapolis, MN$61,830$49,179$46,9171,840
25Tulsa, OK$51,440$41,743$46,789580

*Take-home pay in U.S.-average dollars (BEA Regional Price Parities).

Highest-paying cities

Medical Records Specialist salary by state

StateMedianTake-homeRangeJobs
District of Columbia $72,040$56,274 $46,300 – $128,010270
Rhode Island $63,960$51,790 $44,650 – $84,540650
Hawaii $63,180$49,674 $45,700 – $91,650400
Washington $62,270$52,214 $45,500 – $98,1305,010
California $61,810$49,283 $43,800 – $102,47018,700
New York $61,720$49,036 $40,730 – $101,9409,080
Minnesota $61,530$48,959 $48,120 – $83,0203,150
Alaska $61,090$51,266 $46,390 – $90,5301,070
Connecticut $60,940$49,328 $40,490 – $88,9001,120
Massachusetts $60,350$47,874 $43,960 – $81,6203,500
Wisconsin $60,280$48,744 $46,750 – $79,7202,870
Colorado $59,020$47,714 $45,280 – $82,9801,780
Oregon $59,000$45,254 $44,260 – $81,1202,560
Vermont $57,560$46,935 $42,130 – $77,580—
New Mexico $57,470$46,822 $36,600 – $76,4601,400
Illinois $56,440$44,881 $38,890 – $77,5205,740
Delaware $56,060$44,790 $36,870 – $77,500610
South Carolina $54,280$43,694 $37,240 – $71,2802,750
Maryland $54,220$43,534 $35,400 – $82,0902,440
Wyoming $54,210$45,738 $37,930 – $79,530280
Idaho $53,460$43,410 $39,930 – $77,8401,490
Oklahoma $53,460$43,275 $36,610 – $74,7102,480
Virginia $53,290$42,748 $37,630 – $78,6804,630
Utah $52,870$43,248 $35,720 – $82,6401,910
Maine $52,090$41,700 $42,210 – $76,6601,000
Nebraska $51,670$42,225 $38,620 – $74,9901,640
South Dakota $51,610$43,649 $36,920 – $76,950900
Georgia $51,550$41,548 $36,260 – $81,5805,930
Ohio $50,990$42,531 $38,060 – $79,2907,440
Missouri $50,750$41,510 $38,880 – $77,0103,890
Iowa $50,640$41,597 $38,910 – $66,3902,250
Nevada $50,300$42,596 $36,990 – $81,1402,350
New Jersey $50,240$41,320 $33,280 – $83,6504,450
Montana $50,190$40,905 $40,460 – $64,540820
North Carolina $49,620$40,579 $36,840 – $79,6706,760
New Hampshire $49,210$41,720 $39,120 – $68,980930
Texas $48,860$41,439 $34,440 – $78,39017,210
Tennessee $48,780$41,375 $37,320 – $79,9604,440
Kentucky $48,410$39,501 $36,290 – $74,5204,210
Kansas $48,160$38,989 $36,680 – $77,9102,030
Michigan $48,120$39,050 $37,180 – $77,0804,890
Indiana $47,670$39,106 $38,270 – $79,2705,860
Arizona $47,630$39,469 $36,530 – $75,4303,750
West Virginia $47,360$38,830 $31,610 – $75,0001,260
Pennsylvania $46,840$38,378 $37,490 – $77,8806,970
North Dakota $46,280$39,366 $39,580 – $79,800520
Florida $45,760$38,948 $36,330 – $76,85021,490
Louisiana $44,610$37,072 $32,900 – $77,0802,600
Alabama $43,810$35,456 $30,250 – $64,7302,330
Arkansas $41,740$34,303 $33,920 – $65,0901,920
Mississippi $41,500$34,597 $31,010 – $61,5802,310

Frequently asked questions

How much does a medical records specialist make?

The national median salary for medical records specialists is $51,140 a year ($24.59 an hour). The lowest-paid 10% earn under $37,000 and the top 10% earn over $81,150. Source: BLS, May 2025.

Which state pays medical records specialists the most?

District of Columbia has the highest median pay at $72,040. After taxes and local prices, San Jose, CA offers the best real take-home pay of any metro area.

How many medical records specialists are there in the U.S.?

About 194,720 people work as medical records specialists nationwide.

All 80 cities