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

Medical Secretary and Administrative Assistant Salary in Boston, MA

Medical Secretaries and Administrative Assistants in the Boston-Cambridge-Newton, MA-NH metro area earn a median $51,600 a year — 12% more than the national median. After 2026 taxes, that is $41,281 take-home, or $3,440 a month.

Median salary
$51,600
$24.81 per hour
Typical range
$43,810 – $64,060
10th to 90th percentile
Jobs in Boston, MA
16,330
0.98× national concentration
▲2.3%
Pay trend: The median for medical secretaries and administrative assistants in Boston, MA rose from $50,460 (May 2024) to $51,600 (May 2025). That roughly kept pace with inflation (2.4%).

Take-home pay calculator

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

Medical Secretary and Administrative Assistant in Boston, MA
Deductions, kids & local tax

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

Your take-home pay
$41,281
per year · effective tax rate 20.0%
$3,440Monthly
$1,720Twice a month
$1,588Every 2 weeks
$19.85Hourly
  • Federal income tax$4,012
  • Social Security (6.2%)$3,199
  • Medicare (1.45%)$748
  • Massachusetts income tax$2,360
  • Take-home pay$41,281

Marginal rate: 12% federal + 5.00% state

The Boston-Cambridge-Newton, MA-NH metro spans Massachusetts, New Hampshire. 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 Boston, MA

PercentileSalaryHourlyTake-home / yrPer month
10th percentile (entry level)$43,810$21.06$35,411$2,951
25th percentile$48,360$23.25$38,839$3,237
Median (50th)$51,600$24.81$41,281$3,440
75th percentile$59,530$28.62$47,256$3,938
90th percentile (top earners)$64,060$30.80$50,669$4,222

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

What $51,600 buys in Boston, MA

Prices in Boston, MA are 8.3% higher than the U.S. average (housing costs are 1.48× the national average). Adjusted for local prices, a median medical secretary and administrative assistant's $41,281 take-home pay has the buying power of $38,129 in a typical American city.

1-bedroom rent
$2,276
66% of monthly take-home
2-bedroom rent
$2,762
80% of monthly take-home
Left after 1-BR rent
$1,164
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 Boston, MA as in the U.S. overall (location quotient 0.98).

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

Boston, MA ranks #30 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
30Boston, MA$51,600$41,281$38,129

*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 Massachusetts

Frequently asked questions

How much does a medical secretary and administrative assistant make in Boston, MA?

The median medical secretary and administrative assistant salary in the Boston-Cambridge-Newton, MA-NH metro area is $51,600 a year, or about $24.81 an hour, according to the Bureau of Labor Statistics (May 2025). The middle half earn between $48,360 and $59,530.

What is a medical secretary and administrative assistant’s take-home pay in Boston, MA?

On the median $51,600 salary, a single filer living in Massachusetts takes home about $41,281 a year ($3,440 a month) after federal tax, Social Security, Medicare and $2,360 in Massachusetts taxes in 2026.

Is Boston, MA a good place to work as a medical secretary and administrative assistant?

Pay here is 12% above the national median of $45,930. Local prices are 8.3% above the U.S. average, so the take-home pay buys what $38,129 would in a typical U.S. city. Boston, MA ranks #30 of 69 metro areas for cost-of-living-adjusted pay in this job.

Can a medical secretary and administrative assistant afford rent in Boston, MA?

HUD’s fair market rent for a one-bedroom in Boston, MA is $2,276 a month ($2,762 for two bedrooms) — 66% 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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