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

Medical Secretary and Administrative Assistant Salary in Miami, FL

Medical Secretaries and Administrative Assistants in the Miami-Fort Lauderdale-West Palm Beach, FL metro area earn a median $45,060 a year — 2% less than the national median. After 2026 taxes, that is $38,386 take-home, or $3,199 a month.

Median salary
$45,060
$21.66 per hour
Typical range
$36,190 – $58,640
10th to 90th percentile
Jobs in Miami, FL
27,020
1.55× national concentration
▲8.9%
Pay trend: The median for medical secretaries and administrative assistants in Miami, FL rose from $41,370 (May 2024) to $45,060 (May 2025). That beat inflation (2.4%), a real raise of about 6.5%.

Take-home pay calculator

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

Medical Secretary and Administrative Assistant in Miami, FL
Deductions, kids & local tax

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

Your take-home pay
$38,386
per year · effective tax rate 14.8%
$3,199Monthly
$1,599Twice a month
$1,476Every 2 weeks
$18.45Hourly
  • Federal income tax$3,227
  • Social Security (6.2%)$2,794
  • Medicare (1.45%)$653
  • Florida income tax$0
  • Take-home pay$38,386

Marginal rate: 12% federal + 0.00% state

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

Medical Secretary and Administrative Assistant pay by experience in Miami, FL

PercentileSalaryHourlyTake-home / yrPer month
10th percentile (entry level)$36,190$17.40$31,259$2,605
25th percentile$38,170$18.35$32,850$2,737
Median (50th)$45,060$21.66$38,386$3,199
75th percentile$47,950$23.05$40,708$3,392
90th percentile (top earners)$58,640$28.19$49,297$4,108

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

What $45,060 buys in Miami, FL

Prices in Miami, FL are 14.2% higher than the U.S. average (housing costs are 1.56× the national average). Adjusted for local prices, a median medical secretary and administrative assistant's $38,386 take-home pay has the buying power of $33,626 in a typical American city.

1-bedroom rent
$1,942
61% of monthly take-home
2-bedroom rent
$2,359
74% of monthly take-home
Left after 1-BR rent
$1,257
per month for everything else

Rents: HUD Fair Market Rents, FY2026 (40th-percentile gross rent incl. utilities). Price levels: BEA Regional Price Parities, 2024.

Miami, FL has 1.6× 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

Miami, FL ranks #67 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
67Miami, FL$45,060$38,386$33,626

*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 Florida

Frequently asked questions

How much does a medical secretary and administrative assistant make in Miami, FL?

The median medical secretary and administrative assistant salary in the Miami-Fort Lauderdale-West Palm Beach, FL metro area is $45,060 a year, or about $21.66 an hour, according to the Bureau of Labor Statistics (May 2025). The middle half earn between $38,170 and $47,950.

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

On the median $45,060 salary, a single filer living in Florida takes home about $38,386 a year ($3,199 a month) after federal tax, Social Security, Medicare in 2026.

Is Miami, FL a good place to work as a medical secretary and administrative assistant?

Pay here is 2% below the national median of $45,930. Local prices are 14.2% above the U.S. average, so the take-home pay buys what $33,626 would in a typical U.S. city. Miami, FL ranks #67 of 69 metro areas for cost-of-living-adjusted pay in this job.

Can a medical secretary and administrative assistant afford rent in Miami, FL?

HUD’s fair market rent for a one-bedroom in Miami, FL is $1,942 a month ($2,359 for two bedrooms) — 61% 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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