Medical Secretary and Administrative Assistant Salary in Richmond, VA
Medical Secretaries and Administrative Assistants in the Richmond, VA metro area earn a median $44,310 a year — 4% less than the national median. After 2026 taxes, that is $36,049 take-home, or $3,004 a month.
Take-home pay calculator
Pre-filled with the median medical secretary and administrative assistant salary in Richmond, VA. Enter your own offer to see your paycheck.
- Federal income tax$3,137
- Social Security (6.2%)$2,747
- Medicare (1.45%)$642
- Virginia income tax$1,734
- Take-home pay$36,049
Marginal rate: 12% federal + 5.75% state
Got an offer somewhere else? Compare it with this one after taxes and rent →
Medical Secretary and Administrative Assistant pay by experience in Richmond, VA
| Percentile | Salary | Hourly | Take-home / yr | Per month |
|---|---|---|---|---|
| 10th percentile (entry level) | $36,730 | $17.66 | $30,395 | $2,533 |
| 25th percentile | $38,750 | $18.63 | $31,902 | $2,658 |
| Median (50th) | $44,310 | $21.30 | $36,049 | $3,004 |
| 75th percentile | $46,860 | $22.53 | $37,952 | $3,163 |
| 90th percentile (top earners) | $53,830 | $25.88 | $43,151 | $3,596 |
Wages: BLS Occupational Employment and Wage Statistics, May 2025. Take-home: single filer, Virginia resident, 2026 tax rules.
What $44,310 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 secretary and administrative assistant's $36,049 take-home pay has the buying power of $36,838 in a typical American city.
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 Richmond, VA as in the U.S. overall (location quotient 1.01).
Best-paying cities for medical secretaries and administrative assistants, adjusted for cost of living
Richmond, VA ranks #48 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 |
| 48 | Richmond, VA | $44,310 | $36,049 | $36,838 |
*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 Virginia
- Virginia Beach, VA — $44,080
Frequently asked questions
How much does a medical secretary and administrative assistant make in Richmond, VA?
The median medical secretary and administrative assistant salary in the Richmond, VA metro area is $44,310 a year, or about $21.30 an hour, according to the Bureau of Labor Statistics (May 2025). The middle half earn between $38,750 and $46,860.
What is a medical secretary and administrative assistant’s take-home pay in Richmond, VA?
On the median $44,310 salary, a single filer living in Virginia takes home about $36,049 a year ($3,004 a month) after federal tax, Social Security, Medicare and $1,734 in Virginia taxes in 2026.
Is Richmond, VA a good place to work as a medical secretary and administrative assistant?
Pay here is 4% below the national median of $45,930. Local prices are 2.1% below the U.S. average, so the take-home pay buys what $36,838 would in a typical U.S. city. Richmond, VA ranks #48 of 69 metro areas for cost-of-living-adjusted pay in this job.
Can a medical secretary and administrative 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 secretary and administrative assistant’s monthly take-home pay. Financial planners usually suggest keeping rent under about 30%.
Related jobs in Richmond, VA
- First-Line Supervisor of Office and Administrative Support Workers — $64,690
- Bookkeeping, Accounting, and Auditing Clerks — $51,400
- Secretaries and Administrative Assistants, Except Legal, Medical, and Executive — $47,840
- Office Clerks, General — $46,320
- Shipping, Receiving, and Inventory Clerks — $44,450
- Customer Service Representative — $42,660
- Receptionist and Information Clerk — $36,400