Medical Records Specialists Salary
The median pay for a medical records specialists in Fresno, CA is $58,400/year ($28.08/hour), per BLS data. The range runs from $41K at the entry level to $81K for experienced workers. Adjusted for local prices (RPP 102.16), that's roughly $57,165 in purchasing power. A 2-bedroom apartment runs $1,664/month, about 43.6% of take-home, which is tight.
So what does $58K get you in Fresno?
Groceries, utilities, transportation, and healthcare scaled from national averages by Fresno’s Regional Price Parity (102.16). Rent from HUD Fair Market Rents. Taxes estimated for single filer, standard deduction. * Healthcare is the employee-paid share only (premiums + out-of-pocket). Actual costs vary by coverage type: employer-sponsored, ACA marketplace, or uninsured.
About medical records specialists
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What this looks like in Fresno
Fresno sits well above the national pay line for medical records specialists, local pay runs about 14% higher than the U.S. median of $51K. The catch: housing math doesn't keep up. A 2-bedroom at the HUD median rents for $1,664/month, which is 42.3% of the median worker's take-home, past the 30% guideline most planners use. Cost of living (RPP 102.16) is near the national average, so spending patterns here track the typical American budget fairly closely. The pay premium is real, but so are the offsets.
Compared to nearby metros
Median pay for medical records specialists in metros near Fresno, adjusted for local cost of living.
| Metro | Median pay | COL-adjusted |
|---|---|---|
| Los Angeles-Long Beach-Anaheim | $59K | $52K |
| San Francisco-Oakland-Fremont | $74K | $64K |
| San Diego-Chula Vista-Carlsbad | $61K | $55K |
| Riverside-San Bernardino-Ontario | $59K | $55K |
COL-adjusted = median salary ÷ (BEA Regional Price Parity ÷ 100). Expresses purchasing power in national-average dollars.
Compensation breakdown
Annual earnings by percentile, Fresno, CA
Entry-level medical records specialists (10th percentile) start around $41K. Mid-career wages sit at $58K. Top earners bring in $81K or more, a $39K spread from bottom to top.
Medical Records Specialists pay across states
Median income ranked highest to lowest, compared to the national figure
View Medical Records Specialists salary in all states
| State | Median salary | vs. national | Employment |
|---|---|---|---|
| District of Columbia | $72K | +41% | 270 |
| Rhode Island | $64K | +25% | 650 |
| Hawaii | $63K | +24% | 400 |
| Washington | $62K | +22% | 5,010 |
| California | $62K | +21% | 18,700 |
| New York | $62K | +21% | 9,080 |
| Minnesota | $62K | +20% | 3,150 |
| Alaska | $61K | +19% | 1,070 |
| Connecticut | $61K | +19% | 1,120 |
| Massachusetts | $60K | +18% | 3,500 |
| Wisconsin | $60K | +18% | 2,870 |
| Colorado | $59K | +15% | 1,780 |
| Oregon | $59K | +15% | 2,560 |
| Vermont | $58K | +13% | N/A |
| New Mexico | $57K | +12% | 1,400 |
| Illinois | $56K | +10% | 5,740 |
| Delaware | $56K | +10% | 610 |
| South Carolina | $54K | +6% | 2,750 |
| Maryland | $54K | +6% | 2,440 |
| Wyoming | $54K | +6% | 280 |
| Idaho | $53K | +5% | 1,490 |
| Oklahoma | $53K | +5% | 2,480 |
| Virginia | $53K | +4% | 4,630 |
| Utah | $53K | +3% | 1,910 |
| Maine | $52K | +2% | 1,000 |
| Nebraska | $52K | +1% | 1,640 |
| South Dakota | $52K | +1% | 900 |
| Georgia | $52K | +1% | 5,930 |
| Ohio | $51K | -0% | 7,440 |
| Missouri | $51K | -1% | 3,890 |
| Iowa | $51K | -1% | 2,250 |
| Nevada | $50K | -2% | 2,350 |
| New Jersey | $50K | -2% | 4,450 |
| Montana | $50K | -2% | 820 |
| North Carolina | $50K | -3% | 6,760 |
| New Hampshire | $49K | -4% | 930 |
| Texas | $49K | -4% | 17,210 |
| Tennessee | $49K | -5% | 4,440 |
| Kentucky | $48K | -5% | 4,210 |
| Kansas | $48K | -6% | 2,030 |
| Michigan | $48K | -6% | 4,890 |
| Indiana | $48K | -7% | 5,860 |
| Arizona | $48K | -7% | 3,750 |
| West Virginia | $47K | -7% | 1,260 |
| Pennsylvania | $47K | -8% | 6,970 |
| North Dakota | $46K | -10% | 520 |
| Florida | $46K | -11% | 21,490 |
| Louisiana | $45K | -13% | 2,600 |
| Alabama | $44K | -14% | 2,330 |
| Arkansas | $42K | -18% | 1,920 |
| Mississippi | $42K | -19% | 2,310 |
Showing 1–10 of 51 (all 50 states + DC)
Track medical records specialists salary changes
BLS updates this data quarterly. We'll email you when Fresno numbers change.
Related careers in Healthcare
Frequently asked questions
Can a medical records specialist afford a 2BR apartment alone in Fresno?
It’s a stretch — at the median salary of $58K, rent takes 42.3% of take-home pay. A 2-bedroom at the HUD Fair Market Rent runs $1,664/month. The 30% guideline puts the comfortable ceiling at roughly $1,200/month in rent — so roommates or a 1-bedroom would ease the math significantly.
What’s the entry-level salary for medical records specialists in Fresno?
The 10th-percentile wage — what new medical records specialists typically earn — is $41K/year. Take-home on that works out to about $2,485/month. At HUD’s $1,664/month FMR, rent would take 67% of that take-home — above the 30% guideline, so a 1-bedroom or shared housing is likely necessary starting out.
Is medical records specialist a high-paying job in Fresno?
Local pay is 14% above the national median — $58K here vs. $51K nationally.
How does Fresno compare to the national average for medical records specialists?
Fresno pays $58K median vs. the U.S. average of $51K — that’s +14%. After adjusting for local cost of living (RPP 102.16), the purchasing-power equivalent is $57K — still ahead of the national median.
How much do medical records specialists make in Fresno, CA?
The median is $58,400 a year, that works out to about $28 an hour. But the range is wide: entry-level workers start around $41,420, and experienced medical records specialists can clear $80,560. These are BLS numbers, based on employer-reported data, not self-reported surveys.
Is $58K enough to live in Fresno?
On that salary, you'd take home roughly $3,931/month after taxes. A 2-bedroom here rents for about $1,664/month, which eats 42.3% of your paycheck. That's above the 30% rule of thumb, housing will be a stretch at the median salary, though you can manage with roommates or a smaller place.
How far does a medical records specialists salary go in Fresno?
Fresno has a Regional Price Parity of 102.16 (100 is the national average). Prices are above average here, so your dollar buys less than the same salary would in a cheaper metro. After cost-of-living adjustment, the median medical records specialists salary is worth about $57,165 in national-average purchasing power.
Where do medical records specialists get paid the most?
The table above ranks every state by median pay for this role. Keep in mind that the highest-paying states tend to have the highest costs of living, so the top salary doesn't always mean the most money in your pocket.