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Healthcare · Wilmington

Medical Records Specialists Salary

in Wilmington, NC

The median pay for a medical records specialists in Wilmington, NC is $42,930/year ($20.64/hour), per BLS data. The range runs from $37K at the entry level to $109K for experienced workers. Adjusted for local prices (RPP 96.42), that's roughly $44,524 in purchasing power. A 2-bedroom apartment runs $1,426/month, about 47.8% of take-home, which is tight.

Our verdict:Tight. Expect trade-offs
Median pay
$43K
per year, before taxes
Hourly
$20.64
median hourly rate
Starting out
$37K
10th percentile
Top earners
$109K
90th percentile

Where the paycheck goes

What $43K actually covers in Wilmington, month by month

Take-home pay
after estimated taxes
$2,883/mo
Rent
2-bedroom median (HUD)
-$1,426/mo
Groceries
scaled to local prices
-$378/mo
Utilities
power, water, internet
-$189/mo
Transportation
car, gas, transit
-$332/mo
Healthcare *
employee share only
-$220/mo
Rent as % of take-home49.5% ⚠ above 30% guideline
Left over each month$338/mo

Groceries, utilities, transportation, and healthcare scaled from national averages by Wilmington’s Regional Price Parity (96.42). 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.

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About medical records specialists

Education: Bachelor's degree
U.S. employed: 194,720
Wilmington, NC employed: 220
Category: Healthcare

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What this looks like in Wilmington

Pay for medical records specialists in Wilmington runs about 16% below the U.S. median of $51K. The catch: housing math doesn't keep up. A 2-bedroom at the HUD median rents for $1,426/month, which is 49.5% of the median worker's take-home, past the 30% guideline most planners use. Cost of living (RPP 96.42) is near the national average, so spending patterns here track the typical American budget fairly closely. That combination, below-market pay with high housing costs, makes this a financially demanding market for medical records specialists.

Compared to nearby metros

Median pay for medical records specialists in metros near Wilmington, adjusted for local cost of living.

MetroMedian payCOL-adjusted
Charlotte-Concord-Gastonia$51K$53K
Raleigh-Cary$54K$55K
Durham-Chapel Hill$57K$59K
Winston-Salem$63K$68K

COL-adjusted = median salary ÷ (BEA Regional Price Parity ÷ 100). Expresses purchasing power in national-average dollars.

Compensation breakdown

Annual earnings by percentile, Wilmington, NC

Bar chart showing Medical Records Specialists salary percentiles in Wilmington, NC: 10th percentile $37,080, 25th percentile $40,020, median $42,930, 75th percentile $56,800, 90th percentile $109,410. Source: Bureau of Labor Statistics.10th$37K25th$40KMedian$43K75th$57K90th$109K
Bar chart showing Medical Records Specialists salary percentiles in Wilmington, NC: 10th percentile $37,080, 25th percentile $40,020, median $42,930, 75th percentile $56,800, 90th percentile $109,410. Source: Bureau of Labor Statistics.

Entry-level medical records specialists (10th percentile) start around $37K. Mid-career wages sit at $43K. Top earners bring in $109K or more, a $72K spread from bottom to top.

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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
StateMedian salaryvs. nationalEmployment
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
123456

Showing 1–10 of 51 (all 50 states + DC)

Track medical records specialists salary changes

BLS updates this data annually. We'll email you when Wilmington numbers change.

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Quick answers

The stuff people actually ask about this job

Can a medical records specialist afford a 2BR apartment alone in Wilmington?

It’s a stretch — at the median salary of $43K, rent takes 49.5% of take-home pay. A 2-bedroom at the HUD Fair Market Rent runs $1,426/month. The 30% guideline puts the comfortable ceiling at roughly $900/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 Wilmington?

The 10th-percentile wage — what new medical records specialists typically earn — is $37K/year. Take-home on that works out to about $2,514/month. At HUD’s $1,426/month FMR, rent would take 57% 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 Wilmington?

Local pay runs 16% below the national median — $43K here vs. $51K nationally.

How does Wilmington compare to the national average for medical records specialists?

Wilmington pays $43K median vs. the U.S. average of $51K — that’s -16%. After adjusting for local cost of living (RPP 96.42), the purchasing-power equivalent is $45K — below the national median.

How much do medical records specialists make in Wilmington, NC?

The median is $42,930 a year, that works out to about $21 an hour. But the range is wide: entry-level workers start around $37,080, and experienced medical records specialists can clear $109,410. These are BLS numbers, based on employer-reported data, not self-reported surveys.

Is $43K enough to live in Wilmington?

On that salary, you'd take home roughly $2,883/month after taxes. A 2-bedroom here rents for about $1,426/month, which eats 49.5% 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 Wilmington?

Wilmington has a Regional Price Parity of 96.42 (100 is the national average). That's below average, your money stretches further here than the raw salary number suggests. After cost-of-living adjustment, the median medical records specialists salary is worth about $44,524 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.

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