Medical Secretaries and Administrative Assistants Salary
The median pay for a medical secretaries and administrative assistants in Texas is $42,910/year ($20.63/hour), per BLS data. The range runs from $33K at the entry level to $57K for experienced workers. Cost of living is below average (RPP 91.49), which stretches that salary to about $46,901 in buying power. A 2-bedroom apartment runs $1,415/month, about 45.8% of take-home, which is tight.
Statewide average. Salary and cost of living vary significantly across Texas. Jump to a metro for precise data:
So what does $43K get you in Texas?
About medical secretaries and administrative assistants
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What this looks like in Texas
Medical secretaries and administrative assistants pay in Texas tracks closely to the national median, $43K locally vs. $46K nationwide, a 7% difference. The catch: housing math doesn't keep up. A 2-bedroom at the HUD median rents for $1,415/month, which is 46.5% of the median worker's take-home, past the 30% guideline most planners use. Regional Price Parity sits at 91.49 (national = 100), meaning everyday costs run about 9% cheaper here. Your dollar stretches further than the headline salary suggests. Use the affordability calculator above to model your specific situation.
Compensation breakdown
Annual earnings by percentile, Texas
Entry-level medical secretaries and administrative assistants (10th percentile) start around $33K. Mid-career wages sit at $43K. Top earners bring in $57K or more, a $23K spread from bottom to top.
Medical Secretaries and Administrative Assistants salary by metro in Texas
26 metro areas with BLS data, ranked by median pay
| Metro area | Median salary | vs. state | Employment |
|---|---|---|---|
| Austin-Round Rock-San Marcos | $47K | +8% | 6,000 |
| Dallas-Fort Worth-Arlington | $46K | +6% | 21,700 |
| Midland | $44K | +3% | 360 |
| Houston-Pasadena-The Woodlands | $44K | +3% | 20,220 |
| Abilene | $44K | +2% | 940 |
| San Angelo | $43K | -1% | 460 |
| San Antonio-New Braunfels | $43K | -1% | 7,350 |
| College Station-Bryan | $41K | -5% | 500 |
| Odessa | $40K | -6% | 280 |
| Sherman-Denison | $40K | -6% | 380 |
| Corpus Christi | $40K | -8% | 1,300 |
| Lubbock | $40K | -8% | 1,390 |
| Amarillo | $39K | -10% | 620 |
| Wichita Falls | $39K | -10% | 360 |
| Killeen-Temple | $39K | -10% | 880 |
| Waco | $38K | -11% | 560 |
| Beaumont-Port Arthur | $38K | -11% | 650 |
| Victoria | $38K | -12% | 220 |
| Tyler | $38K | -12% | 790 |
| Laredo | $37K | -13% | 540 |
| Brownsville-Harlingen | $37K | -14% | 1,050 |
| Longview | $37K | -14% | 610 |
| El Paso | $37K | -14% | 1,860 |
| McAllen-Edinburg-Mission | $36K | -15% | 2,230 |
| Eagle Pass | $36K | -17% | 70 |
| Texarkana | $35K | -18% | 310 |
Showing 1–10 of 26 metros
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BLS updates this data quarterly. We'll email you when Texas numbers change.
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Frequently asked questions
Can a medical secretaries and administrative assistant afford a 2BR apartment alone in Texas?
It’s a stretch — at the median salary of $43K, rent takes 46.5% of take-home pay. A 2-bedroom at the HUD Fair Market Rent runs $1,415/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 secretaries and administrative assistants in Texas?
The 10th-percentile wage — what new medical secretaries and administrative assistants typically earn — is $33K/year. Take-home on that works out to about $1,985/month. At HUD’s $1,415/month FMR, rent would take 71% of that take-home — above the 30% guideline, so a 1-bedroom or shared housing is likely necessary starting out.
Is medical secretaries and administrative assistant a high-paying job in Texas?
Pay here is roughly in line with the national average — $43K locally vs. $46K nationally, a 7% difference.
How does Texas compare to the national average for medical secretaries and administrative assistants?
Texas pays $43K median vs. the U.S. average of $46K — that’s -7%. After adjusting for local cost of living (RPP 91.49), the purchasing-power equivalent is $47K — still ahead of the national median.
How much do medical secretaries and administrative assistants make in Texas?
The median is $42,910 a year, that works out to about $21 an hour. But the range is wide: entry-level workers start around $33,090, and experienced medical secretaries and administrative assistants can clear $56,570. These are BLS numbers, based on employer-reported data, not self-reported surveys.
Is $43K enough to live in Texas?
On that salary, you'd take home roughly $3,043/month after taxes. A 2-bedroom here rents for about $1,415/month, which eats 46.5% 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 secretaries and administrative assistants salary go in Texas?
Texas has a Regional Price Parity of 91.49 (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 secretaries and administrative assistants salary is worth about $46,901 in national-average purchasing power.
Where do medical secretaries and administrative assistants 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.