Bismarck, ND metro area · BLS May 2025 · Updated

How much does a medical secretary make in Bismarck, ND?

In the Bismarck, ND metropolitan area, medical secretaries earned a median of $46,710 a year ($22.46 an hour) in May 2025, according to the BLS Occupational Employment and Wage Statistics survey for the metro. BLS counted 190 of these jobs there. That is 11% below the $52,560 median for all jobs in the metro. The middle 80% earned between $37,880 and $59,220; these percentiles do not measure years of experience. Applying 2026 federal and North Dakota tax rules to the median leaves an estimated $39,711 in take-home pay.

Medical secretary pay in Bismarck, ND at a glance

Median salary

$46,710$22.46 per hour · $3,893 monthly · BLS May 2025
10th percentile$37,880$18.21/hr
25th percentile$40,040$19.25/hr
75th percentile$50,690$24.37/hr
90th percentile$59,220$28.47/hr
Jobs in this metro190Location quotient 0.42 (U.S. = 1.00)
Against all jobs here11% belowAll-jobs median $52,560
Against North Dakota3% aboveStatewide median $45,390
Against the U.S.2% aboveNational median $45,930

Run the numbers on your own pay

Same U.S. tax tables as the rest of the site. Change the salary, state, or filing status.

Medical secretary salary in Bismarck, ND after taxes

$46,710
$15,000$95,000
Filing status:
Gross salary breakdown$46,710
Net 85%
Fed 7%
FICA 8%
Annual take-home$39,711After all taxes
Monthly deposit$3,309Estimated per month
Biweekly paycheck$1,527Every 2 weeks (26/yr)
Effective tax rate15%Total tax burden
Federal income tax$3,425 / yr
North Dakota state income taxNone at this income$0
FICA (Social Security & Medicare)$3,573 / yr

Medical secretaries pay range in Bismarck, ND, hourly and yearly

BLS May 2025 estimates for the Bismarck, ND metropolitan statistical area. Monthly and take-home figures are ours, computed from the annual wage.

What medical secretaries earned in the Bismarck, ND metro area, May 2025
PercentileHourlyMonthlyYearlyAfter tax a year (ND)
10th percentile$18.21/hr$3,157$37,880$32,617
25th percentile$19.25/hr$3,337$40,040$34,352
MedianMedian$22.46/hr$3,893$46,710$39,711
75th percentile$24.37/hr$4,224$50,690$42,909
90th percentile$28.47/hr$4,935$59,220$49,763

Is $46,710 a good salary in Bismarck, ND?

It depends on what else people there earn and what things cost. Here is the median for medical secretaries next to both.

Median household income$85,156Census Bureau ACS
Local price level (U.S. = 100)91.09% below national average
One paycheck vs. a household54.9%of area median income

The same job statewide and nationally, and a calculator for your own paycheck.

Medical secretary pay in Bismarck, ND: common questions

What is the median salary for medical secretaries in Bismarck, ND?

The BLS median annual wage for medical secretaries in the Bismarck, ND metro area was $46,710 in May 2025, about $3,893 a month or $22.46 an hour. Statewide, the North Dakota median for this job is $45,390, so the metro pays 3% above the state.

What is the hourly pay for medical secretaries in Bismarck, ND?

The median hourly wage for medical secretaries in Bismarck, ND was $22.46 in the BLS survey. One in ten earned less than $18.21 an hour and one in ten earned more than $28.47.

How many medical secretaries work in Bismarck, ND?

BLS estimated 190 jobs for medical secretaries in the metro in May 2025, or 2.6 of every 1,000 jobs. Its location quotient of 0.42 means the job is less concentrated here than in the country as a whole.

What is the pay range for medical secretaries in Bismarck, ND?

BLS wage estimates for medical secretaries in Bismarck, ND run from $37,880 at the 10th percentile to $40,040 at the 25th, $50,690 at the 75th, and $59,220 at the 90th. These are points in the wage distribution, not experience levels.

How much do medical secretaries take home after taxes in Bismarck, ND?

On a median gross salary of $46,710, an estimated $39,711 lands in net take-home pay per year ($1,527 biweekly) for a single filer claiming the standard deduction in North Dakota in 2026. Total tax withholding equals $6,999 (an effective rate of 15%).

How much do medical secretaries make per month in Bismarck, ND?

On the median annual salary of $46,710, gross monthly income is $3,893. After federal, FICA, and North Dakota state income taxes, estimated net take-home pay is $3,309 per month (or $1,527 every two weeks).

Is $46,710 a good salary in Bismarck, ND?

At $46,710, the median salary for medical secretaries is 54.9% of the Bismarck, ND median household income ($85,156). It is 11% below the $52,560 median for all jobs in the metro. The BEA regional price parity is 91.0, so prices here run 9% below the U.S. average.