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Fresno, CA metro area · BLS May 2025 · Updated

How much does a medical secretary make in Fresno, CA?

In the Fresno, CA metropolitan area, medical secretaries earned a median of $48,120 a year ($23.14 an hour) in May 2025, according to the BLS Occupational Employment and Wage Statistics survey for the metro. BLS counted 3,410 of these jobs there. That is 3% above the $46,910 median for all jobs in the metro. The middle 80% earned between $39,010 and $64,790; these percentiles do not measure years of experience. Applying 2026 federal and California tax rules to the median leaves an estimated $39,918 in take-home pay.

Medical secretary pay in Fresno, CA at a glance

Median salary

$48,120$23.14 per hour · $4,010 monthly · BLS May 2025
10th percentile$39,010$18.76/hr
25th percentile$44,640$21.46/hr
75th percentile$56,240$27.04/hr
90th percentile$64,790$31.15/hr
Jobs in this metro3,410Location quotient 1.16 (U.S. = 1.00)
Against all jobs here3% aboveAll-jobs median $46,910
Against California12% belowStatewide median $54,490
Against the U.S.5% 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.

Take-home payWhat $48,000 a year leaves after tax in CaliforniaFederal tax, FICA and California withholding on that salary, with the other 49 states beside it.
By the hour$23 an hour is how much a yearWeekly, biweekly and monthly gross at 2,080 hours, plus time and a half.
HousingWhat a $48,000 salary buys at today's ratesPrice range, down payment and the monthly payment behind it, on current mortgage rates.
Local pricesWhat $48,000 is worth where you liveRent, groceries and the local price level against the national average.
Same stateEvery occupation California publishes a wage forThe biggest employers, the best paid, and what is distinctive about California.

Medical secretary salary in Fresno, CA after taxes

$48,120
$15,000$100,000
Filing status:
Gross salary breakdown$48,120
Net 83%
Fed 7%
CA 2%
FICA 8%
Annual take-home$39,918After all taxes
Monthly deposit$3,326Estimated per month
Biweekly paycheck$1,535Every 2 weeks (26/yr)
Effective tax rate17.1%Total tax burden
Federal income tax$3,594 / yr
California state income tax$927 / yr
FICA (Social Security & Medicare)$3,681 / yr
Customize deductions in full California calculator

Medical secretaries pay range in Fresno, CA, hourly and yearly

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

What medical secretaries earned in the Fresno, CA metro area, May 2025
PercentileHourlyMonthlyYearlyAfter tax a year (CA)
10th percentile$18.76/hr$3,251$39,010$32,981
25th percentile$21.46/hr$3,720$44,640$37,280
MedianMedian$23.14/hr$4,010$48,120$39,918
75th percentile$27.04/hr$4,687$56,240$45,955
90th percentile$31.15/hr$5,399$64,790$52,281

Is $48,120 a good salary in Fresno, CA?

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$74,468Census Bureau ACS
Local price level (U.S. = 100)102.22.2% above national average
One paycheck vs. a household64.6%of area median income

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

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Medical secretaries pay in other California metros

Metros in the same state that are closest in size to Fresno, CA. A statewide average can hide differences this large.

Medical secretary pay in Fresno, CA: common questions

What is the median salary for medical secretaries in Fresno, CA?

The BLS median annual wage for medical secretaries in the Fresno, CA metro area was $48,120 in May 2025, about $4,010 a month or $23.14 an hour. Statewide, the California median for this job is $54,490, so the metro pays 12% below the state.

What is the hourly pay for medical secretaries in Fresno, CA?

The median hourly wage for medical secretaries in Fresno, CA was $23.14 in the BLS survey. One in ten earned less than $18.76 an hour and one in ten earned more than $31.15.

How many medical secretaries work in Fresno, CA?

BLS estimated 3,410 jobs for medical secretaries in the metro in May 2025, or 7.2 of every 1,000 jobs. Its location quotient of 1.16 means the job is more concentrated here than in the country as a whole.

What is the pay range for medical secretaries in Fresno, CA?

BLS wage estimates for medical secretaries in Fresno, CA run from $39,010 at the 10th percentile to $44,640 at the 25th, $56,240 at the 75th, and $64,790 at the 90th. These are points in the wage distribution, not experience levels.

How much do medical secretaries take home after taxes in Fresno, CA?

On a median gross salary of $48,120, an estimated $39,918 lands in net take-home pay per year ($1,535 biweekly) for a single filer claiming the standard deduction in California in 2026. Total tax withholding equals $8,202 (an effective rate of 17%).

How much do medical secretaries make per month in Fresno, CA?

On the median annual salary of $48,120, gross monthly income is $4,010. After federal, FICA, and California state income taxes, estimated net take-home pay is $3,326 per month (or $1,535 every two weeks).

Is $48,120 a good salary in Fresno, CA?

At $48,120, the median salary for medical secretaries is 64.6% of the Fresno, CA median household income ($74,468). It is 3% above the $46,910 median for all jobs in the metro. The BEA regional price parity is 102.2, so prices here run 2.2% above the U.S. average.