Nashville-Davidson--Murfreesboro--Franklin, TN metro area · BLS May 2025 · Updated

How much does a medical secretary make in Nashville-Davidson, TN?

In the Nashville-Davidson--Murfreesboro--Franklin, TN metropolitan area, medical secretaries earned a median of $45,570 a year ($21.91 an hour) in May 2025, according to the BLS Occupational Employment and Wage Statistics survey for the metro. BLS counted 12,970 of these jobs there. That is 10% below the $50,390 median for all jobs in the metro. The middle 80% earned between $36,500 and $59,260; these percentiles do not measure years of experience. Applying 2026 federal and Tennessee tax rules to the median leaves an estimated $38,796 in take-home pay.

Medical secretary pay in Nashville-Davidson, TN at a glance

Median salary

$45,570$21.91 per hour · $3,798 monthly · BLS May 2025
10th percentile$36,500$17.55/hr
25th percentile$38,320$18.42/hr
75th percentile$49,220$23.67/hr
90th percentile$59,260$28.49/hr
Jobs in this metro12,970Location quotient 1.91 (U.S. = 1.00)
Against all jobs here10% belowAll-jobs median $50,390
Against Tennessee14% aboveStatewide median $39,940
Against the U.S.1% belowNational 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 Nashville-Davidson, TN after taxes

$45,570
$15,000$95,000
Filing status:
Gross salary breakdown$45,570
Net 85%
Fed 7%
FICA 8%
Annual take-home$38,796After all taxes
Monthly deposit$3,233Estimated per month
Biweekly paycheck$1,492Every 2 weeks (26/yr)
Effective tax rate14.9%Total tax burden
Federal income tax$3,288 / yr
Tennessee state income taxNo state wage tax$0
FICA (Social Security & Medicare)$3,486 / yr

Medical secretaries pay range in Nashville-Davidson, TN, hourly and yearly

BLS May 2025 estimates for the Nashville-Davidson--Murfreesboro--Franklin, TN metropolitan statistical area. Monthly and take-home figures are ours, computed from the annual wage.

What medical secretaries earned in the Nashville-Davidson--Murfreesboro--Franklin, TN metro area, May 2025
PercentileHourlyMonthlyYearlyAfter tax a year (TN)
10th percentile$17.55/hr$3,042$36,500$31,508
25th percentile$18.42/hr$3,193$38,320$32,970
MedianMedian$21.91/hr$3,798$45,570$38,796
75th percentile$23.67/hr$4,102$49,220$41,728
90th percentile$28.49/hr$4,938$59,260$49,795

Is $45,570 a good salary in Nashville-Davidson, TN?

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$85,447Census Bureau ACS
Local price level (U.S. = 100)96.33.7% below national average
One paycheck vs. a household53.3%of area median income

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

Medical secretary pay in Nashville-Davidson, TN: common questions

What is the median salary for medical secretaries in Nashville-Davidson--Murfreesboro--Franklin, TN?

The BLS median annual wage for medical secretaries in the Nashville-Davidson--Murfreesboro--Franklin, TN metro area was $45,570 in May 2025, about $3,798 a month or $21.91 an hour. Statewide, the Tennessee median for this job is $39,940, so the metro pays 14% above the state.

What is the hourly pay for medical secretaries in Nashville-Davidson--Murfreesboro--Franklin, TN?

The median hourly wage for medical secretaries in Nashville-Davidson--Murfreesboro--Franklin, TN was $21.91 in the BLS survey. One in ten earned less than $17.55 an hour and one in ten earned more than $28.49.

How many medical secretaries work in Nashville-Davidson--Murfreesboro--Franklin, TN?

BLS estimated 12,970 jobs for medical secretaries in the metro in May 2025, or 11.8 of every 1,000 jobs. Its location quotient of 1.91 means the job is more concentrated here than in the country as a whole.

What is the pay range for medical secretaries in Nashville-Davidson--Murfreesboro--Franklin, TN?

BLS wage estimates for medical secretaries in Nashville-Davidson--Murfreesboro--Franklin, TN run from $36,500 at the 10th percentile to $38,320 at the 25th, $49,220 at the 75th, and $59,260 at the 90th. These are points in the wage distribution, not experience levels.

How much do medical secretaries take home after taxes in Nashville-Davidson--Murfreesboro--Franklin, TN?

On a median gross salary of $45,570, an estimated $38,796 lands in net take-home pay per year ($1,492 biweekly) for a single filer claiming the standard deduction in Tennessee in 2026. Total tax withholding equals $6,775 (an effective rate of 14.9%).

How much do medical secretaries make per month in Nashville-Davidson--Murfreesboro--Franklin, TN?

On the median annual salary of $45,570, gross monthly income is $3,798. After federal, FICA, and Tennessee state income taxes, estimated net take-home pay is $3,233 per month (or $1,492 every two weeks).

Is $45,570 a good salary in Nashville-Davidson--Murfreesboro--Franklin, TN?

At $45,570, the median salary for medical secretaries is 53.3% of the Nashville-Davidson--Murfreesboro--Franklin, TN median household income ($85,447). It is 10% below the $50,390 median for all jobs in the metro. The BEA regional price parity is 96.3, so prices here run 3.7% below the U.S. average.