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Roanoke, VA metro area · BLS May 2025 · Updated

How much does a medical secretary make in Roanoke, VA?

In the Roanoke, VA metropolitan area, medical secretaries earned a median of $37,270 a year ($17.92 an hour) in May 2025, according to the BLS Occupational Employment and Wage Statistics survey for the metro. BLS counted 1,580 of these jobs there. That is 21% below the $47,140 median for all jobs in the metro. The middle 80% earned between $35,880 and $47,060; these percentiles do not measure years of experience. Applying 2026 federal and Virginia tax rules to the median leaves an estimated $30,798 in take-home pay.

Medical secretary pay in Roanoke, VA at a glance

Median salary

$37,270$17.92 per hour · $3,106 monthly · BLS May 2025
10th percentile$35,880$17.25/hr
25th percentile$37,270$17.92/hr
75th percentile$44,960$21.61/hr
90th percentile$47,060$22.63/hr
Jobs in this metro1,580Location quotient 1.66 (U.S. = 1.00)
Against all jobs here21% belowAll-jobs median $47,140
Against Virginia19% belowStatewide median $46,180
Against the U.S.19% belowNational median $45,930

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

Take-home payWhat $37,000 a year leaves after tax in VirginiaFederal tax, FICA and Virginia withholding on that salary, with the other 49 states beside it.
By the hour$18 an hour is how much a yearWeekly, biweekly and monthly gross at 2,080 hours, plus time and a half.
HousingWhat a $37,000 salary buys at today's ratesPrice range, down payment and the monthly payment behind it, on current mortgage rates.
Local pricesWhat $37,000 is worth where you liveRent, groceries and the local price level against the national average.
Same stateEvery occupation Virginia publishes a wage forThe biggest employers, the best paid, and what is distinctive about Virginia.

Medical secretary salary in Roanoke, VA after taxes

$37,270
$15,000$75,000
Filing status:
Gross salary breakdown$37,270
Net 83%
Fed 6%
VA 4%
FICA 8%
Annual take-home$30,798After all taxes
Monthly deposit$2,566Estimated per month
Biweekly paycheck$1,185Every 2 weeks (26/yr)
Effective tax rate17.4%Total tax burden
Federal income tax$2,292 / yr
Virginia state income tax$1,329 / yr
FICA (Social Security & Medicare)$2,851 / yr
Customize deductions in full Virginia calculator

Medical secretaries pay range in Roanoke, VA, hourly and yearly

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

What medical secretaries earned in the Roanoke, VA metro area, May 2025
PercentileHourlyMonthlyYearlyAfter tax a year (VA)
10th percentile$17.25/hr$2,990$35,880$29,761
25th percentile$17.92/hr$3,106$37,270$30,798
MedianMedian$17.92/hr$3,106$37,270$30,798
75th percentile$21.61/hr$3,747$44,960$36,534
90th percentile$22.63/hr$3,922$47,060$38,101

Is $37,270 a good salary in Roanoke, VA?

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$68,761Census Bureau ACS
Local price level (U.S. = 100)93.66.4% below national average
One paycheck vs. a household54.2%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 Virginia metros

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

Medical secretary pay in Roanoke, VA: common questions

What is the median salary for medical secretaries in Roanoke, VA?

The BLS median annual wage for medical secretaries in the Roanoke, VA metro area was $37,270 in May 2025, about $3,106 a month or $17.92 an hour. Statewide, the Virginia median for this job is $46,180, so the metro pays 19% below the state.

What is the hourly pay for medical secretaries in Roanoke, VA?

The median hourly wage for medical secretaries in Roanoke, VA was $17.92 in the BLS survey. One in ten earned less than $17.25 an hour and one in ten earned more than $22.63.

How many medical secretaries work in Roanoke, VA?

BLS estimated 1,580 jobs for medical secretaries in the metro in May 2025, or 10.2 of every 1,000 jobs. Its location quotient of 1.66 means the job is more concentrated here than in the country as a whole.

What is the pay range for medical secretaries in Roanoke, VA?

BLS wage estimates for medical secretaries in Roanoke, VA run from $35,880 at the 10th percentile to $37,270 at the 25th, $44,960 at the 75th, and $47,060 at the 90th. These are points in the wage distribution, not experience levels.

How much do medical secretaries take home after taxes in Roanoke, VA?

On a median gross salary of $37,270, an estimated $30,798 lands in net take-home pay per year ($1,185 biweekly) for a single filer claiming the standard deduction in Virginia in 2026. Total tax withholding equals $6,472 (an effective rate of 17.4%).

How much do medical secretaries make per month in Roanoke, VA?

On the median annual salary of $37,270, gross monthly income is $3,106. After federal, FICA, and Virginia state income taxes, estimated net take-home pay is $2,566 per month (or $1,185 every two weeks).

Is $37,270 a good salary in Roanoke, VA?

At $37,270, the median salary for medical secretaries is 54.2% of the Roanoke, VA median household income ($68,761). It is 21% below the $47,140 median for all jobs in the metro. The BEA regional price parity is 93.6, so prices here run 6.4% below the U.S. average.