Rocky Mount, NC metro area · BLS May 2025 · Updated

How much does a medical secretary make in Rocky Mount, NC?

In the Rocky Mount, NC metropolitan area, medical secretaries earned a median of $41,480 a year ($19.94 an hour) in May 2025, according to the BLS Occupational Employment and Wage Statistics survey for the metro. BLS counted 420 of these jobs there. That is 6% below the $43,960 median for all jobs in the metro. The middle 80% earned between $32,430 and $55,470; these percentiles do not measure years of experience. Applying 2026 federal and North Carolina tax rules to the median leaves an estimated $34,363 in take-home pay.

Medical secretary pay in Rocky Mount, NC at a glance

Median salary

$41,480$19.94 per hour · $3,457 monthly · BLS May 2025
10th percentile$32,430$15.59/hr
25th percentile$35,850$17.23/hr
75th percentile$45,020$21.64/hr
90th percentile$55,470$26.67/hr
Jobs in this metro420Location quotient 1.25 (U.S. = 1.00)
Against all jobs here6% belowAll-jobs median $43,960
Against North Carolina6% belowStatewide median $44,190
Against the U.S.10% 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 Rocky Mount, NC after taxes

$41,480
$15,000$85,000
Filing status:
Gross salary breakdown$41,480
Net 83%
Fed 7%
NC 3%
FICA 8%
Annual take-home$34,363After all taxes
Monthly deposit$2,864Estimated per month
Biweekly paycheck$1,322Every 2 weeks (26/yr)
Effective tax rate17.2%Total tax burden
Federal income tax$2,798 / yr
North Carolina state income tax$1,146 / yr
FICA (Social Security & Medicare)$3,173 / yr

Medical secretaries pay range in Rocky Mount, NC, hourly and yearly

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

What medical secretaries earned in the Rocky Mount, NC metro area, May 2025
PercentileHourlyMonthlyYearlyAfter tax a year (NC)
10th percentile$15.59/hr$2,703$32,430$27,452
25th percentile$17.23/hr$2,988$35,850$30,064
MedianMedian$19.94/hr$3,457$41,480$34,363
75th percentile$21.64/hr$3,752$45,020$37,066
90th percentile$26.67/hr$4,623$55,470$45,046

Is $41,480 a good salary in Rocky Mount, NC?

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$59,636Census Bureau ACS
Local price level (U.S. = 100)88.012% below national average
One paycheck vs. a household69.6%of area median income

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

Medical secretary pay in Rocky Mount, NC: common questions

What is the median salary for medical secretaries in Rocky Mount, NC?

The BLS median annual wage for medical secretaries in the Rocky Mount, NC metro area was $41,480 in May 2025, about $3,457 a month or $19.94 an hour. Statewide, the North Carolina median for this job is $44,190, so the metro pays 6% below the state.

What is the hourly pay for medical secretaries in Rocky Mount, NC?

The median hourly wage for medical secretaries in Rocky Mount, NC was $19.94 in the BLS survey. One in ten earned less than $15.59 an hour and one in ten earned more than $26.67.

How many medical secretaries work in Rocky Mount, NC?

BLS estimated 420 jobs for medical secretaries in the metro in May 2025, or 7.7 of every 1,000 jobs. Its location quotient of 1.25 means the job is more concentrated here than in the country as a whole.

What is the pay range for medical secretaries in Rocky Mount, NC?

BLS wage estimates for medical secretaries in Rocky Mount, NC run from $32,430 at the 10th percentile to $35,850 at the 25th, $45,020 at the 75th, and $55,470 at the 90th. These are points in the wage distribution, not experience levels.

How much do medical secretaries take home after taxes in Rocky Mount, NC?

On a median gross salary of $41,480, an estimated $34,363 lands in net take-home pay per year ($1,322 biweekly) for a single filer claiming the standard deduction in North Carolina in 2026. Total tax withholding equals $7,117 (an effective rate of 17.2%).

How much do medical secretaries make per month in Rocky Mount, NC?

On the median annual salary of $41,480, gross monthly income is $3,457. After federal, FICA, and North Carolina state income taxes, estimated net take-home pay is $2,864 per month (or $1,322 every two weeks).

Is $41,480 a good salary in Rocky Mount, NC?

At $41,480, the median salary for medical secretaries is 69.6% of the Rocky Mount, NC median household income ($59,636). It is 6% below the $43,960 median for all jobs in the metro. The BEA regional price parity is 88.0, so prices here run 12% below the U.S. average.