Sacramento-Roseville-Folsom, CA metro area · BLS May 2025 · Updated

How much does a medical secretary make in Sacramento-Roseville, CA?

In the Sacramento-Roseville-Folsom, CA metropolitan area, medical secretaries earned a median of $57,730 a year ($27.75 an hour) in May 2025, according to the BLS Occupational Employment and Wage Statistics survey for the metro. BLS counted 7,710 of these jobs there. That is 3% below the $59,750 median for all jobs in the metro. The middle 80% earned between $42,340 and $76,580; these percentiles do not measure years of experience. Applying 2026 federal and California tax rules to the median leaves an estimated $47,063 in take-home pay.

Medical secretary pay in Sacramento-Roseville, CA at a glance

Median salary

$57,730$27.75 per hour · $4,811 monthly · BLS May 2025
10th percentile$42,340$20.35/hr
25th percentile$46,490$22.35/hr
75th percentile$64,060$30.80/hr
90th percentile$76,580$36.82/hr
Jobs in this metro7,710Location quotient 1.15 (U.S. = 1.00)
Against all jobs here3% belowAll-jobs median $59,750
Against California6% aboveStatewide median $54,490
Against the U.S.26% 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 Sacramento-Roseville, CA after taxes

$57,730
$20,000$120,000
Filing status:
Gross salary breakdown$57,730
Net 82%
Fed 8%
CA 3%
FICA 8%
Annual take-home$47,063After all taxes
Monthly deposit$3,922Estimated per month
Biweekly paycheck$1,810Every 2 weeks (26/yr)
Effective tax rate18.5%Total tax burden
Federal income tax$4,748 / yr
California state income tax$1,503 / yr
FICA (Social Security & Medicare)$4,416 / yr

Medical secretaries pay range in Sacramento-Roseville, CA, hourly and yearly

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

What medical secretaries earned in the Sacramento-Roseville-Folsom, CA metro area, May 2025
PercentileHourlyMonthlyYearlyAfter tax a year (CA)
10th percentile$20.35/hr$3,528$42,340$35,524
25th percentile$22.35/hr$3,874$46,490$38,692
MedianMedian$27.75/hr$4,811$57,730$47,063
75th percentile$30.80/hr$5,338$64,060$51,753
90th percentile$36.82/hr$6,382$76,580$59,803

Is $57,730 a good salary in Sacramento-Roseville, 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$97,188Census Bureau ACS
Local price level (U.S. = 100)106.76.7% above national average
One paycheck vs. a household59.4%of area median income

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

Medical secretary pay in Sacramento-Roseville, CA: common questions

What is the median salary for medical secretaries in Sacramento-Roseville-Folsom, CA?

The BLS median annual wage for medical secretaries in the Sacramento-Roseville-Folsom, CA metro area was $57,730 in May 2025, about $4,811 a month or $27.75 an hour. Statewide, the California median for this job is $54,490, so the metro pays 6% above the state.

What is the hourly pay for medical secretaries in Sacramento-Roseville-Folsom, CA?

The median hourly wage for medical secretaries in Sacramento-Roseville-Folsom, CA was $27.75 in the BLS survey. One in ten earned less than $20.35 an hour and one in ten earned more than $36.82.

How many medical secretaries work in Sacramento-Roseville-Folsom, CA?

BLS estimated 7,710 jobs for medical secretaries in the metro in May 2025, or 7.1 of every 1,000 jobs. Its location quotient of 1.15 means the job is more concentrated here than in the country as a whole.

What is the pay range for medical secretaries in Sacramento-Roseville-Folsom, CA?

BLS wage estimates for medical secretaries in Sacramento-Roseville-Folsom, CA run from $42,340 at the 10th percentile to $46,490 at the 25th, $64,060 at the 75th, and $76,580 at the 90th. These are points in the wage distribution, not experience levels.

How much do medical secretaries take home after taxes in Sacramento-Roseville-Folsom, CA?

On a median gross salary of $57,730, an estimated $47,063 lands in net take-home pay per year ($1,810 biweekly) for a single filer claiming the standard deduction in California in 2026. Total tax withholding equals $10,667 (an effective rate of 18.5%).

How much do medical secretaries make per month in Sacramento-Roseville-Folsom, CA?

On the median annual salary of $57,730, gross monthly income is $4,811. After federal, FICA, and California state income taxes, estimated net take-home pay is $3,922 per month (or $1,810 every two weeks).

Is $57,730 a good salary in Sacramento-Roseville-Folsom, CA?

At $57,730, the median salary for medical secretaries is 59.4% of the Sacramento-Roseville-Folsom, CA median household income ($97,188). It is 3% below the $59,750 median for all jobs in the metro. The BEA regional price parity is 106.7, so prices here run 6.7% above the U.S. average.