San Antonio-New Braunfels, TX metro area · BLS May 2025 · Updated

How much does a medical secretary make in San Antonio, TX?

In the San Antonio-New Braunfels, TX metropolitan area, medical secretaries earned a median of $42,560 a year ($20.46 an hour) in May 2025, according to the BLS Occupational Employment and Wage Statistics survey for the metro. BLS counted 7,350 of these jobs there. That is 9% below the $47,010 median for all jobs in the metro. The middle 80% earned between $35,610 and $55,040; these percentiles do not measure years of experience. Applying 2026 federal and Texas tax rules to the median leaves an estimated $36,377 in take-home pay.

Medical secretary pay in San Antonio, TX at a glance

Median salary

$42,560$20.46 per hour · $3,547 monthly · BLS May 2025
10th percentile$35,610$17.12/hr
25th percentile$37,510$18.03/hr
75th percentile$46,430$22.32/hr
90th percentile$55,040$26.46/hr
Jobs in this metro7,350Location quotient 1.05 (U.S. = 1.00)
Against all jobs here9% belowAll-jobs median $47,010
Against Texas1% belowStatewide median $42,910
Against the U.S.7% 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 San Antonio, TX after taxes

$42,560
$15,000$90,000
Filing status:
Gross salary breakdown$42,560
Net 85%
Fed 7%
FICA 8%
Annual take-home$36,377After all taxes
Monthly deposit$3,031Estimated per month
Biweekly paycheck$1,399Every 2 weeks (26/yr)
Effective tax rate14.5%Total tax burden
Federal income tax$2,927 / yr
Texas state income taxNo state wage tax$0
FICA (Social Security & Medicare)$3,256 / yr

Medical secretaries pay range in San Antonio, TX, hourly and yearly

BLS May 2025 estimates for the San Antonio-New Braunfels, TX metropolitan statistical area. Monthly and take-home figures are ours, computed from the annual wage.

What medical secretaries earned in the San Antonio-New Braunfels, TX metro area, May 2025
PercentileHourlyMonthlyYearlyAfter tax a year (TX)
10th percentile$17.12/hr$2,968$35,610$30,793
25th percentile$18.03/hr$3,126$37,510$32,319
MedianMedian$20.46/hr$3,547$42,560$36,377
75th percentile$22.32/hr$3,869$46,430$39,487
90th percentile$26.46/hr$4,587$55,040$46,405

Is $42,560 a good salary in San Antonio, TX?

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$76,213Census Bureau ACS
Local price level (U.S. = 100)94.75.3% below national average
One paycheck vs. a household55.8%of area median income

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

Medical secretary pay in San Antonio, TX: common questions

What is the median salary for medical secretaries in San Antonio-New Braunfels, TX?

The BLS median annual wage for medical secretaries in the San Antonio-New Braunfels, TX metro area was $42,560 in May 2025, about $3,547 a month or $20.46 an hour. Statewide, the Texas median for this job is $42,910, so the metro pays 1% below the state.

What is the hourly pay for medical secretaries in San Antonio-New Braunfels, TX?

The median hourly wage for medical secretaries in San Antonio-New Braunfels, TX was $20.46 in the BLS survey. One in ten earned less than $17.12 an hour and one in ten earned more than $26.46.

How many medical secretaries work in San Antonio-New Braunfels, TX?

BLS estimated 7,350 jobs for medical secretaries in the metro in May 2025, or 6.5 of every 1,000 jobs. Its location quotient of 1.05 means the job is more concentrated here than in the country as a whole.

What is the pay range for medical secretaries in San Antonio-New Braunfels, TX?

BLS wage estimates for medical secretaries in San Antonio-New Braunfels, TX run from $35,610 at the 10th percentile to $37,510 at the 25th, $46,430 at the 75th, and $55,040 at the 90th. These are points in the wage distribution, not experience levels.

How much do medical secretaries take home after taxes in San Antonio-New Braunfels, TX?

On a median gross salary of $42,560, an estimated $36,377 lands in net take-home pay per year ($1,399 biweekly) for a single filer claiming the standard deduction in Texas in 2026. Total tax withholding equals $6,183 (an effective rate of 14.5%).

How much do medical secretaries make per month in San Antonio-New Braunfels, TX?

On the median annual salary of $42,560, gross monthly income is $3,547. After federal, FICA, and Texas state income taxes, estimated net take-home pay is $3,031 per month (or $1,399 every two weeks).

Is $42,560 a good salary in San Antonio-New Braunfels, TX?

At $42,560, the median salary for medical secretaries is 55.8% of the San Antonio-New Braunfels, TX median household income ($76,213). It is 9% below the $47,010 median for all jobs in the metro. The BEA regional price parity is 94.7, so prices here run 5.3% below the U.S. average.