Urban Honolulu, HI metro area · BLS May 2025 · Updated

How much does a medical secretary make in Urban Honolulu, HI?

In the Urban Honolulu, HI metropolitan area, medical secretaries earned a median of $49,460 a year ($23.78 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 14% below the $57,220 median for all jobs in the metro. The middle 80% earned between $38,390 and $59,640; these percentiles do not measure years of experience. Applying 2026 federal and Hawaii tax rules to the median leaves an estimated $39,935 in take-home pay.

Medical secretary pay in Urban Honolulu, HI at a glance

Median salary

$49,460$23.78 per hour · $4,122 monthly · BLS May 2025
10th percentile$38,390$18.46/hr
25th percentile$45,070$21.67/hr
75th percentile$56,230$27.04/hr
90th percentile$59,640$28.67/hr
Jobs in this metro1,580Location quotient 0.57 (U.S. = 1.00)
Against all jobs here14% belowAll-jobs median $57,220
Against Hawaii1% belowStatewide median $49,920
Against the U.S.8% 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 Urban Honolulu, HI after taxes

$49,460
$15,000$100,000
Filing status:
Gross salary breakdown$49,460
Net 81%
Fed 8%
HI 4%
FICA 8%
Annual take-home$39,935After all taxes
Monthly deposit$3,328Estimated per month
Biweekly paycheck$1,536Every 2 weeks (26/yr)
Effective tax rate19.3%Total tax burden
Federal income tax$3,755 / yr
Hawaii state income tax$1,986 / yr
FICA (Social Security & Medicare)$3,784 / yr

Medical secretaries pay range in Urban Honolulu, HI, hourly and yearly

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

What medical secretaries earned in the Urban Honolulu, HI metro area, May 2025
PercentileHourlyMonthlyYearlyAfter tax a year (HI)
10th percentile$18.46/hr$3,199$38,390$31,811
25th percentile$21.67/hr$3,756$45,070$36,724
MedianMedian$23.78/hr$4,122$49,460$39,935
75th percentile$27.04/hr$4,686$56,230$44,888
90th percentile$28.67/hr$4,970$59,640$47,372

Is $49,460 a good salary in Urban Honolulu, HI?

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$106,195Census Bureau ACS
Local price level (U.S. = 100)111.011% above national average
One paycheck vs. a household46.6%of area median income

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

Medical secretary pay in Urban Honolulu, HI: common questions

What is the median salary for medical secretaries in Urban Honolulu, HI?

The BLS median annual wage for medical secretaries in the Urban Honolulu, HI metro area was $49,460 in May 2025, about $4,122 a month or $23.78 an hour. Statewide, the Hawaii median for this job is $49,920, so the metro pays 1% below the state.

What is the hourly pay for medical secretaries in Urban Honolulu, HI?

The median hourly wage for medical secretaries in Urban Honolulu, HI was $23.78 in the BLS survey. One in ten earned less than $18.46 an hour and one in ten earned more than $28.67.

How many medical secretaries work in Urban Honolulu, HI?

BLS estimated 1,580 jobs for medical secretaries in the metro in May 2025, or 3.5 of every 1,000 jobs. Its location quotient of 0.57 means the job is less concentrated here than in the country as a whole.

What is the pay range for medical secretaries in Urban Honolulu, HI?

BLS wage estimates for medical secretaries in Urban Honolulu, HI run from $38,390 at the 10th percentile to $45,070 at the 25th, $56,230 at the 75th, and $59,640 at the 90th. These are points in the wage distribution, not experience levels.

How much do medical secretaries take home after taxes in Urban Honolulu, HI?

On a median gross salary of $49,460, an estimated $39,935 lands in net take-home pay per year ($1,536 biweekly) for a single filer claiming the standard deduction in Hawaii in 2026. Total tax withholding equals $9,525 (an effective rate of 19.3%).

How much do medical secretaries make per month in Urban Honolulu, HI?

On the median annual salary of $49,460, gross monthly income is $4,122. After federal, FICA, and Hawaii state income taxes, estimated net take-home pay is $3,328 per month (or $1,536 every two weeks).

Is $49,460 a good salary in Urban Honolulu, HI?

At $49,460, the median salary for medical secretaries is 46.6% of the Urban Honolulu, HI median household income ($106,195). It is 14% below the $57,220 median for all jobs in the metro. The BEA regional price parity is 111.0, so prices here run 11% above the U.S. average.