Waco, TX metro area · BLS May 2025 · Updated

How much does a medical secretary make in Waco, TX?

In the Waco, TX metropolitan area, medical secretaries earned a median of $38,190 a year ($18.36 an hour) in May 2025, according to the BLS Occupational Employment and Wage Statistics survey for the metro. BLS counted 560 of these jobs there. That is 17% below the $46,020 median for all jobs in the metro. The middle 80% earned between $33,130 and $48,690; these percentiles do not measure years of experience. Applying 2026 federal and Texas tax rules to the median leaves an estimated $32,866 in take-home pay.

Medical secretary pay in Waco, TX at a glance

Median salary

$38,190$18.36 per hour · $3,183 monthly · BLS May 2025
10th percentile$33,130$15.93/hr
25th percentile$36,190$17.40/hr
75th percentile$45,330$21.79/hr
90th percentile$48,690$23.41/hr
Jobs in this metro560Location quotient 0.70 (U.S. = 1.00)
Against all jobs here17% belowAll-jobs median $46,020
Against Texas11% belowStatewide median $42,910
Against the U.S.17% 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 Waco, TX after taxes

$38,190
$15,000$80,000
Filing status:
Gross salary breakdown$38,190
Net 86%
Fed 6%
FICA 8%
Annual take-home$32,866After all taxes
Monthly deposit$2,739Estimated per month
Biweekly paycheck$1,264Every 2 weeks (26/yr)
Effective tax rate13.9%Total tax burden
Federal income tax$2,403 / yr
Texas state income taxNo state wage tax$0
FICA (Social Security & Medicare)$2,922 / yr

Medical secretaries pay range in Waco, TX, hourly and yearly

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

What medical secretaries earned in the Waco, TX metro area, May 2025
PercentileHourlyMonthlyYearlyAfter tax a year (TX)
10th percentile$15.93/hr$2,761$33,130$28,800
25th percentile$17.40/hr$3,016$36,190$31,259
MedianMedian$18.36/hr$3,183$38,190$32,866
75th percentile$21.79/hr$3,778$45,330$38,603
90th percentile$23.41/hr$4,058$48,690$41,302

Is $38,190 a good salary in Waco, 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$66,205Census Bureau ACS
Local price level (U.S. = 100)92.57.5% below national average
One paycheck vs. a household57.7%of area median income

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

Medical secretary pay in Waco, TX: common questions

What is the median salary for medical secretaries in Waco, TX?

The BLS median annual wage for medical secretaries in the Waco, TX metro area was $38,190 in May 2025, about $3,183 a month or $18.36 an hour. Statewide, the Texas median for this job is $42,910, so the metro pays 11% below the state.

What is the hourly pay for medical secretaries in Waco, TX?

The median hourly wage for medical secretaries in Waco, TX was $18.36 in the BLS survey. One in ten earned less than $15.93 an hour and one in ten earned more than $23.41.

How many medical secretaries work in Waco, TX?

BLS estimated 560 jobs for medical secretaries in the metro in May 2025, or 4.3 of every 1,000 jobs. Its location quotient of 0.70 means the job is less concentrated here than in the country as a whole.

What is the pay range for medical secretaries in Waco, TX?

BLS wage estimates for medical secretaries in Waco, TX run from $33,130 at the 10th percentile to $36,190 at the 25th, $45,330 at the 75th, and $48,690 at the 90th. These are points in the wage distribution, not experience levels.

How much do medical secretaries take home after taxes in Waco, TX?

On a median gross salary of $38,190, an estimated $32,866 lands in net take-home pay per year ($1,264 biweekly) for a single filer claiming the standard deduction in Texas in 2026. Total tax withholding equals $5,324 (an effective rate of 13.9%).

How much do medical secretaries make per month in Waco, TX?

On the median annual salary of $38,190, gross monthly income is $3,183. After federal, FICA, and Texas state income taxes, estimated net take-home pay is $2,739 per month (or $1,264 every two weeks).

Is $38,190 a good salary in Waco, TX?

At $38,190, the median salary for medical secretaries is 57.7% of the Waco, TX median household income ($66,205). It is 17% below the $46,020 median for all jobs in the metro. The BEA regional price parity is 92.5, so prices here run 7.5% below the U.S. average.