Wilmington, NC metro area · BLS May 2025 · Updated

How much does a medical secretary make in Wilmington, NC?

In the Wilmington, NC metropolitan area, medical secretaries earned a median of $40,040 a year ($19.25 an hour) in May 2025, according to the BLS Occupational Employment and Wage Statistics survey for the metro. BLS counted 2,700 of these jobs there. That is 13% below the $45,800 median for all jobs in the metro. The middle 80% earned between $36,200 and $50,330; these percentiles do not measure years of experience. Applying 2026 federal and North Carolina tax rules to the median leaves an estimated $33,263 in take-home pay.

Medical secretary pay in Wilmington, NC at a glance

Median salary

$40,040$19.25 per hour · $3,337 monthly · BLS May 2025
10th percentile$36,200$17.41/hr
25th percentile$37,560$18.06/hr
75th percentile$46,730$22.47/hr
90th percentile$50,330$24.20/hr
Jobs in this metro2,700Location quotient 2.28 (U.S. = 1.00)
Against all jobs here13% belowAll-jobs median $45,800
Against North Carolina9% belowStatewide median $44,190
Against the U.S.13% 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 Wilmington, NC after taxes

$40,040
$15,000$85,000
Filing status:
Gross salary breakdown$40,040
Net 83%
Fed 7%
NC 3%
FICA 8%
Annual take-home$33,263After all taxes
Monthly deposit$2,772Estimated per month
Biweekly paycheck$1,279Every 2 weeks (26/yr)
Effective tax rate16.9%Total tax burden
Federal income tax$2,625 / yr
North Carolina state income tax$1,089 / yr
FICA (Social Security & Medicare)$3,063 / yr

Medical secretaries pay range in Wilmington, NC, hourly and yearly

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

What medical secretaries earned in the Wilmington, NC metro area, May 2025
PercentileHourlyMonthlyYearlyAfter tax a year (NC)
10th percentile$17.41/hr$3,017$36,200$30,331
25th percentile$18.06/hr$3,130$37,560$31,370
MedianMedian$19.25/hr$3,337$40,040$33,263
75th percentile$22.47/hr$3,894$46,730$38,372
90th percentile$24.20/hr$4,194$50,330$41,121

Is $40,040 a good salary in Wilmington, 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$76,471Census Bureau ACS
Local price level (U.S. = 100)96.43.6% below national average
One paycheck vs. a household52.4%of area median income

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

Medical secretary pay in Wilmington, NC: common questions

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

The BLS median annual wage for medical secretaries in the Wilmington, NC metro area was $40,040 in May 2025, about $3,337 a month or $19.25 an hour. Statewide, the North Carolina median for this job is $44,190, so the metro pays 9% below the state.

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

The median hourly wage for medical secretaries in Wilmington, NC was $19.25 in the BLS survey. One in ten earned less than $17.41 an hour and one in ten earned more than $24.20.

How many medical secretaries work in Wilmington, NC?

BLS estimated 2,700 jobs for medical secretaries in the metro in May 2025, or 14.1 of every 1,000 jobs. Its location quotient of 2.28 means the job is more concentrated here than in the country as a whole.

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

BLS wage estimates for medical secretaries in Wilmington, NC run from $36,200 at the 10th percentile to $37,560 at the 25th, $46,730 at the 75th, and $50,330 at the 90th. These are points in the wage distribution, not experience levels.

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

On a median gross salary of $40,040, an estimated $33,263 lands in net take-home pay per year ($1,279 biweekly) for a single filer claiming the standard deduction in North Carolina in 2026. Total tax withholding equals $6,777 (an effective rate of 16.9%).

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

On the median annual salary of $40,040, gross monthly income is $3,337. After federal, FICA, and North Carolina state income taxes, estimated net take-home pay is $2,772 per month (or $1,279 every two weeks).

Is $40,040 a good salary in Wilmington, NC?

At $40,040, the median salary for medical secretaries is 52.4% of the Wilmington, NC median household income ($76,471). It is 13% below the $45,800 median for all jobs in the metro. The BEA regional price parity is 96.4, so prices here run 3.6% below the U.S. average.