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Winston-Salem, NC metro area · BLS May 2025 · Updated

How much does a medical secretary make in Winston-Salem, NC?

In the Winston-Salem, NC metropolitan area, medical secretaries earned a median of $46,370 a year ($22.29 an hour) in May 2025, according to the BLS Occupational Employment and Wage Statistics survey for the metro. BLS counted 3,980 of these jobs there. That is about the same as the $46,380 median for all jobs in the metro. The middle 80% earned between $36,560 and $54,680; these percentiles do not measure years of experience. Applying 2026 federal and North Carolina tax rules to the median leaves an estimated $38,097 in take-home pay.

Medical secretary pay in Winston-Salem, NC at a glance

Median salary

$46,370$22.29 per hour · $3,864 monthly · BLS May 2025
10th percentile$36,560$17.58/hr
25th percentile$38,840$18.67/hr
75th percentile$47,310$22.74/hr
90th percentile$54,680$26.29/hr
Jobs in this metro3,980Location quotient 2.36 (U.S. = 1.00)
Against all jobs hereabout the same asAll-jobs median $46,380
Against North Carolina5% aboveStatewide median $44,190
Against the U.S.1% aboveNational median $45,930

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Same U.S. tax tables as the rest of the site. Change the salary, state, or filing status.

Take-home payWhat $46,000 a year leaves after tax in North CarolinaFederal tax, FICA and North Carolina withholding on that salary, with the other 49 states beside it.
By the hour$22 an hour is how much a yearWeekly, biweekly and monthly gross at 2,080 hours, plus time and a half.
HousingWhat a $46,000 salary buys at today's ratesPrice range, down payment and the monthly payment behind it, on current mortgage rates.
Local pricesWhat $46,000 is worth where you liveRent, groceries and the local price level against the national average.
Same stateEvery occupation North Carolina publishes a wage forThe biggest employers, the best paid, and what is distinctive about North Carolina.

Medical secretary salary in Winston-Salem, NC after taxes

$46,370
$15,000$95,000
Filing status:
Gross salary breakdown$46,370
Net 82%
Fed 7%
NC 3%
FICA 8%
Annual take-home$38,097After all taxes
Monthly deposit$3,175Estimated per month
Biweekly paycheck$1,465Every 2 weeks (26/yr)
Effective tax rate17.8%Total tax burden
Federal income tax$3,384 / yr
North Carolina state income tax$1,341 / yr
FICA (Social Security & Medicare)$3,547 / yr
Customize deductions in full North Carolina calculator

Medical secretaries pay range in Winston-Salem, NC, hourly and yearly

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

What medical secretaries earned in the Winston-Salem, NC metro area, May 2025
PercentileHourlyMonthlyYearlyAfter tax a year (NC)
10th percentile$17.58/hr$3,047$36,560$30,606
25th percentile$18.67/hr$3,237$38,840$32,347
MedianMedian$22.29/hr$3,864$46,370$38,097
75th percentile$22.74/hr$3,943$47,310$38,815
90th percentile$26.29/hr$4,557$54,680$44,442

Is $46,370 a good salary in Winston-Salem, 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$65,975Census Bureau ACS
Local price level (U.S. = 100)92.08% below national average
One paycheck vs. a household70.3%of area median income

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

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Medical secretaries pay in other North Carolina metros

Metros in the same state that are closest in size to Winston-Salem, NC. A statewide average can hide differences this large.

Medical secretary pay in Winston-Salem, NC: common questions

What is the median salary for medical secretaries in Winston-Salem, NC?

The BLS median annual wage for medical secretaries in the Winston-Salem, NC metro area was $46,370 in May 2025, about $3,864 a month or $22.29 an hour. Statewide, the North Carolina median for this job is $44,190, so the metro pays 5% above the state.

What is the hourly pay for medical secretaries in Winston-Salem, NC?

The median hourly wage for medical secretaries in Winston-Salem, NC was $22.29 in the BLS survey. One in ten earned less than $17.58 an hour and one in ten earned more than $26.29.

How many medical secretaries work in Winston-Salem, NC?

BLS estimated 3,980 jobs for medical secretaries in the metro in May 2025, or 14.6 of every 1,000 jobs. Its location quotient of 2.36 means the job is more concentrated here than in the country as a whole.

What is the pay range for medical secretaries in Winston-Salem, NC?

BLS wage estimates for medical secretaries in Winston-Salem, NC run from $36,560 at the 10th percentile to $38,840 at the 25th, $47,310 at the 75th, and $54,680 at the 90th. These are points in the wage distribution, not experience levels.

How much do medical secretaries take home after taxes in Winston-Salem, NC?

On a median gross salary of $46,370, an estimated $38,097 lands in net take-home pay per year ($1,465 biweekly) for a single filer claiming the standard deduction in North Carolina in 2026. Total tax withholding equals $8,273 (an effective rate of 17.8%).

How much do medical secretaries make per month in Winston-Salem, NC?

On the median annual salary of $46,370, gross monthly income is $3,864. After federal, FICA, and North Carolina state income taxes, estimated net take-home pay is $3,175 per month (or $1,465 every two weeks).

Is $46,370 a good salary in Winston-Salem, NC?

At $46,370, the median salary for medical secretaries is 70.3% of the Winston-Salem, NC median household income ($65,975). It is about the same as the $46,380 median for all jobs in the metro. The BEA regional price parity is 92.0, so prices here run 8% below the U.S. average.