Medical Secretary and Administrative Assistant salary in Missouri
Updated Updated for 2026 tax law
A medical secretary and administrative assistant in Missouri earns a median of $43,980 a year ($21.14/hour equivalent), 4.2% below the national median of $45,930. Missouri ranks #35 of 51 states. About 12,260 people do this job in Missouri.
Take-home pay in Missouri
At the Missouri median, a single filer keeps about $36,425 a year after federal, FICA and Missouri taxes — $1,401 every two weeks. Try your own numbers with the Missouri paycheck calculator.
- Gross pay
- $1,691.54
- Federal income tax
- −$119.14
- Social Security (6.2%)
- −$104.88
- Medicare (1.45%)
- −$24.53
- Missouri income tax
- −$42.05
- Take-home pay
- $1,400.95
Annual breakdown
- Gross
- $43,980
- Federal
- $3,098
- FICA
- $3,364
- State + local
- $1,093
- Net
- $36,425
- Marginal federal rate
- 12.0%
- Marginal state rate
- 4.7%
2026 federal brackets (Rev. Proc. 2025-32) and 2026 state rules. Estimates assume wages are your only income and use annual liability, so your actual withholding can differ slightly.
How Missouri compares
| Rank | State | Median salary |
|---|---|---|
| #1 | Washington | $58,100 |
| #2 | California | $54,490 |
| #3 | Massachusetts | $50,290 |
| #4 | Oregon | $50,130 |
| #5 | Minnesota | $50,030 |
| #35 | Missouri | $43,980 |
| #49 | Alabama | $36,930 |
| #50 | Louisiana | $36,930 |
| #51 | Mississippi | $36,290 |
See the national medical secretary and administrative assistant salary page for the full pay range and all states.
BLS occupation: Medical Secretaries and Administrative Assistants (SOC 43-6013), May 2025, state estimates.
Frequently asked questions
How much does a medical secretary and administrative assistant make in Missouri?
The median salary is $43,980 a year and the average is $44,070 (BLS May 2025).
Is Missouri a good state for medical secretaries and administrative assistants?
Missouri ranks #35 of 51 states for median pay in this job, 4% below the national median of $45,930.
What is $43,980 after taxes in Missouri?
About $36,425 a year ($1,401 every two weeks) for a single filer in 2026.
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Estimates for information only — not tax, legal or financial advice.