Medical Secretary and Administrative Assistant salary in Texas
Updated Updated for 2026 tax law
A medical secretary and administrative assistant in Texas earns a median of $42,910 a year ($20.63/hour equivalent), 6.6% below the national median of $45,930. Texas ranks #39 of 51 states. About 78,740 people do this job in Texas.
Take-home pay in Texas
At the Texas median, a single filer keeps about $36,658 a year after federal, FICA and Texas taxes — $1,410 every two weeks. Try your own numbers with the Texas paycheck calculator.
- Gross pay
- $1,650.38
- Federal income tax
- −$114.20
- Social Security (6.2%)
- −$102.32
- Medicare (1.45%)
- −$23.93
- Texas income tax
- $0.00No state income tax on wages
- Take-home pay
- $1,409.93
Annual breakdown
- Gross
- $42,910
- Federal
- $2,969
- FICA
- $3,283
- State + local
- $0
- Net
- $36,658
- Marginal federal rate
- 12.0%
- Marginal state rate
- 0.0%
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 Texas 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 |
| #39 | Texas | $42,910 |
| #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 Texas?
The median salary is $42,910 a year and the average is $43,270 (BLS May 2025).
Is Texas a good state for medical secretaries and administrative assistants?
Texas ranks #39 of 51 states for median pay in this job, 7% below the national median of $45,930.
What is $42,910 after taxes in Texas?
About $36,658 a year ($1,410 every two weeks) for a single filer in 2026.
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Estimates for information only — not tax, legal or financial advice.