What Medical Secretaries and Administrative Assistants earn in Cuyahoga County, OH
If you are weighing a move or a job offer, start with $45,920: the median annual pay for Medical Secretaries and Administrative Assistants in Cuyahoga County, OH. Spread over a standard 2,080-hour work year, that is $22.08 an hour. Because the wage survey covers the whole Cleveland, OH metropolitan area, the number reflects employers across the region rather than a single town or a single company.
The mean wage is $46,500, which is 1.3% above the median, so pay is spread fairly evenly. The survey counts about 7,120 people working in this occupation across the Cleveland, OH metropolitan area, so the estimate rests on a substantial pool of workers. Cuyahoga County, OH has roughly 1,245,873 residents, according to the population figures used by the rent data.
The salary range, from entry level to top earners
Pay for Medical Secretaries and Administrative Assistants in the Cleveland, OH metropolitan area is not one number. The lowest-paid tenth of workers earn up to $38,290 a year ($18.41 an hour), while the highest-paid tenth earn $59,390 or more ($28.55 an hour). That is a gap of $21,100 between the bottom and the top of the scale. The middle half of workers falls between $39,270 at the 25th percentile and $48,450 at the 75th percentile. A top-tier earner makes 1.6 times what someone at the bottom makes, so experience, certification and employer all matter.
What the hourly rate looks like
Employers quote this occupation by the hour or by the year, so here are both: $22.08 an hour or $45,920 a year at the median for Cuyahoga County, OH. Before any deductions, that is $3,827 a month, $1,766 every two weeks and $883 each week. After taxes the same job pays $18.53 per hour of take-home income, which is the number that actually has to cover rent and groceries.
About this occupation: Medical Secretaries and Administrative Assistants
The U.S. Department of Labor's O*NET database describes the work of Medical Secretaries and Administrative Assistants this way: "Perform secretarial duties using specific knowledge of medical terminology and hospital, clinic, or laboratory procedures. Duties may include scheduling appointments, billing patients, and compiling and recording medical charts, reports, and correspondence."
Core tasks recorded by O*NET include: "Schedule and confirm patient diagnostic appointments, surgeries, or medical consultations"; "Answer telephones and direct calls to appropriate staff"; "Receive and route messages or documents, such as laboratory results, to appropriate staff"; "Greet visitors, ascertain purpose of visit, and direct them to appropriate staff".
Job outlook for Medical Secretaries and Administrative Assistants
The Bureau of Labor Statistics projects national employment in this occupation to grow from 979,000 jobs in 2025 to 1,026,100 in 2035, a change of +4.8%, faster than the 3.5% projected for all occupations. The projection counts 89,200 openings a year on average, including positions created by growth and positions left by workers who retire or move to another occupation; that equals 9.1% of current employment each year.
Typical entry-level education: high school diploma or equivalent. Typical on-the-job training to reach competency: moderate-term on-the-job training. BLS lists a national median annual wage of $45,930 for this occupation; the Cuyahoga County, OH median of $45,920 is 0.0% below it.
How pay in Cuyahoga County, OH compares
Compared with the Ohio average
A worker in this occupation in Cuyahoga County, OH earns $2,182 more than the Ohio average of $43,738, a premium of 5.0%. Over a year that premium is worth $2,182 before tax and roughly $1,831 after tax. Within Ohio, the highest median we track for this job is $46,180 in Hamilton County, OH.
Compared with the national average
Nationally, Medical Secretaries and Administrative Assistants earn an employment-weighted average of $45,555 across the contiguous United States, so $45,920 in Cuyahoga County, OH is essentially average. Keep in mind that a higher salary only helps if living costs do not rise faster, which is why the cost sections below matter as much as the headline number.
Where this job ranks in Cuyahoga County, OH
Among the 549 occupations with published wages in Cuyahoga County, OH, Medical Secretaries and Administrative Assistants ranks number 398 by median pay, ahead of about 28% of them. The best-paying occupation we track here is Software Developers at $111,310 a year, which is $65,390 more than the median for Medical Secretaries and Administrative Assistants.
From gross pay to take-home pay
Three separate tax bills sit between the gross salary and the bank account: federal income tax, FICA, and state income tax. For Medical Secretaries and Administrative Assistants earning the Cuyahoga County, OH median of $45,920, they add up to $7,382. The result is $38,538 of take-home pay a year ($3,211 a month), based on a single filer using the standard deduction.
Put another way, of every $100 earned, about $16 goes to taxes and $84 reaches the paycheck. The overall effective tax rate is 16.1%.
Federal income tax
After the $15,750 standard deduction, taxable income is $30,170. Federal brackets are marginal, so only the slice of income above each threshold is taxed at the higher rate; the last dollars of this salary fall in the 12% bracket. The resulting federal income tax is $3,382, an effective 7.4% of gross pay, well below the 12% marginal rate because the lower brackets are cheaper.
Social Security and Medicare (FICA)
Payroll taxes are a flat percentage of wages. Social Security takes 6.2% up to a wage base of $176,100, which costs $2,847 on this salary. Medicare takes 1.45%, or $666. FICA totals $3,513, which is 7.6% of gross pay.
State income tax in Ohio
Ohio income tax on this salary is $487 a year, or 1.1% of gross pay, after the state's own deductions and exemptions are applied. That is 14% of the federal income tax bill, and it comes out to $41 a month. Local taxes such as county or city income taxes are not included, so a few jurisdictions may withhold slightly more.
A cross-check with IRS data for Cuyahoga County, OH
IRS Statistics of Income data for Cuyahoga County, OH show an average adjusted gross income of $84,200 per return and an average effective federal income tax rate of 14.5% across all filers. Filers in the $25,000 to under $50,000 bracket, where this salary falls, paid an average of 5.2%, compared with the 7.4% estimated here for a single filer taking the standard deduction. Gaps between the two reflect filing status, dependents, credits and other income, none of which a single-person wage estimate includes.
Cost of living in Cuyahoga County, OH
Take-home pay only means something next to what life costs. We price four basics for one adult in Cuyahoga County, OH: a one-bedroom apartment, food, home energy and gasoline. All of them are converted to annual figures first, then compared with the $38,538 of take-home pay.
Rent
Housing is the largest line in most budgets. For Cuyahoga County, OH, HUD sets the Fair Market Rent for a one-bedroom unit at $1,050 a month ($12,600 a year), and at $1,274 for two bedrooms. For Medical Secretaries and Administrative Assistants, a one-bedroom absorbs 32.7% of take-home pay and 27.4% of gross pay.
Food
The USDA Thrifty Food Plan (August 2026) puts the cost of a nutritious home-cooked diet for an adult at about $3,436 a year, which is $286 a month or $66.07 a week. That equals 7.5% of gross pay for Medical Secretaries and Administrative Assistants in Cuyahoga County, OH. It is a thrifty budget with no restaurant meals, so treat it as a floor.
Energy and gasoline
Using Ohio residential prices from the Energy Information Administration and national household averages for consumption, electricity costs about $1,689 a year and other home energy such as natural gas about $525, for $2,214 in total. Gasoline in Ohio averages $3.25 per gallon; at about 463 gallons a year (11,106 miles at 24 miles per gallon) fuel adds $1,504.
What is left over
Rent, food, energy and gasoline cost $19,754 a year in Cuyahoga County, OH. Subtract that from $38,538 of take-home pay and $18,784 remains, which is $1,565 a month of breathing room. That margin equals 40.9% of gross pay, a comfortable cushion by common budgeting rules.
Local housing and commute data for Cuyahoga County, OH
The budget above covers rent, food, energy and gasoline. Three more local facts shape what a paycheck buys in Cuyahoga County, OH: property taxes, housing prices and the daily commute. The figures below are exact U.S. Census Bureau American Community Survey 2020-2024 5-year estimates for Cuyahoga County, OH, set beside the Ohio and national medians.
Property taxes in Cuyahoga County, OH
Homeowners in Cuyahoga County, OH pay a median of $3,910 a year in real estate taxes, 39% above the Ohio median of $2,822 and 25% above the U.S. median of $3,119. Against a median home value of $195,400, the median tax bill is 2.00% of that value (the ratio of the two county medians). For a worker paid the local Medical Secretaries and Administrative Assistants median of $45,920, a tax bill of that size would equal 8.5% of gross pay, which matters for anyone planning to buy rather than rent.
Rents, home prices and household income in Cuyahoga County, OH
Renters in Cuyahoga County, OH pay a median gross rent of $1,060 a month in the Census survey, 3% above the Ohio median of $1,034. HUD's Fair Market Rent for a one-bedroom apartment, which this site uses in the budget, is $1,050 a month; the two measures differ because the Census figure covers units of every size that renters already occupy, while the HUD figure is a one-bedroom benchmark. The median value of an owner-occupied home is $195,400, 9% below the Ohio median of $214,800. Median household income is $64,468, 10% below the Ohio median of $71,389, so a year of one-bedroom Fair Market Rent equals 19.5% of that income.
Commuting in Cuyahoga County, OH
Workers in Cuyahoga County, OH who travel to a workplace spend an average of 23.3 minutes each way, in line with the Ohio average of 23.4. For someone who commutes five days a week, that is 3.9 hours of round-trip travel every week, a cost the budget does not price. 15.5% of workers in Cuyahoga County, OH work from home, compared with 15.1% nationally, which removes the commute for them.
Can Medical Secretaries and Administrative Assistants afford to live in Cuyahoga County, OH?
The 30% rent guideline
A common rule of thumb says rent should stay under 30% of gross income. For a gross salary of $45,920 that ceiling is $1,148 a month. The one-bedroom Fair Market Rent of $1,050 is $98 under it, so rent fits the guideline. Put as a wage, covering a one-bedroom at the 30% guideline takes $20.19 an hour; the median for Medical Secretaries and Administrative Assistants is $22.08, which is 9% above that mark. Another way to see it: at $18.53 of take-home pay an hour, a one-bedroom takes about 13.1 working hours every week.
Splitting a two-bedroom
Sharing a two-bedroom at $1,274 a month means $637 each. Compared with renting a one-bedroom alone, that saves $4,956 a year. With a roommate, the yearly margin after the basics becomes $23,740.
How fast you can save
At $1,565 a month of margin, building a $10,000 emergency fund would take about 7 months. Setting aside half of the margin stretches the same goal to about 14 months. These figures ignore interest, raises and any spending beyond the four basics.
Frequently asked questions about Medical Secretaries and Administrative Assistants pay in Cuyahoga County, OH
How much do Medical Secretaries and Administrative Assistants make per hour in Cuyahoga County, OH?
The median is $22.08 per hour, based on $45,920 a year over 2,080 hours. Hourly pay runs from about $18.41 at the 10th percentile to $28.55 at the 90th percentile.
How much do Medical Secretaries and Administrative Assistants take home after taxes in Cuyahoga County, OH?
After federal income tax, FICA and state income tax, the median salary of $45,920 becomes $38,538 a year. That is $3,211 a month, $1,482 every two weeks or $741 a week.
How much tax do Medical Secretaries and Administrative Assistants pay in Cuyahoga County, OH?
Total taxes are $7,382 a year, an effective rate of 16.1%: $3,382 federal income tax, $3,513 FICA and $487 Ohio income tax.
Do Medical Secretaries and Administrative Assistants earn more in Cuyahoga County, OH than elsewhere in Ohio?
Yes. The local median of $45,920 is +5.0% versus the Ohio average of $43,738, a difference of $2,182 a year.
Can Medical Secretaries and Administrative Assistants afford a one-bedroom apartment in Cuyahoga County, OH?
A one-bedroom costs $1,050 a month against take-home pay of $3,211, which is 32.7% of take-home pay. That meets the 30%-of-gross guideline, which allows up to $1,148 a month.
What is the monthly budget margin for Medical Secretaries and Administrative Assistants in Cuyahoga County, OH?
About $1,565 a month ($18,784 a year) remains after a one-bedroom apartment, food, home energy and gasoline, which together cost $19,754 a year.
What hourly wage covers a one-bedroom in Cuyahoga County, OH at the 30% guideline?
$20.19 an hour for a full-time schedule, calculated as the $12,600 annual rent divided by 0.30 and by 2,080 hours. The median for Medical Secretaries and Administrative Assistants is $22.08.
How we calculated these numbers
Wages are May 2025 medians from the Bureau of Labor Statistics Occupational Employment and Wage Statistics survey for the Cleveland, OH metropolitan area; hourly-only values are annualized at 2,080 hours. Rents are HUD Fair Market Rents, food costs come from the USDA Thrifty Food Plan, and energy prices come from the Energy Information Administration. County-level tax statistics come from the IRS Statistics of Income.
Taxes use tax-year 2025 federal brackets, FICA rates and the Ohio rules for a single filer with wage income only. Figures are estimates for planning and comparison, not tax or financial advice, and they exclude local income taxes, benefits, retirement contributions and individual circumstances.