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Bismarck, ND · BLS OEWS & BEA Regional Data

Medical Secretary Salary in Bismarck, ND

In the Bismarck, ND metropolitan area, medical secretaries earned a median annual wage of $46,400 ($22.31/hour) in the BLS May 2025 OEWS survey. The 10th percentile was $38,300/year and the 90th was $59,500/year; these percentiles do not measure years of experience. Applying 2026 federal and North Dakota tax rules to the survey median leaves an estimated $39,462 in take-home pay. The metro price index is 91.0 against a national baseline of 100.

Wage Benchmark Overview

Median Annual Salary

$46,400$22.31 per hour · $3,867 monthly
10th Percentile$38,300$18.41/hr base
25th Percentile$40,300$19.38/hr base
75th Percentile$51,400$24.71/hr base
90th Percentile$59,500$28.61/hr base

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.

Take-home payWhat $46,000 a year leaves after tax in North DakotaFederal tax, FICA and North Dakota 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 Dakota publishes a wage forThe biggest employers, the best paid, and what is distinctive about North Dakota.

Take-Home Pay Explorer

$46,400
$15,000$95,000
Filing status:
Gross salary breakdown$46,400
Net 85%
Fed 7%
FICA 8%
Annual take-home$39,462After all taxes
Monthly deposit$3,289Estimated per month
Biweekly paycheck$1,518Every 2 weeks (26/yr)
Effective tax rate15%Total tax burden
Federal income tax$3,388 / yr
North Dakota state income taxNo state wage tax$0
FICA (Social Security & Medicare)$3,550 / yr
Customize deductions in full North Dakota calculator

Medical Secretaries and Administrative Assistants Wage Percentiles in Bismarck, ND

Official survey estimates from the U.S. Bureau of Labor Statistics (BLS). Full-time calculations assume standard 2,080 annual working hours.

Wage Distribution for Medical Secretaries and Administrative Assistants in the Bismarck, ND Metropolitan Area
Earning TierHourly WageMonthly GrossAnnual GrossEst. Annual Net (ND)
10th Percentile$18.41/hr$3,192$38,300$32,954
25th Percentile$19.38/hr$3,358$40,300$34,561
Median (50th Percentile)Metro Benchmark$22.31/hr$3,867$46,400$39,462
75th Percentile$24.71/hr$4,283$51,400$43,480
90th Percentile$28.61/hr$4,958$59,500$49,988

Cost of Living & Purchasing Power in Bismarck, ND

A dollar does not buy the same basket of goods everywhere. Compare how $$46,400 measures up against local economic conditions:

Metro Median Household Income$85,156Census Bureau ACS
BEA Price Parity Index91.09% below national average
Individual vs Household Ratio54.5%of area median income

Compare medical secretaries salaries statewide and examine overall earnings in North Dakota:

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Medical Secretaries and Administrative Assistants pay in other North Dakota metros

These metro areas are in the same state and closest in population to Bismarck, ND. Compare their wage distributions before using a statewide average.

Frequently Asked Questions About Medical Secretaries and Administrative Assistants Pay in Bismarck, ND

What is the median salary for medical secretaries in Bismarck, ND?

The official BLS median annual wage for medical secretaries in Bismarck, ND is $46,400, which equates to approximately $3,867 per month or $22.31 per hour for a 2,080-hour work year.

What is the hourly pay for medical secretaries in Bismarck, ND?

The median hourly wage for medical secretaries in Bismarck, ND is $22.31 per hour based on the BLS survey. One in ten earned less than $18.41/hour and one in ten earned more than $28.61/hour.

What is the pay range for medical secretaries in Bismarck, ND?

BLS wage estimates for medical secretaries in Bismarck, ND span from $38,300 at the 10th percentile to $40,300 at the 25th, $51,400 at the 75th, and $59,500 at the 90th. These are wage distribution points, not experience levels.

How much do medical secretaries take home after taxes in Bismarck, ND?

On a median gross salary of $46,400, an estimated $39,462 lands in net take-home pay per year ($1,518 biweekly) for a single filer claiming the standard deduction in North Dakota in 2026. Total tax withholding equals $6,938 (an effective rate of 15%).

How much do medical secretaries make per month in Bismarck, ND?

On the median annual salary of $46,400, gross monthly income is $3,867. After federal, FICA, and North Dakota state income taxes, estimated net take-home pay is $3,289 per month (or $1,518 every two weeks).

Is $46,400 a good salary in Bismarck, ND?

At $46,400, the median salary for medical secretaries is 54.5% of the Bismarck, ND median household income ($85,156). According to the U.S. Bureau of Economic Analysis (BEA), the metropolitan price parity index is 91.0, making regional consumer goods and services 9% cheaper than the U.S. average.