Sioux City, IA-NE-SD · BLS OEWS & BEA Regional Data

Medical Secretary Salary in Sioux City, IA-NE-SD

In the Sioux City, IA-NE-SD metropolitan area, medical secretaries earned a median annual wage of $40,400 ($19.42/hour) in the BLS May 2025 OEWS survey. The 10th percentile was $34,700/year and the 90th was $49,400/year; these percentiles do not measure years of experience. Applying 2026 federal and Iowa tax rules to the survey median leaves an estimated $33,758 in take-home pay. The metro price index is 86.5 against a national baseline of 100.

Wage Benchmark Overview

Median Annual Salary

$40,400$19.42 per hour · $3,367 monthly
10th Percentile$34,700$16.68/hr base
25th Percentile$37,000$17.79/hr base
75th Percentile$46,300$22.26/hr base
90th Percentile$49,400$23.75/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 Pay Explorer

$40,400
$15,000$85,000
Filing status:
Gross salary breakdown$40,400
Net 84%
Fed 7%
IA 2%
FICA 8%
Annual take-home$33,758After all taxes
Monthly deposit$2,813Estimated per month
Biweekly paycheck$1,298Every 2 weeks (26/yr)
Effective tax rate16.4%Total tax burden
Federal income tax$2,668 / yr
Iowa state income tax$883 / yr
FICA (Social Security & Medicare)$3,091 / yr

Medical Secretaries and Administrative Assistants Wage Percentiles in Sioux City, IA-NE-SD

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 Sioux City, IA-NE-SD Metropolitan Area
Earning TierHourly WageMonthly GrossAnnual GrossEst. Annual Net (IA)
10th Percentile$16.68/hr$2,892$34,700$29,395
25th Percentile$17.79/hr$3,083$37,000$31,155
Median (50th Percentile)Metro Benchmark$19.42/hr$3,367$40,400$33,758
75th Percentile$22.26/hr$3,858$46,300$38,274
90th Percentile$23.75/hr$4,117$49,400$40,648

Cost of Living & Purchasing Power in Sioux City, IA-NE-SD

A dollar does not buy the same basket of goods everywhere. Compare how $$40,400 measures up against local economic conditions:

Metro Median Household Income$75,192Census Bureau ACS
BEA Price Parity Index86.513.5% below national average
Individual vs Household Ratio53.7%of area median income

Compare medical secretaries salaries statewide and examine overall earnings in Iowa:

Frequently Asked Questions About Medical Secretaries and Administrative Assistants Pay in Sioux City, IA-NE-SD

What is the median salary for medical secretaries in Sioux City, IA-NE-SD?

The official BLS median annual wage for medical secretaries in Sioux City, IA-NE-SD is $40,400, which equates to approximately $3,367 per month or $19.42 per hour for a 2,080-hour work year.

What is the hourly pay for medical secretaries in Sioux City, IA-NE-SD?

The median hourly wage for medical secretaries in Sioux City, IA-NE-SD is $19.42 per hour based on the BLS survey. One in ten earned less than $16.68/hour and one in ten earned more than $23.75/hour.

What is the pay range for medical secretaries in Sioux City, IA-NE-SD?

BLS wage estimates for medical secretaries in Sioux City, IA-NE-SD span from $34,700 at the 10th percentile to $37,000 at the 25th, $46,300 at the 75th, and $49,400 at the 90th. These are wage distribution points, not experience levels.

How much do medical secretaries take home after taxes in Sioux City, IA-NE-SD?

On a median gross salary of $40,400, an estimated $33,758 lands in net take-home pay per year ($1,298 biweekly) for a single filer claiming the standard deduction in Iowa in 2026. Total tax withholding equals $6,642 (an effective rate of 16.4%).

How much do medical secretaries make per month in Sioux City, IA-NE-SD?

On the median annual salary of $40,400, gross monthly income is $3,367. After federal, FICA, and Iowa state income taxes, estimated net take-home pay is $2,813 per month (or $1,298 every two weeks).

Is $40,400 a good salary in Sioux City, IA-NE-SD?

At $40,400, the median salary for medical secretaries is 53.7% of the Sioux City, IA-NE-SD median household income ($75,192). According to the U.S. Bureau of Economic Analysis (BEA), the metropolitan price parity index is 86.5, making regional consumer goods and services 13.5% cheaper than the U.S. average.