Medical Secretaries and Administrative Assistants Salary in St. Louis, MO (2024)
Medical Secretaries and Administrative Assistants in the St. Louis, MO-IL metro area earn a median of $43,140 per year ($20.74 per hour) based on 6,200 jobs counted by the Bureau of Labor Statistics in 2024. That is -3.4% against the national median of $44,640 for this occupation.
Pay distribution
The median is a single point on a wide curve. The table below shows where medical secretaries and administrative assistants actually sit across the pay range in St. Louis, MO, from the bottom decile to the top.
| Percentile | Hourly | Annual | Note |
|---|---|---|---|
| 10th percentile | $16.29 | $33,880 | |
| 25th percentile | $18.26 | $37,990 | |
| Median | $20.74 | $43,140 | half earn more, half earn less |
| 75th percentile | $24.38 | $50,710 | |
| 90th percentile | $28.25 | $58,770 | |
| Average (mean) | $21.41 | $44,520 |
How St. Louis, MO compares
The local median of $43,140 runs -3.4% below the US median of $44,640 for this occupation; it pays 10.7% less than the metro-wide median across all jobs ($48,290); within the metro it ranks 514th of 653 detailed occupations by median pay.
| Benchmark | Median annual | Difference |
|---|---|---|
| St. Louis, MO — this occupation | $43,140 | — |
| US median, same occupation (all areas) | $44,640 | -3.4% |
| St. Louis, MO — all occupations | $48,290 | -10.7% |
| Highest metro in the US for this job | $61,090 | -29.4% |
The location quotient of 0.86 is close to 1.0: the occupation's share of local employment tracks the national average.
High confidence The relative standard error on this estimate is 1.7%, which is a tight margin — the figure is stable enough to plan around.
Ranked 514th of 653 detailed occupations in the metro by median annual wage.
Highest-paying jobs in St. Louis, MO
To put $43,140 in context, these are the best-paid detailed occupations in the same metro area. This occupation sits 514th.
| Occupation | Median annual | Employment |
|---|---|---|
| Pediatricians, General | $211,070 | 110 |
| Physicians, Pathologists | $199,990 | — |
| Nurse Anesthetists | $192,070 | 310 |
| Physicists | $180,450 | 50 |
| Chief Executives | $172,600 | 1,840 |
| Natural Sciences Managers | $161,450 | 520 |
| Judges, Magistrate Judges, and Magistrates | $156,210 | 180 |
| Architectural and Engineering Managers | $155,100 | 1,160 |
| Computer and Information Systems Managers | $154,760 | 4,680 |
| Financial Managers | $140,240 | 6,890 |
Where medical secretaries and administrative assistants earn the most
Across the 25 metro areas with released data for this occupation, medians run from $38,330 to $61,090. These are the top markets.
| Metro area | Median annual | Employment |
|---|---|---|
| San Francisco-Oakland-Fremont, CA | $61,090 | 14,000 |
| Seattle-Tacoma-Bellevue, WA | $60,470 | 7,110 |
| Portland-Vancouver-Hillsboro, OR-WA | $52,260 | 8,470 |
| Los Angeles-Long Beach-Anaheim, CA | $50,770 | 45,160 |
| Boston-Cambridge-Newton, MA-NH | $50,460 | 16,540 |
| San Diego-Chula Vista-Carlsbad, CA | $50,450 | 10,320 |
| Minneapolis-St. Paul-Bloomington, MN-WI | $50,160 | 8,420 |
| New York-Newark-Jersey City, NY-NJ | $49,180 | 32,640 |
| Riverside-San Bernardino-Ontario, CA | $48,200 | 10,750 |
| Phoenix-Mesa-Chandler, AZ | $47,560 | 12,250 |
See the full national picture on the Medical Secretaries and Administrative Assistants salary by metro page.
Frequently asked questions
What is the median salary for medical secretaries and administrative assistants in St. Louis, MO?
The median annual wage is $43,140, or $21 per hour. That means half of the medical secretaries and administrative assistants working in the St. Louis, MO-IL metro area earn more than this figure and half earn less. The average is $44,520.
What do the highest and lowest paid medical secretaries and administrative assistants in St. Louis, MO earn?
The bottom 10% earn $33,880 or less, while the top 10% earn $58,770 or more — a spread of $24,890 between the two ends of the distribution. The middle half of workers sit between $37,990 and $50,710.
Is medical secretaries and administrative assistants pay in St. Louis, MO above the local average?
Yes, it is 10.7% below the all-occupation median for the metro, which is $48,290. That comparison is the fairer one for judging local purchasing power, because it holds the metro's overall cost and wage level constant.
How does St. Louis, MO pay compare with the rest of the US for this job?
At $43,140 the metro median is 3.4% lower than the US median of $44,640 for medical secretaries and administrative assistants. Across the 25 metro areas covered here, this occupation ranges from $38,330 to $61,090.
How many medical secretaries and administrative assistants work in St. Louis, MO?
BLS counts about 6,200 people in this occupation in the metro area, or 4.63 jobs per 1,000 total jobs. The location quotient of 0.86 is close to 1.0: the occupation's share of local employment tracks the national average.
About these figures
Figures come from the Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey for 2024 (employment relative standard error 7.5%). OEWS measures what employers pay, not what any individual earns; it excludes self-employed workers, and it does not adjust for local cost of living.
Read the full methodology, or the original data at bls.gov/oes.