Medical Administrative Assistant salary in Charleston, WV
For this job Charleston sits right at the West Virginia figure, with a median of $38,540 a year1. That is about level with the West Virginia statewide median of $38,430, and 16.1% below the US median of $45,930. Among US areas it comes in at #378 of 516. The market is small, about 280 people, 18% of the West Virginia total, so expect few local candidates at a time.
BLS occupation 43-6013, area Charleston, WV. Data from the May 2025 release, checked 2026-10-15.
Pay in Charleston against West Virginia and the US
| Range | 10th | Median | 90th | |
|---|---|---|---|---|
| Charleston, WV | $32,960 | $38,540 | $50,690 | |
| West Virginia | $30,910 | $38,430 | $50,690 | |
| United States | $35,930 | $45,930 | $60,530 |
Medical administrative assistants at the 90th percentile earn $50,690, 1.5 times the 10th percentile; the US ratio is 1.7. The middle half of medical administrative assistants in Charleston earns $37,610–$44,860. From the 25th to the 75th percentile, the local range is only $7,250 wide, against $10,100 across West Virginia and $12,010 nationally: employers in Charleston pay within a narrower band.
What to budget for a medical administrative assistant here
| Point in the local range | Per year | Per month | Per hour | Employer cost per year |
|---|---|---|---|---|
| 10th percentile | $32,960 | $2,747 | $15.85 | $42,529 |
| 25th percentile | $37,610 | $3,134 | $18.08 | $48,529 |
| Median | $38,540 | $3,212 | $18.53 | $49,729 |
| 75th percentile | $44,860 | $3,738 | $21.57 | $57,884 |
| 90th percentile | $50,690 | $4,224 | $24.37 | $65,406 |
Pay climbs faster above the median than below it here: the 75th percentile is $6,320 over the median, the 25th only $930 under it. An offer at the 75th percentile adds about $8,155 a year in employer cost. These percentiles describe what people in the job earn locally, not experience levels, so place your offer by the tasks and seniority you need.
For scale, the US median of $45,930 falls between the 75th and 90th percentiles in Charleston, and the West Virginia statewide median of $38,430 falls between the 25th percentile and the median. An offer at the national rate would beat what three quarters of local medical administrative assistants earn.
What a hire really costs in Charleston
Pay is only part of it. Benefits and payroll taxes other than paid leave are 22.5% of total compensation in US private industry2, which adds about $11,189 to the $38,540 median and brings it to $49,729 a year. Recruiting, equipment and office space come on top. Benefit levels vary by employer, so treat this as an estimate.
We place executive assistants, customer support and e-commerce staff today; for medical administrative assistants we answer within one business day whether we can help. Enter the monthly pay you have in mind to compare it with a local hire. The fee field shows our standard fee3; Deel's contractor plan is the default payroll tool4.
Other roles in Charleston
Of the 16 roles we track in Charleston, this one ranks #13 by median pay, between HR assistants ($41,970) and customer support specialists ($37,480). Project Coordinator is the highest at $89,600.
| Role | Median | vs medical administrative assistant | Jobs |
|---|---|---|---|
| Bookkeeper | +12.5% | 1,050 | |
| HR Assistant | +8.9% | 110 | |
| Medical Administrative Assistant | this role | 280 | |
| Customer Support Specialist | -2.8% | 1,650 | |
| Data Entry Specialist | -5.0% | 110 |
Measured against the US median, medical administrative assistants rank #7 of the 16 roles we track in Charleston (-16.1%), between bookkeepers (-14.4%) and customer support specialists (-16.3%). The typical role here is at -16.7%, so this job follows the area's general pay level. Medical administrative assistants hold 2.8% of the jobs in these 16 roles in Charleston, 2.6% across West Virginia and 6.1% nationally. The job is a smaller part of the local workforce in these roles than it is nationally.
Other areas in West Virginia
Across the 9 areas of West Virginia with data for this job, the median runs from $36,370 in the Southern West Virginia nonmetro area to $39,200 in Wheeling, a gap of $2,830 a year. The one area in West Virginia with more medical administrative assistants, Huntington-Ashland, WV-KY ($37,500), pays less: a bigger pool at a lower median.
| Area | Median | vs Charleston | Jobs |
|---|---|---|---|
| Wheeling, WV-OH | +1.7% | 160 | |
| Charleston, WV | this area | 280 | |
| Morgantown, WV | -1.1% | 250 | |
| Parkersburg-Vienna, WV | -1.2% | 60 | |
| Beckley, WV | -2.3% | 60 | |
| Huntington-Ashland, WV-KY | -2.7% | 1,240 | |
| Weirton-Steubenville, WV-OH | -2.7% | 190 |
Charleston against other US metro areas
By number of jobs, Charleston is #411 of 514 US areas for this job. The market is small, and its pay sits near the middle of the US range. Outside West Virginia, Macon-Bibb County and Jacksonville pay just above Charleston and Youngstown-Warren and Knoxville just below. All four are within $120 a year of the median in Charleston. Of the three markets with about as many medical administrative assistants, two pay more.
| Metro area | Median | vs Charleston | Jobs | Close in |
|---|---|---|---|---|
| Odessa, TX | +4.4% | 280 | jobs | |
| Altoona, PA | +3.6% | 280 | jobs | |
| Jacksonville, NC | +0.1% | 530 | pay | |
| Macon-Bibb County, GA | +0.1% | 1,120 | pay | |
| Charleston, WV | this area | 280 | ||
| Youngstown-Warren, OH | -0.3% | 760 | pay | |
| Knoxville, TN | -0.3% | 6,280 | pay | |
| Fort Smith, AR-OK | -7.0% | 280 | jobs |
Questions
How much does it cost to hire a medical administrative assistant in Charleston, WV?
About $49,729 a year at the median, or $4,144 a month: $38,540 in pay plus about $11,189 in benefits and payroll taxes. Recruiting, equipment and office space are extra.
What do medical administrative assistants earn in Charleston?
The median was $38,540 a year in the May 2025 BLS survey. The 10th percentile was $32,960, the 90th $50,690, and the middle half earned $37,610 to $44,860.
Is Charleston cheaper than the rest of West Virginia for medical administrative assistants?
About the same: a median of $38,540 against $38,430 statewide. The next area up in West Virginia is Wheeling at $39,200, the next down Morgantown at $38,100.
How many medical administrative assistants work in Charleston?
BLS counts about 280 in the May 2025 survey. That is 18% of the West Virginia total of 1,550. Only Huntington-Ashland has more in West Virginia.
Does a medical administrative assistant cost more than a customer support specialist in Charleston?
Yes: $1,060 a year more at the median. The medians are $38,540 and $37,480.
Sources
4 sources, with links
- BLS OEWS May 2025, 43-6013: bls.gov
- BLS Employer Costs for Employee Compensation, private industry, June 2026: bls.gov
- Stafka pricing: stafka.com
- Deel pricing, contractor management: deel.com
How these pages are built: methodology and data sources. Last updated 2026-11-13.