Medical Administrative Assistant salary in Sacramento-Roseville, CA

Pay in Sacramento-Roseville against California and the US

The middle half of medical administrative assistants in Sacramento-Roseville earns $46,490–$64,060. The top tenth earns $76,580 or more, 1.8 times the bottom tenth, close to the US pattern of 1.7 times. The mean ($57,130) is no higher than the median, so few high earners skew the figures here. From the 25th to the 75th percentile, the local range is $17,570 wide, wider than in California as a whole ($16,740) and the US ($12,010), so what a medical administrative assistant earns in Sacramento-Roseville depends more on the employer.

What to budget for a medical administrative assistant here

Local pay is bunched just above the median: the 75th percentile is only $6,330 over it, while the 25th sits $11,240 below. Moving an offer from the median to the 75th percentile costs about $8,168 more a year with benefits. 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 10th and 25th percentiles in Sacramento-Roseville, and the California statewide median of $54,490 falls between the 25th percentile and the median. An offer at the national rate would be lower than what three quarters of local medical administrative assistants earn.

What a hire really costs in Sacramento-Roseville

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 $16,760 to the $57,730 median and brings it to $74,490 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 Sacramento-Roseville

Of the 17 roles we track in Sacramento-Roseville, this one ranks #11 by median pay, between HR assistants ($58,610) and bookkeepers ($56,840). Project Coordinator is the highest at $124,350.

Measured against the US median, this job is the best paid of the 17 roles we track in Sacramento-Roseville (+25.7%); marketing specialists come last (-0.2%). The typical role here is at +13.0%, so, measured against the US, medical administrative assistants cost more in Sacramento-Roseville than the area's general pay level would suggest. Medical administrative assistants hold 7.9% of the jobs in these 17 roles in Sacramento-Roseville, 6.9% across California and 6.1% nationally. The job is a bigger part of the local workforce in these roles than it is nationally.

Other areas in California

Across the 28 areas of California with data for this job, the median runs from $45,820 in El Centro to $69,350 in San Jose-Sunnyvale, a gap of $23,530 a year. Of the 4 areas in California with more medical administrative assistants than Sacramento-Roseville, 3 pay less: Los Angeles-Long Beach, CA ($51,410), San Diego-Chula Vista, CA ($51,650) and Riverside-San Bernardino, CA ($49,820).

Sacramento-Roseville against other US metro areas

By number of jobs, Sacramento-Roseville is #26 of 514 US areas for this job. It is one of the larger markets for this job and one of the better-paying ones. Outside California, Longview-Kelso and Seattle-Tacoma pay just above Sacramento-Roseville and Bellingham and Portland-Vancouver just below. Of the three markets with about as many medical administrative assistants, none pays as much.

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How these pages are built: methodology and data sources. Last updated 2026-11-12.