Medical Administrative Assistant salary in Waco, TX

Pay in Waco against Texas and the US

The middle half of medical administrative assistants in Waco earns $36,190–$45,330. Pay is tightly grouped: the top tenth starts at $48,690, only 1.5 times the bottom tenth, against 1.7 times across the US, so the going rate is easier to read. From the 25th to the 75th percentile, the local range is only $9,140 wide, against $10,680 across Texas and $12,010 nationally: employers in Waco pay within a narrower band.

What to budget for a medical administrative assistant here

Pay climbs faster above the median than below it here: the 75th percentile is $7,140 over the median, the 25th only $2,000 under it. An offer at the 75th percentile adds about $9,213 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 Waco, and the Texas statewide median of $42,910 falls between the median and the 75th percentile. An offer at the national rate would beat what three quarters of local medical administrative assistants earn.

What a hire really costs in Waco

At the $38,190 median, a local hire costs about $49,277 a year: benefits and payroll taxes other than paid leave are 22.5% of total compensation in US private industry², about $11,087 here. 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 Waco

Of the 17 roles we track in Waco, this one ranks #16 by median pay, between customer support specialists ($38,810) and virtual receptionists ($32,810). Project Coordinator is the highest at $78,580.

Measured against the US median, medical administrative assistants rank #14 of the 17 roles we track in Waco (-16.9%), between recruiters (-16.6%) and sales development representatives (-22.0%). The typical role here is at -12.5%, so, measured against the US, medical administrative assistants cost less in Waco than the area's general pay level would suggest. Medical administrative assistants hold 4.2% of the jobs in these 17 roles in Waco, 5.0% across Texas and 6.1% nationally. The job is a smaller part of the local workforce in these roles than it is nationally.

Other areas in Texas

Across the 32 areas of Texas with data for this job, the median runs from $35,340 in Texarkana to $46,510 in Austin-Round Rock, a gap of $11,170 a year. Of the 19 areas in Texas with more medical administrative assistants than Waco, 7 pay less, the largest of them McAllen-Edinburg, TX ($36,370), El Paso, TX ($36,790) and the North Region of Texas nonmetro area ($37,600).

Waco against other US metro areas

By number of jobs, Waco is #276 of 514 US areas for this job. It is a mid-sized market, and its pay is in the bottom quarter of US areas. Outside Texas, Evansville and Albany pay just above Waco and Sierra Vista-Douglas and Watertown-Fort Drum just below. All four are within $50 a year of the median in Waco. Of the three markets with about as many medical administrative assistants, two pay more.

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Sources

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