Medical Administrative Assistant salary in Winston-Salem, NC

Pay in Winston-Salem against North Carolina and the US

The middle half of medical administrative assistants in Winston-Salem earns $38,840–$47,310. Pay is tightly grouped: the top tenth starts at $54,680, only 1.5 times the bottom tenth, against 1.7 times across the US, so the going rate is easier to read. The mean ($44,640) 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 only $8,470 wide, against $9,510 across North Carolina and $12,010 nationally: employers in Winston-Salem pay within a narrower band.

What to budget for a medical administrative assistant here

Local pay is bunched just above the median: the 75th percentile is only $940 over it, while the 25th sits $7,530 below. Moving an offer from the median to the 75th percentile costs about $1,213 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 25th percentile and the median in Winston-Salem, and the North Carolina statewide median of $44,190 falls there too.

What a hire really costs in Winston-Salem

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 $13,462 to the $46,370 median and brings it to $59,832 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 Winston-Salem

Of the 17 roles we track in Winston-Salem, this one ranks #11 by median pay, between bookkeepers ($48,360) and administrative assistants ($45,640). Project Coordinator is the highest at $79,560.

Measured against the US median, this job is the best paid of the 17 roles we track in Winston-Salem (+1.0%); project coordinators come last (-22.2%). The typical role here is at -9.7%, so, measured against the US, medical administrative assistants cost more in Winston-Salem than the area's general pay level would suggest. Medical administrative assistants hold 15.3% of the jobs in these 17 roles in Winston-Salem, 10.9% across North Carolina and 6.1% nationally. The job is a bigger part of the local workforce in these roles than it is nationally.

Other areas in North Carolina

Across the 18 areas of North Carolina with data for this job, the median runs from $37,600 in Fayetteville to $46,860 in Durham-Chapel Hill, a gap of $9,260 a year. Of the 3 areas in North Carolina with more medical administrative assistants than Winston-Salem, 1 pays less: Charlotte-Concord, NC-SC ($45,650).

Winston-Salem against other US metro areas

By number of jobs, Winston-Salem is #47 of 514 US areas for this job. It is one of the larger markets for this job, with pay near the middle of the US range. Outside North Carolina, Atlanta-Sandy Springs and Austin-Round Rock pay just above Winston-Salem and Omaha and Columbus just below. All four are within $150 a year of the median in Winston-Salem. Of the three markets with about as many medical administrative assistants, one pays more.

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