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Medical Records Specialists Salary in North Carolina: Cost of Living Adjusted (2025)

Last updated: 2025 BLS data · Page refreshed:

What does a Medical Records Specialists salary really buy you in North Carolina?

North Carolina is 5.8% cheaper than the US average

Data: BLS OEWS 2025 + BEA Regional Price Parities 2022 • Updated 2026-05-19

Nominal Salary
$49,620
Median annual (2025)
+6.2%
Real Purchasing Power
$52,675
COL-adjusted (RPP=94.2)

North Carolina Cost of Living Index

North Carolina's Regional Price Parity (RPP) is 94.2, meaning prices are 5.8% lower the national average. A Medical Records Specialists earning $49,620 in North Carolina has the equivalent purchasing power of $52,675 in an average-cost US state.

NC: 94.2
Cheapest (~85) US Avg (100) Priciest (~115)

Salary Breakdown: Nominal vs. COL-Adjusted

Every dollar goes further in low-cost states. Here is how each salary percentile compares after adjusting for North Carolina's cost of living.

Percentile Nominal Salary COL-Adjusted Difference
10th Percentile (P10) $36,840 $39,108 +$2,268
25th Percentile (P25) $41,490 $44,044 +$2,554
Median (P50) $49,620 $52,675 +$3,055
75th Percentile (P75) $64,800 $68,789 +$3,989
90th Percentile (P90) $79,670 $84,575 +$4,905
Key Insight

A Medical Records Specialists in North Carolina earns $49,620 on paper, but low living costs mean your money goes 6% further — like earning $52,675 in an average-cost state. This makes North Carolina one of the best value states for this occupation.

What the Cost-of-Living Data Says

North Carolina Sits Near the National Cost Benchmark

RPP 94.2

With an RPP of 94.2, North Carolina is within a few percent of the national cost-of-living baseline. Salary adjustment for Medical Records Specialists is therefore minor — what you earn is close to what you'd keep in real purchasing power.

Meaningful Purchasing-Power Shift

+6.2%

After applying North Carolina's RPP, the $49,620 median salary translates to $52,675 in real terms — a 6.2% gain. That difference can cover several months of expenses over a year for a Medical Records Specialists.

Below-Median Adjusted Pay

#34 / 51

North Carolina's rank of #34 of 51 states means real purchasing power for Medical Records Specialists trails the national half-way line.

Best States for Medical Records Specialists (After Cost of Living)

Where does Medical Records Specialists salary stretch the furthest? Top 10 states ranked by COL-adjusted median salary.

$65,308
RPP 92.3
$63,153
RPP 91.0
$62,978
RPP 97.7
$61,783
RPP 116.6
$61,088
RPP 104.7
$60,202
RPP 88.8
7. Alaska
$59,892
RPP 102.0
8. Wyoming
$58,988
RPP 91.9
$58,647
RPP 88.0
10. Idaho
$58,235
RPP 91.8

North Carolina ranks #34 out of 51 states for Medical Records Specialists after cost-of-living adjustment.

How much do you actually take home? See Medical Records Specialists take-home pay in North Carolina after taxes →

Frequently Asked Questions

What is the real salary for a Medical Records Specialists in North Carolina after cost of living?

A Medical Records Specialists in North Carolina earns a median salary of $49,620 per year. After adjusting for North Carolina's cost of living (RPP=94.2), the real purchasing power is $52,675 — a +6.2% difference.

Is North Carolina expensive to live in?

North Carolina's cost of living is 5.8% lower than the national average according to the BEA Regional Price Parities (2022). The RPP index for North Carolina is 94.2 (US average = 100).

What are Regional Price Parities (RPP)?

Regional Price Parities (RPPs) are price indexes published by the U.S. Bureau of Economic Analysis (BEA) that measure differences in price levels across states. They are expressed as a percentage of the national average (US = 100). Higher RPP means higher cost of living.

How is the cost-of-living adjusted salary calculated?

The adjusted salary is calculated as: Nominal Salary x (100 / RPP). For a Medical Records Specialists in North Carolina: $49,620 x (100 / 94.2) = $52,675. This represents what the salary would be worth in a state with average living costs.

Is it better to be a Medical Records Specialists in North Carolina financially?

From a purchasing power perspective, yes. A Medical Records Specialists in North Carolina enjoys 6.2% more buying power than the nominal salary suggests, because living costs are below the national average. However, other factors like job availability, career growth, and quality of life also matter.

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