What does a Medical Secretaries and Administrative Assistants salary really buy you in North Dakota?
North Dakota is 11.3% cheaper than the US averageData: BLS OEWS 2024 + BEA Regional Price Parities 2022 • Updated 2026-03-31
North Dakota's Regional Price Parity (RPP) is 88.7, meaning prices are 11.3% lower the national average. A Medical Secretaries and Administrative Assistants earning $44,040 in North Dakota has the equivalent purchasing power of $49,650 in an average-cost US state.
Every dollar goes further in low-cost states. Here is how each salary percentile compares after adjusting for North Dakota's cost of living.
| Percentile | Nominal Salary | COL-Adjusted | Difference |
|---|---|---|---|
| 10th Percentile (P10) | $36,400 | $41,037 | +$4,637 |
| 25th Percentile (P25) | $37,660 | $42,457 | +$4,797 |
| Median (P50) | $44,040 | $49,650 | +$5,610 |
| 75th Percentile (P75) | $48,950 | $55,186 | +$6,236 |
| 90th Percentile (P90) | $57,530 | $64,859 | +$7,329 |
A Medical Secretaries and Administrative Assistants in North Dakota earns $44,040 on paper, but low living costs mean your money goes 13% further — like earning $49,650 in an average-cost state. This makes North Dakota one of the best value states for this occupation.
Where does Medical Secretaries and Administrative Assistants salary stretch the furthest? Top 10 states ranked by COL-adjusted median salary.
North Dakota ranks #6 out of 50 states for Medical Secretaries and Administrative Assistants after cost-of-living adjustment.
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A Medical Secretaries and Administrative Assistants in North Dakota earns a median salary of $44,040 per year. After adjusting for North Dakota's cost of living (RPP=88.7), the real purchasing power is $49,650 — a +12.7% difference.
North Dakota's cost of living is 11.3% lower than the national average according to the BEA Regional Price Parities (2022). The RPP index for North Dakota is 88.7 (US average = 100).
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.
The adjusted salary is calculated as: Nominal Salary x (100 / RPP). For a Medical Secretaries and Administrative Assistants in North Dakota: $44,040 x (100 / 88.7) = $49,650. This represents what the salary would be worth in a state with average living costs.
From a purchasing power perspective, yes. A Medical Secretaries and Administrative Assistants in North Dakota enjoys 12.7% 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.