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Medical Secretaries and Administrative Assistants Salary in Washington: Cost of Living Adjusted (2025)

Last updated: 2025 BLS data · Page refreshed:

What does a Medical Secretaries and Administrative Assistants salary really buy you in Washington?

Washington is 9.8% pricier than the US average

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

Nominal Salary
$58,100
Median annual (2025)
-8.9%
Real Purchasing Power
$52,914
COL-adjusted (RPP=109.8)

Washington Cost of Living Index

Washington's Regional Price Parity (RPP) is 109.8, meaning prices are 9.8% higher the national average. A Medical Secretaries and Administrative Assistants earning $58,100 in Washington has the equivalent purchasing power of $52,914 in an average-cost US state.

WA: 109.8
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 Washington's cost of living.

Percentile Nominal Salary COL-Adjusted Difference
10th Percentile (P10) $44,980 $40,965 $-4,014
25th Percentile (P25) $48,510 $44,180 $-4,329
Median (P50) $58,100 $52,914 $-5,185
75th Percentile (P75) $62,840 $57,231 $-5,608
90th Percentile (P90) $73,480 $66,921 $-6,558
Key Insight

While $58,100 sounds high, Washington's elevated cost of living erases 9% of that salary's purchasing power. Your real buying power is $52,914. Consider whether the higher pay offsets the higher costs.

What the Cost-of-Living Data Says

Washington Is a High-Cost State

RPP 109.8

Washington's RPP of 109.8 puts it 9.8% above the national baseline cost of living. A Medical Secretaries and Administrative Assistants needs that premium in nominal pay just to maintain the same purchasing power as an average-cost state.

Meaningful Purchasing-Power Shift

-8.9%

After applying Washington's RPP, the $58,100 median salary translates to $52,914 in real terms — a 8.9% loss. That difference can cover several months of expenses over a year for a Medical Secretaries and Administrative Assistants.

Top-Quartile Adjusted Earnings in Washington

#1 / 51

Ranked on COL-adjusted median pay for Medical Secretaries and Administrative Assistants, Washington places #1 of 51 states — top quartile. Either nominal wages run high, cost of living runs low, or both.

Best States for Medical Secretaries and Administrative Assistants (After Cost of Living)

Where does Medical Secretaries and Administrative Assistants salary stretch the furthest? Top 10 states ranked by COL-adjusted median salary.

$52,914
RPP 109.8
$52,416
RPP 92.3
$52,056
RPP 88.0
$51,336
RPP 89.8
$51,207
RPP 97.7
$51,172
RPP 88.7
7. Idaho
$48,932
RPP 91.8
8. Nevada
$48,744
RPP 96.4
$48,604
RPP 91.0
10. Montana
$48,438
RPP 90.3

Washington ranks #1 out of 51 states for Medical Secretaries and Administrative Assistants after cost-of-living adjustment.

How much do you actually take home? See Medical Secretaries and Administrative Assistants take-home pay in Washington after taxes →

Frequently Asked Questions

What is the real salary for a Medical Secretaries and Administrative Assistants in Washington after cost of living?

A Medical Secretaries and Administrative Assistants in Washington earns a median salary of $58,100 per year. After adjusting for Washington's cost of living (RPP=109.8), the real purchasing power is $52,914 — a -8.9% difference.

Is Washington expensive to live in?

Washington's cost of living is 9.8% higher than the national average according to the BEA Regional Price Parities (2022). The RPP index for Washington is 109.8 (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 Secretaries and Administrative Assistants in Washington: $58,100 x (100 / 109.8) = $52,914. This represents what the salary would be worth in a state with average living costs.

Does the high cost of living in Washington offset the salary?

Partially — a Medical Secretaries and Administrative Assistants's nominal salary of $58,100 in Washington has 8.9% less purchasing power due to higher living costs. The real value is $52,914. However, Washington may offer better career opportunities, networking, and industry access.

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