What Medical Secretaries and Administrative Assistants earn in Nelson County, KY
If you are weighing a move or a job offer, start with $44,430: the median annual pay for Medical Secretaries and Administrative Assistants in Nelson County, KY. Spread over a standard 2,080-hour work year, that is $21.36 an hour. Because the wage survey covers the whole Louisville/Jefferson County, KY-IN metropolitan area, the number reflects employers across the region rather than a single town or a single company.
The mean wage is $43,260, which is 2.6% below the median, which suggests many workers sit near the top of the pay scale. The survey counts about 7,910 people working in this occupation across the Louisville/Jefferson County, KY-IN metropolitan area, so the estimate rests on a substantial pool of workers. Nelson County, KY has roughly 47,606 residents, according to the population figures used by the rent data.
The salary range, from entry level to top earners
Pay for Medical Secretaries and Administrative Assistants in the Louisville/Jefferson County, KY-IN metropolitan area is not one number. The lowest-paid tenth of workers earn up to $35,560 a year ($17.10 an hour), while the highest-paid tenth earn $53,450 or more ($25.70 an hour). That is a gap of $17,890 between the bottom and the top of the scale. The middle half of workers falls between $37,750 at the 25th percentile and $47,010 at the 75th percentile. A top-tier earner makes 1.5 times what someone at the bottom makes, so experience, certification and employer all matter.
What the hourly rate looks like
Converted to an hourly wage, the median for Medical Secretaries and Administrative Assistants in Nelson County, KY is $21.36. A full-time schedule of 40 hours for 52 weeks adds up to $44,430, and the same salary is $3,703 a month before taxes or about $1,709 per biweekly pay period. After taxes the same job pays $17.40 per hour of take-home income, which is the number that actually has to cover rent and groceries.
About this occupation: Medical Secretaries and Administrative Assistants
The U.S. Department of Labor's O*NET database describes the work of Medical Secretaries and Administrative Assistants this way: "Perform secretarial duties using specific knowledge of medical terminology and hospital, clinic, or laboratory procedures. Duties may include scheduling appointments, billing patients, and compiling and recording medical charts, reports, and correspondence."
Core tasks recorded by O*NET include: "Schedule and confirm patient diagnostic appointments, surgeries, or medical consultations"; "Answer telephones and direct calls to appropriate staff"; "Receive and route messages or documents, such as laboratory results, to appropriate staff"; "Greet visitors, ascertain purpose of visit, and direct them to appropriate staff".
Job outlook for Medical Secretaries and Administrative Assistants
The Bureau of Labor Statistics projects national employment in this occupation to grow from 979,000 jobs in 2025 to 1,026,100 in 2035, a change of +4.8%, faster than the 3.5% projected for all occupations. The projection counts 89,200 openings a year on average, including positions created by growth and positions left by workers who retire or move to another occupation; that equals 9.1% of current employment each year.
Typical entry-level education: high school diploma or equivalent. Typical on-the-job training to reach competency: moderate-term on-the-job training. BLS lists a national median annual wage of $45,930 for this occupation; the Nelson County, KY median of $44,430 is 3.3% below it.
How pay in Nelson County, KY compares
Compared with the Kentucky average
Nelson County, KY pays above the state benchmark. The Kentucky employment-weighted average for Medical Secretaries and Administrative Assistants is $41,736; the local median of $44,430 beats it by $2,694, or 6.5%. Within Kentucky, the highest median we track for this job is $46,180 in Kenton County, KY.
Compared with the national average
The national employment-weighted average for Medical Secretaries and Administrative Assistants is $45,555 across the contiguous United States. At $44,430, Nelson County, KY pays $1,125 less, which is 2.5% below that benchmark. Keep in mind that a higher salary only helps if living costs do not rise faster, which is why the cost sections below matter as much as the headline number.
Where this job ranks in Nelson County, KY
Among the 504 occupations with published wages in Nelson County, KY, Medical Secretaries and Administrative Assistants ranks number 385 by median pay, ahead of about 24% of them. The best-paying occupation we track here is General and Operations Managers at $89,140 a year, which is $44,710 more than the median for Medical Secretaries and Administrative Assistants.
From gross pay to take-home pay
A salary of $44,430 does not arrive in full. We model a single filer with wage income only, the standard deduction and tax-year 2025 rules, and we keep the three tax layers apart: federal income tax, FICA (Social Security and Medicare) and state income tax. Together they take $8,248 a year, which leaves $36,182, or $3,015 a month.
Put another way, of every $100 earned, about $19 goes to taxes and $81 reaches the paycheck. The overall effective tax rate is 18.6%.
Federal income tax
After the $15,750 standard deduction, taxable income is $28,680. Federal brackets are marginal, so only the slice of income above each threshold is taxed at the higher rate; the last dollars of this salary fall in the 12% bracket. The resulting federal income tax is $3,203, an effective 7.2% of gross pay, well below the 12% marginal rate because the lower brackets are cheaper.
Social Security and Medicare (FICA)
Payroll taxes are a flat percentage of wages. Social Security takes 6.2% up to a wage base of $176,100, which costs $2,755 on this salary. Medicare takes 1.45%, or $644. FICA totals $3,399, which is 7.7% of gross pay.
State income tax in Kentucky
Kentucky income tax on this salary is $1,646 a year, or 3.7% of gross pay, after the state's own deductions and exemptions are applied. That is 51% of the federal income tax bill, and it comes out to $137 a month. Local taxes such as county or city income taxes are not included, so a few jurisdictions may withhold slightly more.
A cross-check with IRS data for Nelson County, KY
IRS Statistics of Income data for Nelson County, KY show an average adjusted gross income of $76,650 per return and an average effective federal income tax rate of 12.1% across all filers. Filers in the $25,000 to under $50,000 bracket, where this salary falls, paid an average of 4.8%, compared with the 7.2% estimated here for a single filer taking the standard deduction. Gaps between the two reflect filing status, dependents, credits and other income, none of which a single-person wage estimate includes.
Cost of living in Nelson County, KY
Take-home pay only means something next to what life costs. We price four basics for one adult in Nelson County, KY: a one-bedroom apartment, food, home energy and gasoline. All of them are converted to annual figures first, then compared with the $36,182 of take-home pay.
Rent
The HUD Fair Market Rent for a one-bedroom apartment in Nelson County, KY is $781 a month, or $9,372 a year. A two-bedroom costs $1,022 a month. For Medical Secretaries and Administrative Assistants, a one-bedroom absorbs 25.9% of take-home pay and 21.1% of gross pay.
Food
The USDA Thrifty Food Plan (August 2026) puts the cost of a nutritious home-cooked diet for an adult at about $3,436 a year, which is $286 a month or $66.07 a week. That equals 7.7% of gross pay for Medical Secretaries and Administrative Assistants in Nelson County, KY. It is a thrifty budget with no restaurant meals, so treat it as a floor.
Energy and gasoline
Using Kentucky residential prices from the Energy Information Administration and national household averages for consumption, electricity costs about $1,351 a year and other home energy such as natural gas about $524, for $1,874 in total. Gasoline in Kentucky averages $3.18 per gallon; at about 463 gallons a year (11,106 miles at 24 miles per gallon) fuel adds $1,470.
What is left over
Add the four basics together and living costs come to $16,152 a year, 45% of take-home pay. That leaves $20,030 a year, or $1,669 a month, for savings, transportation beyond fuel, health care, debt and everything else. That margin equals 45.1% of gross pay, a comfortable cushion by common budgeting rules.
Local housing and commute data for Nelson County, KY
The budget above covers rent, food, energy and gasoline. Three more local facts shape what a paycheck buys in Nelson County, KY: property taxes, housing prices and the daily commute. The figures below are exact U.S. Census Bureau American Community Survey 2020-2024 5-year estimates for Nelson County, KY, set beside the Kentucky and national medians.
Property taxes in Nelson County, KY
Homeowners in Nelson County, KY pay a median of $1,891 a year in real estate taxes, 22% above the Kentucky median of $1,544 and 39% below the U.S. median of $3,119. Against a median home value of $238,000, the median tax bill is 0.79% of that value (the ratio of the two county medians). For a worker paid the local Medical Secretaries and Administrative Assistants median of $44,430, a tax bill of that size would equal 4.3% of gross pay, which matters for anyone planning to buy rather than rent.
Rents, home prices and household income in Nelson County, KY
Renters in Nelson County, KY pay a median gross rent of $1,008 a month in the Census survey, 4% above the Kentucky median of $967. HUD's Fair Market Rent for a one-bedroom apartment, which this site uses in the budget, is $781 a month; the two measures differ because the Census figure covers units of every size that renters already occupy, while the HUD figure is a one-bedroom benchmark. The median value of an owner-occupied home is $238,000, 16% above the Kentucky median of $205,600. Median household income is $69,562, 9% above the Kentucky median of $63,726, so a year of one-bedroom Fair Market Rent equals 13.5% of that income.
Commuting in Nelson County, KY
Workers in Nelson County, KY who travel to a workplace spend an average of 26.6 minutes each way, 11% above the Kentucky average of 24.0. For someone who commutes five days a week, that is 4.4 hours of round-trip travel every week, a cost the budget does not price. 6.0% of workers in Nelson County, KY work from home, compared with 15.1% nationally, which removes the commute for them.
Can Medical Secretaries and Administrative Assistants afford to live in Nelson County, KY?
The 30% rent guideline
A common rule of thumb says rent should stay under 30% of gross income. For a gross salary of $44,430 that ceiling is $1,111 a month. The one-bedroom Fair Market Rent of $781 is $330 under it, so rent fits the guideline. Put as a wage, covering a one-bedroom at the 30% guideline takes $15.02 an hour; the median for Medical Secretaries and Administrative Assistants is $21.36, which is 42% above that mark. Another way to see it: at $17.40 of take-home pay an hour, a one-bedroom takes about 10.4 working hours every week.
Splitting a two-bedroom
Sharing a two-bedroom at $1,022 a month means $511 each. Compared with renting a one-bedroom alone, that saves $3,240 a year. With a roommate, the yearly margin after the basics becomes $23,270.
How fast you can save
At $1,669 a month of margin, building a $10,000 emergency fund would take about 6 months. Setting aside half of the margin stretches the same goal to about 12 months. These figures ignore interest, raises and any spending beyond the four basics.
Frequently asked questions about Medical Secretaries and Administrative Assistants pay in Nelson County, KY
What is the hourly wage for Medical Secretaries and Administrative Assistants in Nelson County, KY?
The median is $21.36 per hour, based on $44,430 a year over 2,080 hours. Hourly pay runs from about $17.10 at the 10th percentile to $25.70 at the 90th percentile.
What is the take-home pay for Medical Secretaries and Administrative Assistants in Nelson County, KY?
After federal income tax, FICA and state income tax, the median salary of $44,430 becomes $36,182 a year. That is $3,015 a month, $1,392 every two weeks or $696 a week.
What percentage of pay goes to taxes for Medical Secretaries and Administrative Assistants in Nelson County, KY?
Total taxes are $8,248 a year, an effective rate of 18.6%: $3,203 federal income tax, $3,399 FICA and $1,646 Kentucky income tax.
Is pay for Medical Secretaries and Administrative Assistants in Nelson County, KY above the Kentucky average?
Yes. The local median of $44,430 is +6.5% versus the Kentucky average of $41,736, a difference of $2,694 a year.
Is a one-bedroom rent affordable on the median Medical Secretaries and Administrative Assistants salary in Nelson County, KY?
A one-bedroom costs $781 a month against take-home pay of $3,015, which is 25.9% of take-home pay. That meets the 30%-of-gross guideline, which allows up to $1,111 a month.
How much is left after rent, food and energy for Medical Secretaries and Administrative Assistants in Nelson County, KY?
About $1,669 a month ($20,030 a year) remains after a one-bedroom apartment, food, home energy and gasoline, which together cost $16,152 a year.
What hourly wage covers a one-bedroom in Nelson County, KY at the 30% guideline?
$15.02 an hour for a full-time schedule, calculated as the $9,372 annual rent divided by 0.30 and by 2,080 hours. The median for Medical Secretaries and Administrative Assistants is $21.36.
How we calculated these numbers
Wages are May 2025 medians from the Bureau of Labor Statistics Occupational Employment and Wage Statistics survey for the Louisville/Jefferson County, KY-IN metropolitan area; hourly-only values are annualized at 2,080 hours. Rents are HUD Fair Market Rents, food costs come from the USDA Thrifty Food Plan, and energy prices come from the Energy Information Administration. County-level tax statistics come from the IRS Statistics of Income.
Taxes use tax-year 2025 federal brackets, FICA rates and the Kentucky rules for a single filer with wage income only. Figures are estimates for planning and comparison, not tax or financial advice, and they exclude local income taxes, benefits, retirement contributions and individual circumstances.