Medical Assistant Pay

Houston vs Waco: Medical Assistant Salary (2026)

Compare medical assistant salaries between Houston, TX and Waco, TX. All figures are 2026 estimates projected from BLS 2025 data.

Houston, TX
$44,203
$21.26/hr
Waco, TX
$40,844
$19.64/hr

Side-by-Side Comparison

MetricHouston, TXWaco, TX
Median Salary$44,203$40,844
Hourly Rate$21.26$19.64
Entry Level (P10)$32,446$35,039
25th Percentile$38,492$38,335
75th Percentile$49,052$47,383
Top Earner (P90)$51,813$50,606
Total Employed18,280690
Side-by-side bar chart comparing Houston ($44,203) and Waco ($40,844) medical assistant salaries.HoustonWacoMedian Salary$44,203$40,844Entry Level (P10)$32,446$35,039Top Earner (P90)$51,813$50,606US Median $47,961

Verdict

Houston, TX offers better overall compensation for medical assistants, winning 4 out of 4 metrics compared to Waco.

The salary gap between Houston and Waco is $3,359 (8.22%). Houston's median is -7.84% compared to the US national median of $47,961.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Houston spans $19,367,Waco spans $15,567. Houston has a wider pay range, meaning more potential for high earners but also more variation.

Houston
P10 (Entry)$32,446
P25$38,492
Median$44,203
P75$49,052
P90 (Top)$51,813
Waco
P10 (Entry)$35,039
P25$38,335
Median$40,844
P75$47,383
P90 (Top)$50,606

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Houston ($44,817 effective) pays 1.55% more than Waco ($44,132 effective).

Houston
Nominal: $44,203
CoL Index: 98.629
Adjusted: $44,817
Waco
Nominal: $40,844
CoL Index: 92.55
Adjusted: $44,132

Cost-of-living adjustment: salary × (100 / CoL index). Index of 100 = national average.

Which City Is Right for You?

Choose Houston if…

  • Higher median salary ($44,203/year)
  • Better top-earner potential ($51,813)
  • Larger job market (18,280 employed)
  • Better purchasing power (CoL-adjusted: $44,817)
  • You prefer the Texas area and lifestyle

Choose Waco if…

  • You prefer the Texas area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, medical assistant salaries in Houston grew 24.1% from 2019 to 2025, compared to 21.2% growth in Waco over the same period.

Houston, TX

+24.1%

$33,930 (2019) → $42,110 (2025)

Waco, TX

+21.2%

$32,100 (2019) → $38,910 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays medical assistants more: Houston or Waco?

Houston has a higher median medical assistant salary at $44,203/year, compared to Waco at $40,844/year — a difference of $3,359 (8.22%).

What is the hourly rate difference between Houston and Waco?

Houston medical assistants earn $21.26/hr while Waco hygienists earn $19.64/hr (2026 est.).

Should I relocate from Houston to Waco as a medical assistant?

Consider more than just salary when comparing Houston and Waco. Factor in cost of living (CoL-adjusted: Houston = $44,817, Waco = $44,132), job availability (18,280 vs 690 employed), commute, and career growth potential.

What do entry-level medical assistants earn in Houston vs Waco?

Entry-level (10th percentile) medical assistants earn $32,446 in Houston and $35,039 in Waco. The Waco area offers higher starting salaries.

Related Comparisons

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Written by Emma Chen, CMA

Career Analyst

Emma has over 8 years of experience as a medical assistant. She has worked in both outpatient clinics and hospitals. Her expertise includes patient care and administrative support.

Clinically reviewed by Carlos Rodriguez, RMAData verified by Sofia Patel, CCMA

Methodology & Data Source

All salary figures are 2026 projections based on BLS OEWS May 2025 data. A 4.97% CAGR (derived from 6-year national BLS trends) was applied to estimate current compensation. Cost-of-living adjustments use BEA Regional Price Parity data. Actual salaries vary by employer, certifications, and experience.

Data Sources & Methodology

Source: BLS, OEWS , released .

Compiled and verified by Emma Chen, CMA, a licensed medical assistant with 10+ years of clinical experience. · View source data at BLS.gov