Roanoke vs Springfield: Medical Assistant Salary (2026)
Compare medical assistant salaries between Roanoke, VA and Springfield, VA. All figures are 2026 estimates projected from BLS 2025 data.
Side-by-Side Comparison
| Metric | Roanoke, VA | Springfield, VA |
|---|---|---|
| Median Salary | $39,658 | $40,633▲ |
| Hourly Rate | $19.06 | $19.53▲ |
| Entry Level (P10) | $37,716▲ | $34,373 |
| 25th Percentile | $38,576▲ | $35,404 |
| 75th Percentile | $44,119▲ | $43,531 |
| Top Earner (P90) | $46,743 | $51,620▲ |
| Total Employed | 670▲ | 8 |
Verdict
Springfield, VA offers better overall compensation for medical assistants, winning 3 out of 4 metrics compared to Roanoke.
The salary gap between Roanoke and Springfield is $975 (2.46%). Springfield's median is -15.28% compared to the US national median of $47,961.
Salary Range Comparison
The full salary range (10th to 90th percentile) in Roanoke spans $9,027,Springfield spans $17,247. Springfield has a wider pay range, suggesting more variation in pay between entry-level and experienced medical assistants.
Cost-of-Living Adjusted Comparison
After cost-of-living adjustment, Roanoke ($42,362 effective) pays 7.59% more than Springfield ($39,373 effective).
Cost-of-living adjustment: salary × (100 / CoL index). Index of 100 = national average.
Which City Is Right for You?
Choose Roanoke if…
- ✓Larger job market (670 employed)
- ✓Better purchasing power (CoL-adjusted: $42,362)
- ✓You prefer the Virginia area and lifestyle
Choose Springfield if…
- ✓Higher median salary ($40,633/year)
- ✓Better top-earner potential ($51,620)
- ✓You prefer the Virginia area and lifestyle
Historical Salary Growth Comparison
Based on BLS OEWS metropolitan area data, medical assistant salaries in Roanoke grew 22.6% from 2019 to 2025, compared to -2.6% growth in Springfield over the same period.
Roanoke, VA
$30,810 (2019) → $37,780 (2025)
Springfield, VA
$39,739 (2024) → $38,709 (2025)
View Full Salary Data
Roanoke, VA
Springfield, VA
Frequently Asked Questions
Which city pays medical assistants more: Roanoke or Springfield?
What is the hourly rate difference between Roanoke and Springfield?
Should I relocate from Roanoke to Springfield as a medical assistant?
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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.
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