Medical assistant salary calculator: What does a medical assistant (MFA) earn under the collective agreement, and what does that cost the practice?
Calculate in 2 minutes the collectively agreed salary of your medical assistants (MFA) by pay group and years of service, including total employer costs.
Free · GDPR-compliant · Result in 2 minutes
Tariff values from the collective salary agreement for medical assistants (MFA). No legal or tax advice. Your entries are processed in your browser and are not transmitted.
What the medical assistant salary calculator gives you
Exact collectively agreed salary
The calculation follows the current MFA collective salary agreement for medical assistants. It is based on pay group (I to VI) and years of service, which determine the agreed gross salary.
Employer costs
In addition to gross pay, the calculator shows total employer costs including social security contributions. So you see what a medical assistant actually costs your practice.
2025 & 2026
The agreed rates for both current years are included. Part-time is calculated pro rata by weekly hours.
How to calculate a medical assistant's salary
Choose the classification
Enter pay group, year of service and weekly hours. A reference value is preset for full-time; the calculator prorates part-time.
Contact details
Leave your contact details to unlock the results. Details from another MediPulse tool are already prefilled.
Get your result
You get the gross salary and total employer costs. The results are shown on screen and available as a PDF.
What does a medical assistant earn under the collective agreement, and what does that cost the practice?
In many practices, the salary of a medical assistant (Medizinische Fachangestellte, MFA) follows the collective salary agreement. For the practice, what matters besides gross pay is above all the total cost in the end. Here is how both come about.
The MFA collective salary agreement
The collective agreement between the Arbeitsgemeinschaft zur Regelung der Arbeitsbedingungen (employers' working group) and the Verband medizinischer Fachberufe (association of medical assistants) sets the salaries. They follow from the pay group and years of service. The agreement is not binding for every practice, but it serves as a widely used benchmark.
Pay groups and years of service
Pay groups I to VI reflect how demanding the assigned tasks are. Within each group, the salary rises with years of service. A medical assistant in a leading role with long experience earns considerably more than a newcomer in group I.
Gross pay is not the same as cost
For the practice, gross salary is only one part. On top come the employer's social security costs: in solo practices they amounted to 24 percent of gross wages in 2024, a good nine tenths of which were statutory contributions and levies (Destatis, Federal Statistical Office). Bonus payments are added depending on the practice. Total employer costs are therefore noticeably higher than gross pay.
Getting part-time right
Many medical assistants work part-time. The agreed salary is then calculated pro rata by weekly hours. For staff planning, it makes sense to convert the cost per position to full-time and then apply it pro rata.
Why the number matters for planning
Staff are the largest cost block of a practice. If you know the agreed salary and total costs, you can plan positions, salary talks and budgets on a solid basis. The calculator gives you a reliable basis for this in two minutes.
Frequently asked questions
How high is a medical assistant's salary in 2026 under the collective agreement?
In 2026, a medical assistant's (MFA) full-time salary under the collective salary agreement is between about €2,940 and €4,896 gross per month, depending on pay group (I to VI) and years of service. Pay rises in steps with each year of service.
What does a medical assistant earn net?
Depending on the tax class, about 63 to 70 percent of the agreed gross pay remains as net pay. With a mid-range gross salary of around €3,000, that is roughly €1,950 to €2,100 net per month. The exact value depends on tax class, church tax and additional benefits.
Does a medical assistant or a nurse earn more?
The salaries are close. Medical assistants are paid under the MFA collective salary agreement (2026 about €2,940 to €4,896 gross), nurses depending on the employer under TVöD-P (public-sector agreement) or an in-house agreement. In hospitals with shift allowances, nurses often earn somewhat more; in practices, medical assistants with additional qualifications are competitive.
How much do you earn during medical assistant training?
The collectively agreed training allowance in 2026 is €1,050 in the first year of training, €1,150 in the second and €1,250 in the third, gross per month. In 2025 it was €1,000, €1,100 and €1,200.
What does a medical assistant cost the practice?
On top of gross pay come the employer's social security costs, in solo practices an average of 24 percent of gross wages in 2024 (Destatis, cost structure statistics). With €3,000 gross, that is about €720 extra, so the medical assistant costs the practice around €3,720 per month. The calculator shows these total employer costs directly.
What do pay groups I to VI mean?
The pay groups reflect qualification and responsibility: group I covers tasks under general instructions, group IV for example non-physician practice assistants or VERAH (at least 120 hours of continuing education), group V management-related tasks (at least 360 hours) and group VI management and leadership tasks (a single course of at least 600 hours). The classification depends on the tasks actually assigned.
Is the calculator free?
Yes, the calculator is free and non-binding. You don't need a subscription, just valid contact details to unlock the results.
What happens to my data?
Your data is processed in compliance with the GDPR and used exclusively to contact you. It is not passed on to third parties.
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