Therefore, the total annual salary for a medical transcriptionist ranges from between $19,760 – $42,658 per annum. Based on the BLS percentiles, the median hourly wage and yearly salary for 90th percentile medical transcriptionists has been around $22.71 per hour and $47,250 per year.he average hourly wage for a medical transcriptionist in the UK is £6.75 per hour. A medical transcriptionist’s salary varies based on the age such as the one in 20s earns up to £10,125, in 30s earns about £13,230, in 40s and in 50s earns about £15,660 per year.