SOC 11-9111

Medical and Health Services Managers Salary in Des Moines Metro, IA

Data updated · Sources: BLS OEWS May 2025, HUD FY 2027 Fair Market Rents, EPI 2026 Family Budget, 2026 tax tables · Methodology

Tax Tables: 2026 Fed + IA
COL Index: 103.9 (+3.9% vs US)
Net Compensation Yield 71.4% Realized
$72,542 / net annual direct deposit
Gross Adjusted $101,550 $48.82/hr
Effective Tax Drag 22.56% Combined Jurisdictions
Marginal Top Bracket 22% Federal Statutory
Total Withheld -$22,915 $881.33/check
Category 1 of 6

Wage Benchmarking & After-Tax Paycheck Engine

Dynamic statutory tax calculations based on IRS Publication 15-T and state statutory schedules.

$
2,080 annual statutory base hours $48.82 / hour
0 hrs/wk (+$0/yr)
0 hrs (Standard) 10 hrs OT 20 hrs OT 25 hrs Max
6% (-$6,093/yr)
0% Tax Shield: ~$1,340/yr 15% (IRS limit: $24,500)
Itemized Statutory Withholdings Ledger
Federal Income Tax (IRS)
Progressive 10%–37%
-$12,171
Social Security (FICA OASDI)
Statutory 6.20% (Cap $184,500)
-$6,296
Medicare Hospital Insurance
Statutory 1.45%
-$1,472
Iowa Individual Income Tax
State Marginal Bracket
-$2,976
Net Take-Home Annual Realized
$72,542 ($2,790.09 / check)
Category 2 of 6

Des Moines-West Des Moines, IA Medical and Health Services Managers Wage Distribution

Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) Percentiles & Career Ladders

Your Salary: $101,550
MIDDLE 50% (IQR RANGE) 10th $77.2k 25th $85.6k Median: $101,550 50th (Median) $102k 75th $133k 90th $180k You: $101,550
10th (Entry) $77,210 $37.12/hr
25th (Junior) $85,620 $41.16/hr
50th (Median) $101,550 $48.82/hr
75th (Senior) $132,510 $63.71/hr
90th (Lead/Master) $179,860 $86.47/hr
Career Progression & Licensing Milestones for Medical and Health Services Managers in Des Moines-West Des Moines, IA
1
Department SupervisorBachelor's degree (most common O*NET requirement); entry into the field
$60,179$28.93/hr · 0-2 Years
2
Assistant AdministratorDemonstrated results in role; works independently on core responsibilities; FACHE or equivalent
$77,642$37.33/hr · 2-5 Years
3
Medical & Health Services ManagerFull professional competence; leads projects or a small team
$101,583$48.84/hr · 5-9 Years
4
Senior Director of OperationsOwns budget, hiring and outcomes for a department or large program
$136,182$65.47/hr · 9-14 Years
5
Hospital Administrator / COOExecutive or principal scope; sets strategy across the organization or profession
$183,898$88.41/hr · 14+ Years
Scaled to the Des Moines-West Des Moines, IA medianView National Medical and Health Services Managers Salary Data
Adjacent Career Pivots & National Pay Differences
Computer Systems Analysts-$18,010/yr
National median: $105,850
Skill overlap: 88%
Social and Community Service Managers-$43,470/yr
National median: $80,390
Skill overlap: 88%View Salary
Health Education Specialists-$59,790/yr
National median: $64,070
Skill overlap: 85%
Registered Nurses-$26,310/yr
National median: $97,550
Skill overlap: 81%View Salary
Category 3 of 6

HUD Fair Market Rent & EPI Living Wage Affordability Index

Evaluating housing affordability vs. net take-home pay in Des Moines-West Des Moines, IA under the HUD 30% housing cost guideline.

Rent-to-Take-Home Ratio (HUD 30% Standard)
19% of Net Income
✓ Passes 30% Housing Affordability Standard
HUD Fair Market Rent (1-Bedroom) $1,145/month Requires minimum annual gross of $45,800
HUD Fair Market Rent (2-Bedroom) $1,360/month Requires minimum annual gross of $54,400
Hourly Living Wage Benchmark (EPI model)
1 Adult Earner: $22.98/hr
Per adult, 2 working adults + 1 child: $20.03/hr
Category 4 of 6

Hourly Wage to Annual & Overtime Matrix

Translating base hourly pay and 1.5× overtime into net take-home pay based on 2,080 annual work hours in Des Moines-West Des Moines, IA.

Swipe horizontally to inspect full pay schedule
Schedule Total Hours/Wk Gross Annual Est. Taxes Net Take-Home Bi-Weekly Check
Standard (40 hrs)40 hrs$101,550-$22,915$72,542$2,790.09
+5h Overtime/Wk45 hrs$120,591-$28,989$84,366$3,244.85
+10h Overtime/Wk50 hrs$139,631-$35,252$96,001$3,692.34
+15h Overtime/Wk55 hrs$158,672-$41,685$107,467$4,133.34
+20h Overtime/Wk60 hrs$177,713-$48,117$118,933$4,574.34
Category 5 of 6

Interstate MSA Relocation & State Tax Migration Comparator

Calculate required compensation, cost-of-living differences, and annual state/local tax savings between two metropolitan areas.

Equivalent Salary in Austin, TX $83,505 Cost of Living Ratio: 69.6%
Annual State & Local Tax Delta +$8,331/yr Tax savings in Austin-Round Rock-San Marcos, TX
Annual Rent Difference (1BR) -$17,676/yr Based on HUD Fair Market Rents
Net Discretionary Cash Flow Impact

Combining state tax savings and annual rent variance when relocating from San Francisco-Oakland-Fremont, CA to Austin-Round Rock-San Marcos, TX.

+$26,007/year
Category 6 of 6 · Executive Economic Briefing
2026 Fiscal Intelligence

Medical and Health Services Managers in Des Moines-West Des Moines, IA: Compensation & Purchasing Power Briefing (2026)

Estimates compiled from BLS OEWS wages, IRS 2026 withholding rules, HUD Fair Market Rents, and Iowa tax codes.

Market Baseline
$101,550/yr
$48.82/hr · SOC 11-9111
Statutory Tax Drag
22.56% Effective
-$22,915 in Total Taxes
HUD 1BR Shelter Ratio
19% Net Pay
✓ Passes 30% HUD Rule
Monthly Discretionary
+$4,900/mo
Post-$1,145/mo 1BR Rent

Key Economic & Compensation Takeaways

Statutory Withholding Architecture

Frequently Asked Questions

Verified Government Data Sources & Statutory Attribution

Wages sourced from US Bureau of Labor Statistics (BLS OEWS). Rents calibrated to HUD Fair Market Rents. Tax schedules calibrated to IRS IRC Title 26, IRS Pub 15-T, and state statutory revenue codes.

BLS OEWS May 2025 HUD FY2027 FMR IRS 15-T
Metro Pay Comparison SOC 11-9111
2026 Statutory Thresholds
  • Federal Standard Deduction (Single) $16,100
  • FICA OASDI Wage Base Cap $184,500
  • Pre-Tax 401(k) Elective Deferral $24,500
  • HSA Individual Annual Limit $4,400

Medical and Health Services Managers in Des Moines-West Des Moines, IA: Market Snapshot

Medical and Health Services Managers roles in Des Moines-West Des Moines, IA report a median annual wage of $101,550, 18.0% below the national median of $123,860. The 10th to 90th percentile band runs from $77,210 to $179,860, and HUD’s $1,145 monthly one-bedroom fair market rent equals 13.5% of that median gross pay. The single-adult living wage benchmark for the area is $22.98 per hour.

Highest-paying metropolitan areas for Medical and Health Services Managers

Metropolitan areaMedian annual wageVs this market
San Jose-Sunnyvale-Santa Clara, CA$171,210+68.6%
Vallejo, CA$170,730+68.1%
New York-Newark-Jersey City, NY-NJ$167,580+65.0%
Napa, CA$167,530+65.0%
San Francisco-Oakland-Fremont, CA$166,310+63.8%
Seattle-Tacoma-Bellevue, WA$160,100+57.7%
Sacramento-Roseville-Folsom, CA$159,350+56.9%
Portland-Vancouver-Hillsboro, OR-WA$151,260+49.0%
Medford, OR$151,250+48.9%
Urban Honolulu, HI$151,180+48.9%

Top-paying occupations benchmarked in Des Moines-West Des Moines, IA

OccupationMedian annual wageMedian hourly
Chief Executives$290,870$139.84/hr
Computer and Information Systems Managers$164,840$79.25/hr
Financial Manager$154,140$74.11/hr
Compensation and Benefits Managers$150,850$72.52/hr
Architectural and Engineering Managers$148,330$71.31/hr
Human Resources Managers$138,140$66.41/hr
Sales Managers$136,570$65.66/hr
Marketing Managers$135,140$64.97/hr
Physician Assistant$133,830$64.34/hr
Nurse Practitioner$132,230$63.57/hr

Wage data: U.S. Bureau of Labor Statistics OEWS May 2025, 392 metropolitan areas publishing this occupation; HUD FY2027 Fair Market Rents; EPI Family Budget Calculator. Taxes use 2026 federal and state rules. Data last updated .

Regional Labor Market & Career Mobility Network

Explore adjacent occupations and neighboring metropolitan wage benchmarks for peer compensation analysis.

Medical and Health Services Managers Salary in Des Moines Metro, IA Overview

Medical & Health Services Managers median pay in Des Moines-West Des Moines, IA is $101,550 a year ($48.82/hr). See take-home pay after 2026 taxes, BLS wage.

Quick answers
What is the median salary for a Medical and Health Services Managers in Des Moines-West Des Moines, IA?

The median annual wage is $101,550 ($48.82 per hour). The middle 80% of earners make between $77,210 and $179,860. Source: BLS OEWS (May 2025).

What is the take-home pay for a Medical and Health Services Managers in Des Moines-West Des Moines, IA after taxes?

On the median wage of $101,550, a single filer with no pre-tax deductions takes home about $77,063 a year ($6,422 a month) after $24,487 in federal, FICA, state and local taxes, an effective rate of 24.11%, using 2026 tax rules.