SOC 11-9111

Medical and Health Services Managers Salary in Rapid City, SD (2026)

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 + SD
COL Index: 97.95 (-2.0% vs US)
Net Compensation Yield 72.9% Realized
$89,558 / net annual direct deposit
Gross Adjusted $122,930 $59.10/hr
Effective Tax Drag 21.15% Combined Jurisdictions
Marginal Top Bracket 22% Federal Statutory
Total Withheld -$25,996 $999.85/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 $59.10 / hour
0 hrs/wk (+$0/yr)
0 hrs (Standard) 10 hrs OT 20 hrs OT 25 hrs Max
6% (-$7,376/yr)
0% Tax Shield: ~$1,623/yr 15% (IRS limit: $24,500)
Itemized Statutory Withholdings Ledger
Federal Income Tax (IRS)
Progressive 10%–37%
-$16,592
Social Security (FICA OASDI)
Statutory 6.20% (Cap $184,500)
-$7,622
Medicare Hospital Insurance
Statutory 1.45%
-$1,782
South Dakota Individual Income Tax
State Marginal Bracket
-$0
Net Take-Home Annual Realized
$89,558 ($3,444.54 / check)
Category 2 of 6

Rapid City, SD Medical and Health Services Managers Wage Distribution

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

Your Salary: $122,930
MIDDLE 50% (IQR RANGE) 10th $85.4k 25th $108k Median: $122,930 50th (Median) $123k 75th $170k 90th $189k You: $122,930
10th (Entry) $85,440 $41.08/hr
25th (Junior) $108,180 $52.01/hr
50th (Median) $122,930 $59.10/hr
75th (Senior) $169,810 $81.64/hr
90th (Lead/Master) $189,450 $91.08/hr
Career Progression & Licensing Milestones for Medical and Health Services Managers in Rapid City, SD
1
Department SupervisorBachelor's degree (most common O*NET requirement); entry into the field
$72,849$35.02/hr · 0-2 Years
2
Assistant AdministratorDemonstrated results in role; works independently on core responsibilities; FACHE or equivalent
$93,989$45.19/hr · 2-5 Years
3
Medical & Health Services ManagerFull professional competence; leads projects or a small team
$122,970$59.12/hr · 5-9 Years
4
Senior Director of OperationsOwns budget, hiring and outcomes for a department or large program
$164,853$79.26/hr · 9-14 Years
5
Hospital Administrator / COOExecutive or principal scope; sets strategy across the organization or profession
$222,616$107.03/hr · 14+ Years
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 Rapid City, SD under the HUD 30% housing cost guideline.

Rent-to-Take-Home Ratio (HUD 30% Standard)
15% of Net Income
✓ Passes 30% Housing Affordability Standard
HUD Fair Market Rent (1-Bedroom) $1,093/month Requires minimum annual gross of $43,720
HUD Fair Market Rent (2-Bedroom) $1,430/month Requires minimum annual gross of $57,200
Hourly Living Wage Benchmark (EPI model)
1 Adult Earner: $21.66/hr
Per adult, 2 working adults + 1 child: $20.72/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 Rapid City, SD.

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$122,930-$25,996$89,558$3,444.54
+5h Overtime/Wk45 hrs$145,979-$32,834$104,386$4,014.86
+10h Overtime/Wk50 hrs$169,029-$39,798$119,089$4,580.36
+15h Overtime/Wk55 hrs$192,078-$46,291$134,262$5,163.94
+20h Overtime/Wk60 hrs$215,128-$51,961$150,259$5,779.18
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 Rapid City, SD: Compensation & Purchasing Power Briefing (2026)

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

Market Baseline
$122,930/yr
$59.10/hr · SOC 11-9111
Statutory Tax Drag
21.15% Effective
-$25,996 in Total Taxes
HUD 1BR Shelter Ratio
15% Net Pay
✓ Passes 30% HUD Rule
Monthly Discretionary
+$6,370/mo
Post-$1,093/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 Rapid City, SD: Market Snapshot

Medical and Health Services Managers roles in Rapid City, SD report a median annual wage of $122,930, 0.8% below the national median of $123,860. The 10th to 90th percentile band runs from $85,440 to $189,450, and HUD’s $1,093 monthly one-bedroom fair market rent equals 10.7% of that median gross pay. The single-adult living wage benchmark for the area is $21.66 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+39.3%
Vallejo, CA$170,730+38.9%
New York-Newark-Jersey City, NY-NJ$167,580+36.3%
Napa, CA$167,530+36.3%
San Francisco-Oakland-Fremont, CA$166,310+35.3%
Seattle-Tacoma-Bellevue, WA$160,100+30.2%
Sacramento-Roseville-Folsom, CA$159,350+29.6%
Portland-Vancouver-Hillsboro, OR-WA$151,260+23.0%
Medford, OR$151,250+23.0%
Urban Honolulu, HI$151,180+23.0%

Top-paying occupations benchmarked in Rapid City, SD

OccupationMedian annual wageMedian hourly
Chief Executives$301,420$144.91/hr
Architectural and Engineering Managers$196,800$94.62/hr
Computer and Information Systems Managers$163,860$78.78/hr
Financial Manager$160,280$77.06/hr
Sales Managers$134,010$64.43/hr
Physician Assistant$130,740$62.86/hr
General and Operations Managers$130,410$62.70/hr
Natural Sciences Managers$129,960$62.48/hr
Nurse Practitioner$124,160$59.69/hr
Construction Managers$120,560$57.96/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 Rapid City, SD (2026) Overview

Medical & Health Services Managers median pay in Rapid City, SD is $122,930 a year ($59.10/hr). See take-home pay after 2026 taxes, BLS wage percentiles, HUD.

Quick answers
What is the median salary for a Medical and Health Services Managers in Rapid City, SD?

The median annual wage is $122,930 ($59.10 per hour). The middle 80% of earners make between $85,440 and $189,450. Source: BLS OEWS (May 2025).

What is the take-home pay for a Medical and Health Services Managers in Rapid City, SD after taxes?

On the median wage of $122,930, a single filer with no pre-tax deductions takes home about $95,289 a year ($7,941 a month) after $27,641 in federal, FICA, state and local taxes, an effective rate of 22.49%, using 2026 tax rules.