Registered nurse pay in Iowa after taxes: what you keep (2026)

The median registered nurse in Iowa earned $76,960 a year in May 2024, which is $37 an hour for a full-time year, according to the Bureau of Labor Statistics. Half of the 33,480 registered nurses the BLS counts in Iowa earned more than that and half earned less; the middle half of them sat between $65,770 and $83,200. That is the gross figure, before anyone takes anything. What you keep depends on Iowa's tax, and Iowa has a flat 3.8% state income tax.

What the median registered nurse keeps in Iowa

For a single filer on the median $76,960, taking the standard deduction and no other adjustments:

The state line is 3.8% of gross at this salary. Health insurance, retirement contributions and local taxes are not in it either; they vary by employer and by city.

Where Iowa ranks for registered nurse pay

Of the 50 states, Iowa ranks 47 of 50 on the gross median for registered nurses, in the bottom ten. The highest-paying state is California at $140,330 and the lowest is South Dakota at $69,510. Gross rank is not take-home rank: a state with no income tax climbs several places once the state line is applied, and a high-tax state drops.

Across the border

The same job in the states next to Iowa, gross median and estimated take-home for a single filer:

Minnesota, Illinois, Wisconsin, Nebraska and Missouri leave a registered nurse with more at the end of the year than Iowa does; Minnesota by about $12,789. South Dakota pays less once tax is counted. Pay is one line; rent is the other, and a higher median in a metro with higher rent can leave you with less.

Where the registered nurse jobs are in Iowa

The BLS count of 33,480 registered nurses is statewide. The metros with the most of that work are Des Moines, Cedar Rapids, Davenport and Iowa City, which is where the median is set and where the upper quartile ($83,200 and above) is most often paid. Employers who could not hire locally and have filed with the Department of Labor are listed on the Iowa openings page; those filings are the ones already paying to bring people in, and housing or transport is often part of the offer.

Iowa also has a program that pay people to move in: Newton Housing Initiative (up to $10,000 toward a newly built home, for anyone building or buying a new home in Newton; a construction incentive rather than a hiring one). Each has a residence condition and a funding round; the amount is the program's own "up to" figure.

What people get wrong about registered nurse pay in Iowa

• Quoting the mean. The BLS mean for Iowa is $37 an hour, pulled up by the top earners. The median ($37) is what the typical registered nurse makes.
• Comparing gross across states. A $76,960 offer in Iowa is $59,377 in hand; the same number in a no-tax state is $62,301.
• Forgetting the employer's share of insurance. A job that pays $74,960 with full health coverage can beat one that pays $79,960 without it.
• Treating the statewide median as the metro median. Des Moines pays differently from a rural county; ask for the figure for the place you are actually going.

Everything about Iowa, on one page

The Iowa page has the licence registries and boards, the state tax at three salaries, the programs that pay you to come, and the openings filed in Iowa this month. If you know which state you are leaving, the move pages compare the two directly. Creating a free Workmerica profile with your trade and your destination puts you in front of Iowa employers hiring from out of state.

Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2024 state estimates for Registered nurse. Tax lines are a single filer with the standard deduction, 2024 federal brackets, and the state rate in lib/us-states.ts; progressive states are approximated. Not tax advice.