How much is the med-surg nurse vs er nurse pay gap in Iowa?

The estimated gap in Iowa is about $8,290 a year, or roughly 10% more for er nurses. Your actual pay depends on experience, specialty, shift, and employer — use the calculator to compare both for your situation.

Are these Iowa figures exact?

No — they're modeled estimates, not verified Iowa wages. They start from each role's national pay and adjust for Iowa's cost of labor, and they update to verified numbers when official state data is loaded.

Why are some figures verified and others estimates?

National pay for the main nursing roles — registered nurses, LPNs/LVNs, nurse practitioners, CRNAs, nurse midwives, and nursing assistants — comes from verified public wage data. State, city, and specialty figures that aren't reported on their own start from that national pay and are labeled "Estimated" or "Specialty estimate." We never show an estimate as a verified figure.

Iowa · IA

Med-Surg Nurse vs ER Nurse salary in Iowa

In Iowa, er nurses earn more — an estimated $91,210 a year versus $82,920 for med-surg nurses, a gap of about $8,290 (roughly 10% more). Both are estimates based on national pay for each role adjusted for Iowa.

Med-Surg Nurse — Iowa

Specialty estimate

Median annual pay

$82,920

-15% vs national

Hourly

$39.87/hr

Median $82,920

$58,600Middle 50%: $68,280–$95,500$116,850

Typical range: $68,280–$95,500; What most nurses earn
High end: $116,850; Top earners
Entry level: $58,600; Newer nurses

ER Nurse — Iowa

Specialty estimate

Median annual pay

$91,210

-15% vs national

Hourly

$43.85/hr

Median $91,210

$64,460Middle 50%: $75,110–$105,050$128,530

Typical range: $75,110–$105,050; What most nurses earn
High end: $128,530; Top earners
Entry level: $64,460; Newer nurses

Why the gap in Iowa

ER nurses are modeled to earn slightly more than med-surg nurses, though both are staff RN roles drawing on the same underlying wage data. The difference comes from the emergency department's trauma acuity, unpredictable patient volume, and shift differentials common in emergency settings. The Iowa figures apply the same local pay adjustment to both roles, so the gap here mirrors the national picture, shifted for Iowa's cost of labor. Actual pay varies with experience, specialty, shift, and employer — compare the national Med-Surg Nurse vs ER Nurse comparison or personalize the calculator.

Med-Surg Nurse vs ER Nurse in Iowa — FAQ

Do med-surg nurses or er nurses earn more in Iowa?: In Iowa, er nurses earn more — an estimated $91,210 a year versus $82,920 for med-surg nurses, a gap of about $8,290 (roughly 10% more). Both are estimates based on national pay for each role adjusted for Iowa's local pay level.
How much is the med-surg nurse vs er nurse pay gap in Iowa?: The estimated gap in Iowa is about $8,290 a year, or roughly 10% more for er nurses. Your actual pay depends on experience, specialty, shift, and employer — use the calculator to compare both for your situation.
Are these Iowa figures exact?: No — they're modeled estimates, not verified Iowa wages. They start from each role's national pay and adjust for Iowa's cost of labor, and they update to verified numbers when official state data is loaded.
Why are some figures verified and others estimates?: National pay for the main nursing roles — registered nurses, LPNs/LVNs, nurse practitioners, CRNAs, nurse midwives, and nursing assistants — comes from verified public wage data. State, city, and specialty figures that aren't reported on their own start from that national pay and are labeled "Estimated" or "Specialty estimate." We never show an estimate as a verified figure.

Source & confidence— An estimate for a specialty that public pay data does not list on its own. A ballpark to start from, not an exact figure.

Modeled estimate (BLS national × state wage index)

Iowa figures are estimated by adjusting the U.S. Bureau of Labor Statistics OEWS national median for local pay levels (a state adjustment of 0.85×).

Source year 2025. Last reviewed July 3, 2026. Full methodology

Estimated figures for Iowa. Last reviewed July 3, 2026.