Last updated: 2025 BLS data · Page refreshed:
How much does a Orthopedic Surgeons, Except Pediatric actually take home in Iowa?
3.9% flat rate — 29.3% effective total tax rateData: BLS OEWS 2025 + IRS/State Tax Brackets 2024 • Updated 2026-05-19
Detailed line-by-line tax calculation for a Orthopedic Surgeons, Except Pediatric earning $189,410 in Iowa (single filer, standard deduction).
| Tax Component | Annual Amount | Effective Rate |
|---|---|---|
| Gross Salary (Median) | $189,410 | — |
| Federal Income Tax | -$34,996 | 18.5% |
| Iowa State Income Tax | -$7,386 | 3.9% |
| Social Security (OASDI) | -$10,453 | 5.5% |
| Medicare | -$2,746 | 1.5% |
| Total Taxes | -$55,583 | 29.3% |
| Take-Home Pay | $133,826 | 70.7% |
Take-home pay varies significantly across experience levels. Here is the after-tax breakdown for each salary percentile of Orthopedic Surgeons, Except Pediatric in Iowa.
| Percentile | Gross Salary | Total Taxes | Take-Home Pay | Tax Rate |
|---|---|---|---|---|
| 10th Percentile (P10) | $124,510 | -$33,801 | $90,708 | 27.1% |
| 25th Percentile (P25) | $131,340 | -$36,229 | $95,110 | 27.6% |
| Median (P50) | $189,410 | -$55,583 | $133,826 | 29.3% |
| 75th Percentile (P75) | $355,280 | -$120,470 | $234,809 | 33.9% |
| 90th Percentile (P90) | $539,990 | -$196,663 | $343,326 | 36.4% |
After federal income tax ($34,996), state tax ($7,386), and FICA ($13,199), a Orthopedic Surgeons, Except Pediatric in Iowa takes home $133,826 per year — or $11,152 per month. The effective tax rate of 29.3% is moderate compared to the national range.
A Orthopedic Surgeons, Except Pediatric in Iowa loses 29.3% of gross pay to taxes — higher than the ~25% national midpoint. Of the $189,410 gross, $133,826 lands in the paycheck after federal ($34,997), state ($7,387), and FICA ($13,200) withholding.
Iowa applies a flat state income tax — every dollar of wage income is taxed at the same rate. For this Orthopedic Surgeons, Except Pediatric salary that contributes $7,387 to the 3.9% effective state-tax burden.
Federal income tax ($34,997) accounts for 63% of the total tax bill — the single largest deduction. FICA adds $13,200 (24%), and state tax the remaining $7,387 (13%).
The state-tax gap is substantial: a Orthopedic Surgeons, Except Pediatric earning this gross in a no-income-tax state would net about $141,213 — an extra $7,387 (5.5%) annually compared with Iowa.
Iowa sits near the bottom (#30 of 31) for Orthopedic Surgeons, Except Pediatric after-tax earnings. Relocation, negotiation, or credential stacking typically show the clearest ROI in bottom-quartile states.
Translated into paycheck cadences, $133,826 net/year works out to $11,152/month or $5,147/bi-weekly for this Orthopedic Surgeons, Except Pediatric in Iowa — the numbers that actually hit a checking account after every deduction.
Where does a Orthopedic Surgeons, Except Pediatric keep the most of their paycheck? Top 10 states ranked by after-tax take-home pay.
Iowa ranks #30 out of 31 states for Orthopedic Surgeons, Except Pediatric after-tax take-home pay.
A Orthopedic Surgeons, Except Pediatric in Iowa earning a median salary of $189,410 will take home approximately $133,826 per year after federal income tax ($34,996), state income tax ($7,386), and FICA ($13,199). That is $11,152 per month or $5,147 per bi-weekly paycheck.
The effective total tax rate for a Orthopedic Surgeons, Except Pediatric in Iowa is 29.3%, broken down as: federal income tax 18.5%, Iowa state tax 3.9%, and FICA (Social Security + Medicare) 7.0%. This assumes a single filer with the standard deduction for 2024.
Iowa has a 3.9% flat rate. On a Orthopedic Surgeons, Except Pediatric's median salary of $189,410, the state income tax amounts to $7,386 per year, which is an effective state rate of 3.9%.
After all taxes, a Orthopedic Surgeons, Except Pediatric in Iowa takes home approximately $11,152 per month, or about $64.34 per hour (based on a standard 2,080-hour work year). These figures assume a single filer, standard deduction, and no additional pre-tax deductions.
We start with the 2025 BLS median salary of $189,410 for Orthopedic Surgeons, Except Pediatric in Iowa, then subtract: federal income tax using 2024 IRS brackets ($14,600 standard deduction), Iowa state income tax (3.9% flat rate), Social Security (6.2% up to $168,600), and Medicare (1.45%). The result — $133,826/yr — does not include local taxes, pre-tax deductions (401k, HSA), or tax credits.
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This estimate assumes a single filer using the 2024 standard deduction ($14,600), with W-2 employment income only. It does not account for: itemized deductions, tax credits (e.g. earned income credit, child tax credit), local/city taxes, pre-tax contributions (401k, HSA, FSA), self-employment tax, or additional income sources. Actual take-home pay may differ. Consult a tax professional for personalized advice.
Our Methodology · Data Sources · Salary: BLS OEWS · Tax: IRS + State DOR