Medical and Health Services Managers in North Dakota
May 2025 wages · tax year 2026
You keep
$82,025
after federal, FICA and North Dakota tax
Tax takes
$23,145
22.0% of the whole
Worth, in national money
$92,609
North Dakota costs less than average
On that salary you would be around the 25th percentile for this work in North Dakota — roughly, since only five points along the band are published.
One filer, standard deduction, no dependants and nothing paid in before tax — the same household the rest of this page uses, so the comparison holds. City and school-district income taxes are not included.
Median here
$105,170
Kept after tax
$82,025
Worth in national money
$92,609
State rank
41
of 51 states
What this pays, and what it is worth
- The nominal figure here is modest. North Dakota pays this job a middle wage of $105,170, 41 of 51 states and about 15.09% below the national middle. Hold that thought until the adjusted numbers.
- This is one of the better-paid jobs in North Dakota. It ranks 39 out of 460 occupations the state publishes figures for, which puts it in the top quarter locally.
- North Dakota is cheaper than average, and that shows up here. From $105,170 the take-home is $82,025; adjusted for what things actually cost, it goes as far as $92,609 would nationally. The average comes to $124,000, above the middle, thanks to the top of the range.
- North Dakota's $105,170 median for medical and health services managers places it 41 of 51 states, about 15.09% below national. Because both the tax and price adjustments tend to favor lower-nominal states, this ranking is the least stable of the three reported here.
- Within North Dakota, medical and health services managers ranks 39 of 460 occupations by median pay, placing it in the top quartile of the local distribution. This is the comparison a resident actually makes — against neighbors rather than against the same job elsewhere.
- Post-tax income for medical and health services managers in North Dakota, on $105,170, is $82,025 — equivalent to $92,609 once regional price parity is applied. ⚠️ The adjustment uses a statewide index that describes no particular address; within-state price variation, concentrated in housing, routinely exceeds the difference between two states. At $124,000 the mean overshoots the median — the usual right-skewed shape.
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Pay band: Medical and Health Services Managers
The state median for this job
| Lowest tenth earn under | $78,150 |
|---|---|
| Half earn under | $105,170 |
| Top tenth earn over | $179,740 |
| This salary | $105,170 |
Positions between the published tenth, quarter, half, three-quarter and ninetieth points are estimated by straight line.
The same pay, somewhere else
The state median for this job
| Take-home in North Dakota | $82,025 |
|---|---|
| Take-home in Texas | $82,817 |
| Once local prices are leveledBEA price parity | −$7,384 |
The raise and the real gain point in opposite directions here.
State income tax and state price levels only. No city income tax, and no housing market.
What you would need there
The state median for this job
| To match take-home only | $104,045 |
|---|---|
| Raise you would need | +$10,200 |
| Prices in Texas | 97 vs 89 |
State taxes and state price levels only. No city tax, and no housing market.
Sources and assumptions
- A median is the middle, not an offer. Half of medical and health services managers in North Dakota earn under $105,170 and half over. The published range runs $78,150 at the tenth percentile to $179,740 at the ninetieth. Experience and employer move an individual a long way inside that.
- In North Dakota the take-home figure of $82,025, from $105,170, assumes one filer, no dependants, and nothing paid into a pension before tax. Each of those lowers the bill, so treat it as the plain case. City and school-district income taxes are not included either, and in a few states those are real money. It ranks 39 of 460 occupations here.
- Two cautions on $92,609, the adjusted value of that $105,170 median. It levels out prices with a single number for all of North Dakota. No actual address matches that. The wage figures and price figures are also from different years. Each is published on its own timetable. This work sits at 39 of 460 locally.
- Figures are distribution medians for medical and health services managers in North Dakota, not entry or offer rates. The published band runs $78,150 to $179,740; within-state dispersion of that width routinely exceeds the dispersion between states, so tenure, employer and metropolitan area predict an individual's pay better than geography does.
- Take-home for North Dakota is computed for a single filer taking the standard deduction with no dependants and no pre-tax contributions, giving $82,025 from $105,170. Each omitted item reduces taxable income, so the figure is a lower bound on retained pay for this household shape. Municipal and school-district income taxes are excluded, which understates the burden materially in Ohio, Pennsylvania and Maryland. The occupation ranks 39 of 460 locally.
- This $92,609 adjusted figure, worked from $105,170, rests on a state-level price parity averaging over within-state dispersion larger than much of the between-state dispersion. Wage and price vintages differ by publication schedule. The result is directionally sound and not address-specific, for work at 39 of 460 in the state. The occupation ranks 39 of 460 locally.
Questions people ask
Is this the average pay for the job?
It is the midpoint, not the average. The average here is $124,000, dragged up by high earners; the middle figure describes a typical worker better.
Why is the pay range for this job so wide?
One title, many jobs. The lowest tenth take $78,150, the highest tenth $179,740, and what separates them is experience, employer and what exactly the role does.
What does this pay actually buy where I live?
More than the figure suggests. Prices in North Dakota sit below the national level, so take-home here stretches like $92,609 would elsewhere. The wage is the same; the ground it covers is larger.
Where does the difference between the wage and my paycheck go?
Three of them are federal and one is not. After income tax, Social Security, Medicare and North Dakota's own levy, $82,025 remains.
Can I compare this job across every state?
Yes for this one. Pay is published in all 51 jurisdictions, so a state-to-state comparison here rests on the same survey everywhere rather than on a patchwork.
How does the published median differ from the mean for this occupation?
The median is the midpoint of the distribution; the mean for this occupation in North Dakota is $124,000. Wage distributions are right-skewed, so the mean exceeds the median wherever a minority earn substantially more. BLS publishes both because substituting one for the other misstates a typical worker's pay.
What drives the percentile dispersion in this occupation?
Dispersion between the tenth percentile ($78,150) and the ninetieth ($179,740) exceeds the family median dispersion. SOC codes aggregate roles differing in seniority, industry and specialisation, and BLS does not disaggregate below the detailed occupation level, so within-title variance is not separable from the published series.
What is this occupation's price-adjusted compensation in this state?
North Dakota's regional price parity is at or below the national average, so nominal wages understate purchasing power. Take-home deflated by the state price level is $92,609 in national-average terms. The adjustment uses an all-items index and does not isolate housing.
What accounts for the gap between gross wage and take-home here?
Take-home of $82,025 reflects federal income tax, OASDI, Medicare and North Dakota income tax for a single filer with no adjustments. The state layer is levied in addition to the federal one; only its rate and base differ between states.
Is this occupation's state coverage complete?
State-level estimates are published for all 51 jurisdictions for this occupation, so cross-state comparison is not confounded by suppression. ⚠️ Estimates remain survey-based and carry sampling error; small differences between adjacent states should not be over-read.