Medical and Health Services Managers in South Dakota
May 2025 wages · tax year 2026
You keep
$94,687
after federal, FICA and South Dakota tax
Tax takes
$27,363
22.4% of the whole
Worth, in national money
$107,483
South Dakota costs less than average
On that salary you would be around the 25th percentile for this work in South 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
$122,050
Kept after tax
$94,687
Worth in national money
$107,483
State rank
22
of 51 states
What this pays, and what it is worth
- Middling, nationally. South Dakota pays this job around $122,050 at the midpoint, 22 of 51 states. The interesting numbers on this page are the two below it.
- This is one of the better-paid jobs in South Dakota. It ranks 22 out of 457 occupations the state publishes figures for, which puts it in the top quarter locally.
- Cheaper living works in this state's favor. From $122,050 you keep $94,687 after tax, and local prices stretch that to the equivalent of $107,483 at national prices. Averages run higher here, $130,720, since top earners drag the number up.
- For medical and health services managers the South Dakota median is $122,050, ranking 22 of 51 states reporting. Mid-band nominal positions are the ones most frequently reordered by the adjustments, because no large wage premium exists to absorb a state's tax or price level.
- Within South Dakota, medical and health services managers ranks 22 of 457 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.
- Retained pay in South Dakota is $94,687 after the full tax stack, from $122,050. Because the state's price level runs below the national average, the price-adjusted equivalent is $107,483 — a real-terms figure describing purchasing power rather than compensation, and not a number that appears on any pay stub. Mean pay of $130,720 exceeds the median, so the upper tail is doing the work.
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Pay band: Medical and Health Services Managers
The state median for this job
| Lowest tenth earn under | $84,310 |
|---|---|
| Half earn under | $122,050 |
| Top tenth earn over | $178,630 |
| This salary | $122,050 |
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 South Dakota | $94,687 |
|---|---|
| Take-home in Texas | $94,687 |
| Once local prices are leveledBEA price parity | −$10,043 |
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 | $122,050 |
|---|---|
| Raise you would need | +$14,279 |
| Prices in Texas | 97 vs 88 |
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 South Dakota earn under $122,050 and half over. The published range runs $84,310 at the tenth percentile to $178,630 at the ninetieth. Experience and employer move an individual a long way inside that.
- One filer, no dependants, no pension contributions — that is the household behind South Dakota's $94,687, worked from $122,050. That is on purpose. It lets states be compared with each other, not with each other's family circumstances. Local city taxes are left out. Locally this work ranks 22 of 457.
- One number stands for prices across all of South Dakota, which is a simplification — big cities cost far more than small towns. Read $107,483, the adjusted value of that $122,050 median, as a way to compare states fairly, not as a quote for any particular place. The two datasets are also from different years. This job sits at 22 of 457 in the state.
- Figures are distribution medians for medical and health services managers in South Dakota, not entry or offer rates. The published band runs $84,310 to $178,630; 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.
- The South Dakota take-home of $94,687, on $122,050 for work ranking 22 of 457 locally, models the simplest household deliberately: holding it constant is what makes the interstate comparison meaningful. It also means the absolute figure overstates liability for most real filers, and municipal income taxes are outside the model entirely. The occupation ranks 22 of 457 in the state.
- Price deflation uses one statewide parity for South Dakota, so $107,483 — the adjusted value of that $122,050 median — establishes comparability between states rather than accuracy within one. The wage and parity series are dated independently, each following its own publication cycle, and neither is projected forward. This occupation sits at 22 of 457 locally.
Questions people ask
Is this the average pay for the job?
Half earn more than this and half earn less. The average sits at $130,720 because a long tail of high pay lifts it, so the two answer different questions.
Why is the pay range for this job so wide?
One title, many jobs. The lowest tenth take $84,310, the highest tenth $178,630, and what separates them is experience, employer and what exactly the role does.
What does this pay actually buy where I live?
Further than the number implies. South Dakota is cheaper than the national average, so this take-home behaves like $107,483 in national terms.
Is most of this wage taxed away?
No. $94,687 survives, because South Dakota levies no wage income tax. The federal share does not change with the state you work in.
Can I compare this job across every state?
This occupation is published everywhere — all 51 of them — so comparing states measures real differences rather than gaps in the data.
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 South Dakota is $130,720. 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 ($84,310) and the ninetieth ($178,630) 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?
South 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 $107,483 in national-average terms. The adjustment uses an all-items index and does not isolate housing.
Why is the take-home ratio comparatively high in this state?
South Dakota levies no personal income tax on wages, so take-home of $94,687 reflects the federal layer and FICA alone. Federal income tax and FICA are unchanged; states without a wage income tax generally recover revenue through consumption and property bases instead.
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.