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Registered Nurse Salary in Iowa 2026: City-by-City Pay Data

AH
Ava Health Editorial
··6 min read

Registered Nurse Salary in Iowa (2026): City-by-City Pay Data

The average registered nurse salary in Iowa in 2026 is $64,300/year ($30.91/hour). Iowa City (University of Iowa Health Care) is the premium academic market; Des Moines is the largest urban nursing market. Iowa's low cost of living makes its nursing salaries competitive in purchasing power terms.

RN Salary by City in Iowa

City / MetroAvg Annual SalaryNotes
Iowa City$70,200UI Health Care — academic premium; transplant, oncology, NICU
Des Moines Metro$66,500UnityPoint Health, MercyOne, Broadlawns — largest IA market
Cedar Rapids$63,000UnityPoint St. Luke's, Mercy Cedar Rapids
Davenport / Quad Cities$62,500UnityPoint, Genesis Health — IA/IL border market
Sioux City$60,000MercyOne Siouxland, UnityPoint — NW Iowa/SD/NE tristate

Top Iowa Healthcare Employers for RNs

  • University of Iowa Health Care — highest academic pay in IA; Holden Cancer Center, transplant, Iowa Children's Hospital specialty premiums
  • UnityPoint Health — largest statewide community system; consistent demand across Iowa markets
  • MercyOne — Catholic regional system across Iowa and adjacent states

Compact License Status

Iowa is an NLC compact state. RNs with a multistate license from another compact state can practice in Iowa without a separate endorsement.

Iowa RN Job Market Outlook

Rural Iowa has significant nursing shortages — critical access hospitals across the state have persistent vacancies with sign-on bonuses, loan repayment, and relocation assistance. Travel RN rates in Des Moines run $1,500–$1,900/week. The Iowa nursing workforce is aging, creating pipeline demand for new graduates across all regions.

Related: RN Salary Minnesota 2026, RN Salary Illinois 2026, Iowa RN License Guide.

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