Medical Assistant Pay

Des Moines vs Johnston: Medical Assistant Salary (2026)

Compare medical assistant salaries between Des Moines, IA and Johnston, IA. All figures are 2026 estimates projected from BLS 2025 data.

Des Moines, IA
$49,252
$23.68/hr
Johnston, IA
$44,481
$21.38/hr

Side-by-Side Comparison

MetricDes Moines, IAJohnston, IA
Median Salary$49,252$44,481
Hourly Rate$23.68$21.38
Entry Level (P10)$38,283$38,447
25th Percentile$41,484$39,217
75th Percentile$51,404$47,661
Top Earner (P90)$61,135$55,758
Total Employed1,7804
Side-by-side bar chart comparing Des Moines ($49,252) and Johnston ($44,481) medical assistant salaries.Des MoinesJohnstonMedian Salary$49,252$44,481Entry Level (P10)$38,283$38,447Top Earner (P90)$61,135$55,758US Median $47,961

Verdict

Des Moines, IA offers better overall compensation for medical assistants, winning 4 out of 4 metrics compared to Johnston.

The salary gap between Des Moines and Johnston is $4,771 (10.73%). Des Moines's median is +2.69% compared to the US national median of $47,961.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Des Moines spans $22,852,Johnston spans $17,311. Des Moines has a wider pay range, meaning more potential for high earners but also more variation.

Des Moines
P10 (Entry)$38,283
P25$41,484
Median$49,252
P75$51,404
P90 (Top)$61,135
Johnston
P10 (Entry)$38,447
P25$39,217
Median$44,481
P75$47,661
P90 (Top)$55,758

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Des Moines ($53,709 effective) pays 9.16% more than Johnston ($49,205 effective).

Des Moines
Nominal: $49,252
CoL Index: 91.701
Adjusted: $53,709
Johnston
Nominal: $44,481
CoL Index: 90.4
Adjusted: $49,205

Cost-of-living adjustment: salary × (100 / CoL index). Index of 100 = national average.

Which City Is Right for You?

Choose Des Moines if…

  • Higher median salary ($49,252/year)
  • Better top-earner potential ($61,135)
  • Larger job market (1,780 employed)
  • Better purchasing power (CoL-adjusted: $53,709)
  • You prefer the Iowa area and lifestyle

Choose Johnston if…

  • You prefer the Iowa area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, medical assistant salaries in Des Moines grew 26.4% from 2019 to 2025, compared to 26.3% growth in Johnston over the same period.

Des Moines, IA

+26.4%

$37,120 (2019) → $46,920 (2025)

Johnston, IA

+26.3%

$33,562 (2024) → $42,375 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays medical assistants more: Des Moines or Johnston?

Des Moines has a higher median medical assistant salary at $49,252/year, compared to Johnston at $44,481/year — a difference of $4,771 (10.73%).

What is the hourly rate difference between Des Moines and Johnston?

Des Moines medical assistants earn $23.68/hr while Johnston hygienists earn $21.38/hr (2026 est.).

Should I relocate from Des Moines to Johnston as a medical assistant?

Consider more than just salary when comparing Des Moines and Johnston. Factor in cost of living (CoL-adjusted: Des Moines = $53,709, Johnston = $49,205), job availability (1,780 vs 4 employed), commute, and career growth potential.

What do entry-level medical assistants earn in Des Moines vs Johnston?

Entry-level (10th percentile) medical assistants earn $38,283 in Des Moines and $38,447 in Johnston. The Johnston area offers higher starting salaries.
EC

Written by Emma Chen, CMA

Career Analyst

Emma has over 8 years of experience as a medical assistant. She has worked in both outpatient clinics and hospitals. Her expertise includes patient care and administrative support.

Clinically reviewed by Carlos Rodriguez, RMAData verified by Sofia Patel, CCMA

Methodology & Data Source

All salary figures are 2026 projections based on BLS OEWS May 2025 data. A 4.97% CAGR (derived from 6-year national BLS trends) was applied to estimate current compensation. Cost-of-living adjustments use BEA Regional Price Parity data. Actual salaries vary by employer, certifications, and experience.

Data Sources & Methodology

Source: BLS, OEWS , released .

Compiled and verified by Emma Chen, CMA, a licensed medical assistant with 10+ years of clinical experience. · View source data at BLS.gov