SOC 29-2072 · Waterloo-Cedar Falls, IA metro

Medical Records Specialists Salary in Waterloo, IA

The average salary for medical records specialists in Waterloo, Iowa is $50,300 a year ($24.19 an hour), according to BLS estimates for May 2025. The median is $47,680: half of the 80 people in this job in the Waterloo-Cedar Falls, IA metro area earn more than that, half earn less. That average is 11% less than the U.S. average for this job ($56,790).

$50,300average per year

$24.19 / hourMedian $47,680Take-home ≈ $41,296

  • $38K10th
  • $43K25th
  • $48KMedian
  • $57K75th
  • $63K90th

median average · bar = middle 50% of workers · how to read it

80people in this job
-11%vs U.S. average
#6 of 8Iowa metros
87cost of living (U.S. = 100)
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Medical Records Specialists pay range in Waterloo

New workers and the lowest-paid 10% earn about $38,380 a year or less, while the top 10% make $63,020 or more. The middle half of medical records specialists in Waterloo earn between $43,490 and $57,420.

  • $38K10th
  • $43K25th
  • $48KMedian
  • $57K75th
  • $63K90th

median average · bar = middle 50% of workers · how to read it

Pay levelPer yearPer monthPer hour*
Average$50,300$4,192$24.18
Median$47,680$3,973$22.92
Entry level (25th percentile)$43,490$3,624$20.91
Experienced (75th percentile)$57,420$4,785$27.61

*Hourly figures assume 2,080 paid hours a year. Hourly to annual salary.

Medical Records Specialists pay in Waterloo vs. Iowa and the U.S.

Medical records specialists in Waterloo earn 6% less than the Iowa average ($53,470) and 11% less than the U.S. average ($56,790). At the median the gap is -7% against the U.S. median of $51,140.

AreaAverageMedian10th pct.90th pct.Jobs
Waterloo$50,300$47,680$38,380$63,02080
Iowa$53,470$50,640$38,910$66,3902,250
United States$56,790$51,140$37,000$81,150194,720

State and U.S. rows: BLS statewide and national estimates, May 2025, which include rural areas.

Medical Records Specialists salary after taxes in Waterloo

On the average salary of $50,300, a single filer in Waterloo takes home about $41,296 a year, or $3,441 a month and $1,588 every two weeks. Taxes take 18% of gross pay.

Single filer, standard deduction: federal income tax (2026 brackets), Social Security, Medicare and state income tax (2026 rules). Iowa school district surtaxes (a percentage of state tax in some districts) are not included.

Iowa paycheck calculator: try your own salary

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Is Waterloo a good place for medical records specialists? Pay vs. cost of living

Prices in the Waterloo area are 13% below the U.S. average (BEA price parity 87.1), so the average $50,300 buys what about $57,778 would buy in a typical U.S. metro. This job pays 1.0 times the median wage of all jobs in Waterloo ($47,430). A typical home costs $200,191, or 4.0 years of this average salary before tax.

See what $50,300 is worth in another city

Medical Records Specialists salary in other Iowa cities

Waterloo ranks 6th of 8 Iowa metro areas for this job; Iowa City pays the most ($62,880).

All Medical Records Specialists salaries in Iowa

Highest-paying cities for medical records specialists

San Jose, CA pays this job the most of the metro areas we cover ($97,430).

Medical Records Specialists salary by city

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Reviewed before it counts. Medical Records Specialists in Waterloo, IA.

Medical Records Specialists salary in Waterloo: questions

How much do medical records specialists make an hour in Waterloo?

$24.19 an hour on average, and $22.92 at the median (BLS, May 2025).

What is the entry-level medical records specialists salary in Waterloo?

The lowest-paid 10% earn about $38,380 a year and the 25th percentile is $43,490, a fair guide to starting pay.

What is the medical records specialists take-home pay in Waterloo?

About $41,296 a year ($3,441 a month) for a single filer on the average salary of $50,300. Iowa school district surtaxes (a percentage of state tax in some districts) are not included.

Do medical records specialists earn more in Waterloo than elsewhere?

The average here is 11% less than the U.S. average for this job ($56,790).

Sources and how to read this page

  • Wages: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (OEWS), May 2025 estimates for metropolitan areas. SOC code 29-2072; area Waterloo-Cedar Falls, IA (47940). Relative standard error of the mean wage: 2.6%.
  • U.S. and statewide figures: BLS OEWS national and state estimates, May 2025, every employer including rural areas.
  • Cost of living: Bureau of Economic Analysis regional price parities (RPP), 2024; 100 = U.S. average.
  • Home value: Zillow Home Value Index. Typical-wage figure: OEWS all occupations, same metro.
  • Take-home pay: Single filer, standard deduction: federal income tax (2026 brackets), Social Security, Medicare and state income tax (2026 rules). Iowa school district surtaxes (a percentage of state tax in some districts) are not included.
  • Job concentration: location quotient 0.78, this job is less common than in the U.S. overall (location quotient 0.78).

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