Nurse Anesthetists (CRNA) Salary

Council Bluffs vs West Des Moines: Nurse Anesthetist Salary (2026)

Compare nurse anesthetist salaries between Council Bluffs, IA and West Des Moines, IA. All figures are 2026 estimates projected from BLS 2025 data.

Council Bluffs, IA
$217,286
$104.46/hr
West Des Moines, IA
$246,798
$118.66/hr

Side-by-Side Comparison

MetricCouncil Bluffs, IAWest Des Moines, IA
Median Salary$217,286$246,798
Hourly Rate$104.46$118.66
Entry Level (P10)$142,652$167,619
25th Percentile$188,955$212,652
75th Percentile$273,139$308,649
Top Earner (P90)$306,950$353,734
Total Employed1216
Side-by-side bar chart comparing Council Bluffs ($217,286) and West Des Moines ($246,798) nurse anesthetist salaries.Council BluffsWest Des MoinesMedian Salary$217,286$246,798Entry Level (P10)$142,652$167,619Top Earner (P90)$306,950$353,734US Median $248,893

Verdict

West Des Moines, IA offers better overall compensation for nurse anesthetists, winning 4 out of 4 metrics compared to Council Bluffs.

The salary gap between Council Bluffs and West Des Moines is $29,512 (13.58%). West Des Moines's median is -0.84% compared to the US national median of $248,893.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Council Bluffs spans $164,298,West Des Moines spans $186,115. West Des Moines has a wider pay range, suggesting more variation in pay between entry-level and experienced nurse anesthetists.

Council Bluffs
P10 (Entry)$142,652
P25$188,955
Median$217,286
P75$273,139
P90 (Top)$306,950
West Des Moines
P10 (Entry)$167,619
P25$212,652
Median$246,798
P75$308,649
P90 (Top)$353,734

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, West Des Moines ($273,007 effective) pays 13.58% more than Council Bluffs ($240,361 effective).

Council Bluffs
Nominal: $217,286
CoL Index: 90.4
Adjusted: $240,361
West Des Moines
Nominal: $246,798
CoL Index: 90.4
Adjusted: $273,007

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

Which City Is Right for You?

Choose Council Bluffs if…

  • You prefer the Iowa area and lifestyle

Choose West Des Moines if…

  • Higher median salary ($246,798/year)
  • Better top-earner potential ($353,734)
  • Larger job market (16 employed)
  • Better purchasing power (CoL-adjusted: $273,007)
  • You prefer the Iowa area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, nurse anesthetist salaries in Council Bluffs grew 9.5% from 2024 to 2025, compared to 22.9% growth in West Des Moines over the same period.

Council Bluffs, IA

+9.5%

$188,571 (2024) → $206,546 (2025)

West Des Moines, IA

+22.9%

$190,814 (2024) → $234,599 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays nurse anesthetists more: Council Bluffs or West Des Moines?

West Des Moines has a higher median nurse anesthetist salary at $246,798/year, compared to Council Bluffs at $217,286/year — a difference of $29,512 (13.58%).

What is the hourly rate difference between Council Bluffs and West Des Moines?

Council Bluffs nurse anesthetists earn $104.46/hr while West Des Moines hygienists earn $118.66/hr (2026 est.).

Should I relocate from Council Bluffs to West Des Moines as a nurse anesthetist?

Consider more than just salary when comparing Council Bluffs and West Des Moines. Factor in cost of living (CoL-adjusted: Council Bluffs = $240,361, West Des Moines = $273,007), job availability (12 vs 16 employed), commute, and career growth potential.

What do entry-level nurse anesthetists earn in Council Bluffs vs West Des Moines?

Entry-level (10th percentile) nurse anesthetists earn $142,652 in Council Bluffs and $167,619 in West Des Moines. The West Des Moines area offers higher starting salaries.
AJ

Written by Alexandra Johnson, MSN, CRNA

Career Analyst

Alexandra Johnson has 10 years of experience as a nurse anesthetist. She specializes in anesthesia for orthopedic surgeries. She works in a regional medical center.

Clinically reviewed by Michael Lee, DNP, CRNAData verified by Fatima Ahmad, MSN, CRNA

Methodology & Data Source

All salary figures are 2026 projections based on BLS OEWS May 2025 data. A 5.20% 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 Alexandra Johnson, MSN, CRNA, a licensed nurse anesthetist with 10+ years of clinical experience. · View source data at BLS.gov