How much does a Surgeon make in North Dakota?

The average Surgeon salary in North Dakota is around $540,000 per year. After federal taxes, FICA, and North Dakota state taxes, your estimated take-home pay is approximately $355,059 annually ($29,588/month).

What is the take-home pay for a Surgeon in North Dakota?

On a $540,000 salary in North Dakota, your take-home pay is approximately $355,059/year or $29,588/month. Federal tax: $152,134. State tax: $10,478. FICA: $0.00.

Is $540,000 a good Surgeon salary?

$540,000 is a strong salary for a Surgeon — above the national median. In North Dakota, demand for this role is active.

How do North Dakota taxes affect Surgeon salaries?

North Dakota levies state income tax on top of federal taxes. Your estimated state tax on $540,000 is $10,478. Your total effective tax rate is approximately 34.2%.

What are the career growth prospects for Surgeons?

3% growth projected 2022-2032 (slower than average) overall — but specific subspecialties (cardiothoracic, neurosurgery, plastic, transplant, pediatric subspecialty) face severe shortage with 8-15 year supply lag from training pipeline. Aging Boomer demographic = sustained surgical volume through 2035+. AI/robotics augment but do not replace operative judgment in the 10-year window.. Related roles include: Anesthesiologist, Orthopedic Surgeon, Cardiothoracic Surgeon, Neurosurgeon, Plastic Surgeon, Vascular Surgeon, General Surgeon, Trauma Surgeon, Transplant Surgeon, Pediatric Surgical Subspecialist, Surgical Oncologist.

How can a Surgeon in North Dakota reduce their tax bill?

Maximize your 401(k) contribution ($24,500 in 2026) to reduce taxable income. An HSA ($4,400 single / $8,750 family) adds further pre-tax savings. These strategies can save thousands annually — use our calculator to see your exact savings.

Healthcare

Surgeon Salary in North Dakota (2026)

The average Surgeon in North Dakota earns around $540,000/year. After taxes, your estimated take-home is $355,059/year ($29,588/month).

Take-Home Pay Breakdown

Category	Amount
Annual Take-Home Pay	$355,059
Monthly Take-Home Pay	$29,588
Biweekly Take-Home Pay	$13,656
Hourly Take-Home Pay based on 2,080 hrs/year	$171/hr
Federal Tax	$152,134
State Tax	$10,478
FICA Taxes	$22,329
Effective Tax Rate total taxes ÷ gross salary	34.25%

Estimates only — not tax advice. · Full disclaimer →

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Surgeon Salary Ranges in North Dakota

Entry Level (0–3 yrs)

$410,000

/year

See tax breakdown →

Mid Level (3–7 yrs)

$540,000

/year

See tax breakdown →

Senior Level (7+ yrs)

$950,000

/year

See tax breakdown →

Not all Surgeons earn the same — not even close

North Dakota's surgical market is anchored by Sanford Health ND (Sanford Bismarck Level 2 adult trauma + Sanford Fargo Medical Center + Sanford Children Hospital Fargo pediatric surgery + Sanford-USD Heart Hospital affiliation + Sanford Cancer Center surgical oncology), Essentia Health Fargo + Essentia Health-Mid Dakota (Catholic multi-state surgical), Altru Health Grand Forks (substantial regional surgical serving NE ND + NW MN), CHI St. Alexius Health Bismarck (CommonSpirit Health surgical + the substantial CHI St. Alexius Heart Institute) + Trinity Health Minot (substantial NW ND surgical + Trinity Health Minot Heart Institute), Indian Health Service IHS ND surgical (Standing Rock + Spirit Lake + MHA Nation + Turtle Mountain IHS), VA Fargo + VA Bismarck, plus UND School of Medicine + the substantial UND-Sanford surgical residency partnership + the substantial ND private surgical practice.

Senior Trauma Surgeon (Sanford Bismarck Level 2)

$425,000–$815,000+ bonus

Sanford Bismarck Level 2 + Sanford Fargo · ND trauma surgery + 24/7 trauma call

Senior Cardiac Surgeon (Sanford / CHI Heart)

$525,000–$1,185,000+ bonus

Sanford-USD Heart + CHI St. Alexius Heart Institute + Trinity Heart Institute · cardiac

Senior Orthopedic Surgeon

$525,000–$1,150,000+ bonus

ND orthopedic + Sanford + Essentia + Altru + CHI · the substantial post-Bakken trauma ortho

Senior Surgical Oncologist (Sanford Cancer)

$425,000–$785,000+ bonus

Sanford Cancer Center + Essentia Cancer · oncology surgery

Senior Neurosurgeon (Sanford / CHI)

$565,000–$1,285,000+ bonus

Sanford Bismarck + Sanford Fargo + CHI St. Alexius · adult neurosurgery

Senior Pediatric Surgeon (Sanford Children Fargo)

$385,000–$715,000+ bonus

Sanford Children Hospital Fargo · pediatric general + congenital + the substantial ND pediatric

Senior General Surgeon

$345,000–$585,000+ bonus

ND general surgery + Sanford + Essentia + Altru + CHI + Trinity Minot

Senior Plastic Surgeon (Private)

$385,000–$885,000+ bonus

Private practice plastic surgery · the substantial ND cosmetic + reconstructive

Mid-Career Surgeon (5-10 yrs post-fellowship)

$325,000–$545,000

Specialty surgeon 5-10 yrs · transitioning to senior partnership

Surgical Resident / Fellow

$58,000–$80,000

UND School of Medicine + Sanford + Essentia + CHI Surgery residency · only ND GME

Worth knowing: Sanford Health ND + the substantial Sanford-USD partnership + CHI St. Alexius CommonSpirit + Trinity Minot + Altru + Essentia multi-system surgical + the only ND MD-granting institution UND School of Medicine is one of the country's distinctive concentrated US single-state multi-system surgical + UND-Sanford GME anchor and a feature most national surgeon surveys understate for ND. Sanford Health ND surgical (Sanford Bismarck Level 2 adult trauma + Sanford Fargo Medical Center + Sanford Children Hospital Fargo pediatric surgery + the substantial Sanford-USD Heart Hospital affiliation + Sanford Cancer Center surgical oncology + the substantial Sanford multi-state SD-ND-MN-IA + Sanford Castle of Care + the substantial Sanford Magnet designations) supports substantial ND surgical work. Senior Sanford ND trauma + cardiac + neurosurgery clear $425K-$1.285M+ bonus. Essentia Health Catholic + Altru Grand Forks + CHI St. Alexius CommonSpirit Bismarck (the substantial CHI St. Alexius Heart Institute) + Trinity Health Minot (the substantial Trinity Health Minot Heart Institute + Trinity Cancer Center) supports broad ND surgical. The substantial IHS reservation surgical + VA Fargo + VA Bismarck + the substantial UND School of Medicine + UND-Sanford surgical residency partnership + the substantial post-Bakken oilfield trauma orthopedic referral. ND flat 1.95%/2.5% top + ND RTW since 1948 anchor the ND surgical proposition.

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Surgeon Salary in Other States

Surgeon Salary in California →Surgeon Salary in Texas →Surgeon Salary in New York →Surgeon Salary in Florida →Surgeon Salary in Washington →$540,000 salary in North Dakota →

More on North Dakota

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Tax brackets, standard deductions, and take-home estimates for North Dakota in 2026.

North Dakota Paycheck Calculator →

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