Most important takeaways…
- DMACC charges $5,790 in district; Mercy lists $17,664.
- Unaccredited private programs may not qualify you for CMA (AAMA) exams.
- Des Moines medical assistants earn above state and national averages.
Compare accredited programs, costs, and certification paths at Des Moines-area schools to find the right fit for your career.
How do you choose between DMACC's $5,790 certificate and Mercy College's $17,664 associate degree when both meet the CMA (AAMA) exam requirement? Des Moines employers are hiring medical assistants steadily, and local medical assistant salary levels beat Iowa and national medians, but the metro's accredited on-ground options are few.
That makes the real decision about cost, scheduling, and accreditation, not demand. DMACC offers the lowest sticker price and an 8-week supervised practicum. Mercy adds an associate degree, online coursework, and brief on-campus labs. Hybrid and online options widen the choices, but CAAHEP or ABHES medical assisting accreditation requirements remain the filter for exam eligibility.
Des Moines offers something many larger metros do not: a healthcare job market that is growing steadily without the sky-high cost of living that eats into entry-level wages. For anyone considering a medical assistant career here, that balance matters.
The Des Moines metro is anchored by several large health systems that operate dozens of outpatient clinics across the region. UnityPoint Health and MercyOne are the two biggest names, each running primary care offices, specialty clinics, and urgent care locations throughout Polk County and surrounding areas. Broadlawns Medical Center serves as the county's public hospital and safety-net provider, while The Iowa Clinic is one of the largest physician-owned multispecialty groups in the state. Together, these organizations employ thousands of clinical support staff, and medical assistants fill a critical frontline role in their ambulatory operations.
Outpatient clinic expansion has been the real engine behind MA hiring. As health systems shift procedures and follow-up care out of hospital settings, the need for skilled MAs who can room patients, take vitals, assist with in-office procedures, and handle EHR documentation keeps climbing.
Iowa does not require state licensure or certification for medical assistants, so you can work as a medical assistant without certification here.1 There is no MA license category at the state level,2 and scope of practice is governed by physician delegation and employer policy rather than a single statute.3 On-the-job training is technically legal as long as tasks are delegated by a supervising physician.3
That said, do not confuse "no state requirement" with "no employer requirement." Most Des Moines-area employers strongly prefer, and many require, national certification such as the CMA (through AAMA) or RMA (through AMT) before they will extend an offer. Community colleges across Iowa echo the same message: certification or registration is expected by the majority of hiring managers.34 Skipping a formal program and hoping to learn on the job is a gamble that limits your options significantly.
Des Moines graduates are not confined to one zip code. The metro's commuting corridors stretch into Ankeny and Urbandale to the north and northwest, West Des Moines to the west, and even into Ames and Marshalltown for those willing to drive 30 to 60 miles. Clinics in these communities draw from the same pool of trained MAs, so completing one of the medical assistant programs in Iowa near downtown Des Moines can open doors across a wide geographic footprint.
Compared to cities like Minneapolis, Chicago, or Denver, the Des Moines metro offers a lower cost of living while maintaining competitive wages for clinical support roles. Rent, transportation, and everyday expenses stretch further here, which means a medical assistant salary goes further too. Combine that with consistent clinic-based demand from multiple health systems, and Des Moines stands out as a practical, stable place to launch a medical assistant career.
Students comparing Des Moines area medical assistant programs often start with DMACC and Mercy College of Health Sciences. DMACC offers a lower-priced, in-person certificate path, while Mercy combines an associate degree with online instruction and brief on-campus skills labs. Both hold CAAHEP accreditation and prepare graduates for the CMA (AAMA) exam.
| Category | DMACC | Mercy College of Health Sciences |
|---|---|---|
| Accreditation | CAAHEP | CAAHEP |
| Certification eligibility | CMA (AAMA) | CMA (AAMA) |
| RMA (AMT) eligibility | Not confirmed in available program materials | Not confirmed in available program materials |
| Degree type and length | Certificate program; one year full time or two years part time | Associate degree; one year |
| Format and scheduling | In person on campus; daytime classes only; no online or evening options; fall start | Hybrid; 100% online instruction with two in-person skills labs; fall, spring, and summer starts |
| Tuition (in state) | $5,790 | $17,664 |
| Net price (federal data) | $11,171 | $26,924 |
| Externship or clinical practice | Clinical hour total and named partner sites are not listed in available program details | 160 hours clinical practicum; named partner sites are not listed in available program details |
Balancing work, family, and education requires schedule flexibility that many traditional medical assistant programs simply cannot provide. For adults in Des Moines considering a career change or advancement, understanding which local and online options accommodate non-traditional schedules is essential before committing to any program.
DMACC's Medical Assistant Certificate program offers a part-time track that extends completion from one year to two years, which can help reduce the weekly time commitment.1 However, the program explicitly states that required courses are daytime only and cannot be completed online or in the evening.1 This means working adults who cannot adjust their daytime employment will face significant scheduling challenges with the DMACC program, even when stretching it over two years.
The program begins each fall, so planning around a single annual start date adds another layer of timing considerations for prospective students juggling work obligations.1
For Des Moines residents who need evening or weekend coursework, online medical assistant programs for working adults from CAAHEP or ABHES-accredited schools outside Iowa may offer a practical alternative. Schools like Purdue Global, Herzing University, and Ultimate Medical Academy provide online didactic instruction that can be completed on your own schedule, including evenings and weekends.
However, even fully online programs require in-person clinical hours through an externship. This means Des Moines students enrolling in an out-of-state online program must arrange local externship placements themselves, which can be challenging. Some online schools have established clinical partnerships in larger metro areas, but Des Moines coverage varies by institution. Before enrolling, confirm whether the school can help secure an externship site within reasonable commuting distance of your home.
Not all accreditations carry equal weight with every employer. Some Des Moines healthcare systems prefer candidates from CAAHEP-accredited programs, while others accept ABHES accreditation. Before committing to any online program, contact your target employers directly and ask which medical assistant program accreditation types qualify graduates for their open positions. This simple step prevents completing a program only to discover it does not meet the credential requirements of the clinic or hospital where you want to work.
Sticker prices only tell part of the story: DMACC lists in-district tuition at $5,790, while Mercy College of Health Sciences lists $17,664. The average net price after aid (which includes books, supplies, and living costs) is $11,171 at DMACC and $26,924 at Mercy, and about 67% of DMACC students and 49% of Mercy students receive Pell Grants. Exact books, supplies, uniform, and externship costs are not broken out separately in federal data, but the CMA/RMA exam fee typically runs about $250.


DMACC's medical assisting program includes an 8-week supervised practicum in an ambulatory setting.1 That is the program's published externship anchor, but DMACC does not post a single total clinical-hour count for the practicum, so the weekly schedule and total hours can shift with the host site. Mercy College's current medical assistant externship length and hour requirements were not verifiable from public program pages, which makes a direct phone call to the program coordinator essential before comparing options.
Medical assistant externships in Des Moines-area programs are meant to be hands-on rather than shadowing only. Students typically practice: - Patient intake and rooming, including chief complaint and medication review - Vital signs and documentation in the electronic health record - Phlebotomy draws when the site permits - EKGs and point-of-care testing - Check-in, scheduling, prior authorizations, and other medical assistant administrative duties
Supervised repetition of those tasks is what turns classroom skills into job-ready speed, and it gives preceptors a clear look at dependability, communication, and clinical judgment.
DMACC's published materials do not name a fixed externship partner list.1 Mercy College's partner details were also not identifiable from available pages. That said, Des Moines has a concentrated ambulatory care market, and many medical assistant externship placements involve clinics within major systems such as UnityPoint Health, MercyOne, The Iowa Clinic, and Broadlawns Medical Center. These are not guaranteed assignments. Some programs place students directly; others expect students to identify a site that meets the program's insurance and preceptor requirements. Ask the program director whether the school places you, whether you can request a preferred system, and what documentation the site must sign before you enroll.
Many Des Moines employers hire medical assistants directly from their externship pipeline. If your goal is family medicine, seek a family medicine clinic. If you want to work inside a health system, a placement there gives you internal familiarity with the EHR, face time with hiring managers, and a faster reference path. Site selection is therefore a career decision, not just a graduation checkbox. Externs who show up prepared, ask for feedback, and treat every patient interaction professionally are often first in line when a full-time opening appears.
Most Des Moines area programs run daytime schedules. If you have a job you cannot leave, confirm that a program offers evening, weekend, or hybrid sections before you apply, because options are limited locally.
Major health systems like UnityPoint and MercyOne often prefer or require the CMA. Check job postings at your target employers now so you pick a program whose accreditation aligns with the credential they expect.
A certificate gets you into the workforce fast, but an associate degree can open doors to supervisory roles or make it easier to transfer credits if you later pursue nursing or health information technology.
Medical assistants in the Des Moines metro area earn wages that consistently outpace both state and national benchmarks, making the region one of the stronger markets for this occupation in the Midwest.
The median annual wage for medical assistants in the Des Moines-West Des Moines metropolitan area sits at $46,920, based on 2025 data.1 That figure runs about $1,400 higher than Iowa's statewide median of $45,4801 and roughly $4,900 above the national median of $42,000.2
For context on the full earnings range, Iowa statewide data shows entry level medical assistant positions at the 10th percentile pay around $36,730 annually, while experienced MAs at the 90th percentile reach $54,960.1 Nationally, that spread runs from $33,500 at the 10th percentile up to $56,480 at the 90th.2 The metro area's higher baseline suggests that even newer medical assistants in Des Moines tend to start closer to or above the state's median rather than the floor.
The Des Moines metro currently employs approximately 1,780 medical assistants across its healthcare facilities, a substantial pool that reflects steady demand from the region's hospital systems, specialty clinics, and primary care networks.1
Nationally, the Bureau of Labor Statistics projects 15 percent employment growth for medical assistants through 2032, a pace considerably faster than average for all occupations. The medical assistant job outlook in Des Moines mirrors this trajectory. The metro's ongoing expansion of outpatient clinics, urgent care centers, and specialty practices keeps demand strong. Healthcare employers here compete for trained MAs, which helps sustain wages above state averages and creates negotiating leverage for candidates with credentials and externship experience.
Program-level earnings data from the federal College Scorecard, which tracks what graduates actually earn one and two years after completing their programs, is not currently published for the medical assistant programs at DMACC or Mercy College of Health Sciences. Without that figure, calculating a precise payback timeline against median graduate debt is not possible at this time.
That said, the broader picture is encouraging. Certificate programs in Iowa, including many medical assistant trade schools, typically carry total costs well under $15,000, and associate degrees at community colleges often remain below $20,000 after financial aid. Against a median starting salary approaching $47,000, most graduates who secure full-time employment in the metro can expect to recover their educational investment within one to two years of entering the workforce. The math improves further when you factor in employer tuition assistance, which several major Des Moines health systems offer to clinical support staff pursuing credentials.
Below is the ranked list of accredited medical assistant programs serving Des Moines students. Both schools sit within a practical commute for learners coming from downtown Des Moines, West Des Moines, or Ankeny.
Des Moines, IA · $27,000/yr
Best for: Working adults seeking hybrid medical assisting training
Mercy College of Health Sciences is a private health sciences college located in Des Moines. Its associate-level Medical Assisting program uses a one-year hybrid format: mostly online instruction with two in-person skills labs and a 160-hour clinical practicum at Iowa healthcare partner sites. The school's overall graduation rate is 66%, and published tuition is $17,664 with a typical net price near $26,924. Graduates are eligible to sit for the CMA (AAMA) exam through CAAHEP accreditation.
Ankeny, IA · $11,000/yr (net price)
Best for: Budget-conscious daytime students in central Iowa
Des Moines Area Community College, based in Ankeny and connected to the Des Moines Capitol Center, offers a budget-friendly Medical Assistant certificate. Students choose a one-year full-time or two-year part-time track, but classes are daytime only with no online or evening options. The school's overall graduation rate is 39%, in-state tuition is $5,790, and the typical net price is about $11,171. The program is CAAHEP-accredited and builds eligibility for national certification.
The Bureau of Labor Statistics projects 15% job growth for medical assistants from 2023 to 2033, far outpacing the average for all occupations. That pace translates to roughly 119,000 openings each year nationwide, making this one of the fastest growing allied health careers in the country (source: BLS Occupational Outlook Handbook).
These are the questions prospective medical assistants ask most often about training in the Des Moines area. The answers below reflect what is currently published about local and online options, and they are meant to help you compare programs without overstating what is known.
Iowa does not require a state license to work as a medical assistant.1 However, many Des Moines employers strongly prefer or require a national credential such as CMA, RMA, or CCMA.1 Completing an accredited program and earning a national credential can make you a stronger job candidate, so most students plan on certification, including registered medical assistant certification, even though the state itself does not mandate it.
Timelines vary by pathway. Fully online certificate programs can run about 4 to 5 months, while diploma or degree tracks at schools like Herzing University may take roughly 10 to 20 months.2 DMACC does not publish a specific medical assistant program length in the information reviewed, so confirm current pacing directly with the school. Faster options are available, but they may cover less general education.
A direct side-by-side is difficult because Mercy College program details are not available in current published sources. DMACC requires a high school diploma or HiSET and entry assessments in reading, writing, and math before admission.3 For Mercy College, contact the school directly for curriculum, length, cost, and credential outcomes. Avoid assuming the two programs are identical.
Yes. US Career Institute offers a 100% online Iowa medical assistant program that can be finished in about 4 months.4 Stepful's online program takes about 5 months and requires a high school diploma or GED along with internet access. Herzing University also offers online options, with diploma and degree timelines generally ranging from 10 to 20 months.2
Reliable net-price figures for Des Moines medical assistant programs are not available in the sources reviewed, so avoid relying on generic statewide estimates. Tuition and financial aid packages vary by school, program length, and eligibility. Contact DMACC, Mercy College, and online providers directly for current tuition, fees, and aid awards. Request a net price after grants and scholarships before committing.