Central Iowa Hospital Corporation · Des Moines, Iowa
Case #I-200-25038-677201
Central Iowa Hospital Corporation filed an H-1B petition for a Pediatric Gastroenterologist position in Des Moines, Iowa at $294k per year — 295% above the prevailing wage of $74k. The case was certified in 7 days during the FY FY2025 cycle. This position is for new employment.
| Case Number | I-200-25038-677201 |
| Case Status | Certified |
| Visa Class | H-1B |
| Fiscal Year | FY 2025 |
| Employer | Central Iowa Hospital Corporation |
| Employer Location | Des Moines, Iowa |
| Job Title | Pediatric Gastroenterologist |
| SOC Code | 29-122900 – Physicians, All Other |
| Worksite | Des Moines, Iowa |
| Annual Wage | $294k |
| Prevailing Wage | $74k |
| Wage Premium | +295.3% |
| Positions | 1 (1 new, 0 continued) |
| Job Title | Salary | Status | Date |
|---|---|---|---|
| Pediatric Intensivist | $330k | CERTIFIED | Mar 13, 2025 |
| Pediatric Infectious Disease Physician | $250k | CERTIFIED | Jul 22, 2024 |
| Pediatric Endocrinologist | $244k | CERTIFIED | Apr 10, 2024 |
| Medical Lab Scientist – Chemistry-Methodist | $70k | CERTIFIED | Apr 1, 2024 |
| Medical Laboratory Scientist | $66k | CERTIFIED | Mar 8, 2024 |
This Labor Condition Application (LCA) was filed by Central Iowa Hospital Corporation for the position of Pediatric Gastroenterologist in Des Moines, Iowa. The offered annual salary is $294k, compared to the prevailing wage of $74k for this occupation and location. This represents a wage premium of +295.3% above the prevailing wage.
The LCA is the first step in the H-1B visa process. Employers must file an LCA with the Department of Labor certifying that they will pay the foreign worker at least the prevailing wage for the occupation in the area of intended employment. A certified LCA is required before the employer can file an H-1B petition with USCIS.
Case status: Certified. This means the Department of Labor has certified that the employer meets the wage and working condition requirements.
A Labor Condition Application (LCA) is a mandatory document that U.S. employers must file with the U.S. Department of Labor (DOL) before they can petition for a foreign worker under the H-1B, H-1B1, or E-3 visa categories. The LCA process was established under the Immigration and Nationality Act (INA) to protect both foreign and domestic workers by ensuring fair wages and working conditions.
When a U.S. company identifies a foreign national to fill a specialty occupation position, they must first obtain DOL certification through the LCA process before filing the H-1B petition (Form I-129) with U.S. Citizenship and Immigration Services (USCIS). In this case, Central Iowa Hospital Corporation filed LCA case number I-200-25038-677201 to sponsor a Pediatric Gastroenterologist position at their worksite in Des Moines, Iowa. By filing this LCA, the employer attests to four key conditions: (1) paying the higher of the actual wage or prevailing wage, (2) providing working conditions that will not adversely affect other similarly employed workers, (3) no strike or lockout at the worksite, and (4) providing notice of the filing to the bargaining representative or posting notice at the worksite.
The DOL establishes four wage levels for each occupation and geographic area, representing the progression from entry-level to fully competent workers:
For this filing, the offered wage of $294k compares to the DOL prevailing wage of $74k for Physicians, All Other positions in the Des Moines, Iowa area. The positive wage premium of +295.3% indicates the employer is offering above the DOL-determined average for this occupation and location.
The prevailing wage is the average wage paid to similarly employed workers in a specific occupation in the area of intended employment. The DOL determines prevailing wages using data from the Occupational Employment and Wage Statistics (OEWS) survey conducted by the Bureau of Labor Statistics (BLS). Employers must pay H-1B workers the higher of the prevailing wage or the actual wage paid to other employees in similar positions at the company. This requirement is designed to prevent employers from using H-1B workers to undercut domestic wages.
A "Certified" status means the DOL has reviewed Central Iowa Hospital Corporation's attestations and determined that the LCA meets all regulatory requirements. The employer has demonstrated that the offered wage of $294k meets or exceeds the prevailing wage for Pediatric Gastroenterologist positions in the Des Moines, Iowa area. It is important to understand that LCA certification does not guarantee H-1B visa approval. The next step is for the employer to file Form I-129 with USCIS, which evaluates whether the position qualifies as a specialty occupation and whether the beneficiary has the required qualifications.
This LCA was received by the DOL on Feb 7, 2025 and a decision was rendered on Feb 14, 2025, a processing time of approximately 7 business days. The standard DOL processing time for LCA applications is 7 to 10 business days. This application was processed within the standard timeframe.
The offered salary of $294k for this Pediatric Gastroenterologist position provides a data point for evaluating compensation trends in H-1B visa sponsorship. When reviewing H-1B salary data, consider that wages vary significantly based on geographic location, employer size, industry sector, and the worker's experience level. This position falls under SOC code 29-122900 (Physicians, All Other), which standardizes how the Bureau of Labor Statistics classifies occupations across industries. Metropolitan areas like New York, San Francisco, and Seattle typically command higher salaries due to higher costs of living, while positions in smaller markets may offer lower nominal wages but comparable purchasing power.
The offered annual salary for this Pediatric Gastroenterologist position at Central Iowa Hospital Corporation is $294k. The Department of Labor prevailing wage for this occupation and location is $74k. The offered wage represents a +295.3% premium over the prevailing wage.
This H-1B filing is for a position located in Des Moines, Iowa. The employing company, Central Iowa Hospital Corporation, is headquartered in Des Moines, Iowa.
This Labor Condition Application is filed under the H-1B visa classification. The H-1B visa is designed for specialty occupation workers who possess at least a bachelor's degree or equivalent in a specific field related to the job.
The employer for this filing is Central Iowa Hospital Corporation, located in Des Moines, Iowa. Central Iowa Hospital Corporation filed this Labor Condition Application (case number I-200-25038-677201) for a Pediatric Gastroenterologist position during fiscal year FY 2025. View all Central Iowa Hospital Corporation H-1B filings.
Certified means the U.S. Department of Labor has approved this Labor Condition Application, confirming that Central Iowa Hospital Corporation has attested to meeting all wage and working condition requirements. A certified LCA does not guarantee H-1B visa approval — the employer must still file a separate petition (Form I-129) with USCIS.