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Pre-tax deductions on a pay stub: what they lower

Which taxes a 401(k), health premium, HSA or FSA lowers, the 2026 limits, and one paycheck computed four ways to show what each $100 deducted really costs.

By M. HumzaFull-stack developer and researcher
October 16, 2026Updated October 17, 20265 min read2026 tax year
Coins from a pay stub flow into a retirement piggy bank, a health insurance box and an HSA jar before the rest reaches the tax funnels

A pre-tax deduction is money taken out of your gross pay before one or more taxes are worked out. That tax is then figured on a smaller number. A 401(k) deferral, a health insurance premium and an HSA contribution are the common ones.

What catches people out is that “pre-tax” does not mean the same thing for every deduction. Some lower only income tax. Others lower Social Security and Medicare as well. The type decides how much a deduction actually trims your take-home pay.

Which taxes each pre-tax deduction lowers

The federal rules sit in IRS Publication 15-B for benefits and Publication 15 for retirement deferrals. Limits shown are for 2026.

Deduction Lowers federal income tax Lowers Social Security and Medicare 2026 limit
Traditional 401(k), 403(b) or 457(b) Yes No $24,500, plus $8,000 catch-up at 50 or older (more at 60 to 63)
Medical, dental and vision premiums through a cafeteria plan Yes Yes The plan’s premium
HSA contributions through a cafeteria plan Yes Yes $4,400 self-only, $8,750 family
Health FSA Yes Yes $3,400
Dependent care FSA Yes Yes $7,500 a household
Transit pass and commuter parking Yes Yes $340 a month for each

The middle column is the one to remember. Retirement deferrals still count as Social Security and Medicare wages. Cafeteria plan benefits, named after Section 125 of the tax code, come out ahead of all three federal taxes. Group-term life insurance has its own rule, covered in our guide to GTL on a pay stub.

The same paycheck four ways

To see the difference in dollars, we ran one employee through our pay stub generator four times: a single filer in Savannah, Georgia, paid $2,600 every two weeks. First with no deductions, then with a 6% 401(k), then with a $180 health premium, then with both.

One $2,600.00 biweekly paycheck for a single filer in Savannah, Georgia, 2026. Computed by our pay stub generator with the federal and Georgia withholding tables; the employer and employee are invented.
LineNo deductions6% 401(k)$180 health premiumBoth
Gross pay$2,600.00$2,600.00$2,600.00$2,600.00
Pre-tax deductions$0.00$156.00$180.00$336.00
Federal income tax$232.38$209.43$206.55$187.83
Social Security$161.20$161.20$150.04$150.04
Medicare$37.70$37.70$35.09$35.09
Georgia income tax$100.95$93.17$91.97$84.19
Net pay$2,067.77$1,942.50$1,936.35$1,806.85
Take-home pay given up$0.00$125.27$131.42$260.92

The 401(k) line is 6% of gross, $156.00. The health premium runs through a Section 125 cafeteria plan.

Read across the Social Security and Medicare rows. They do not move when the 401(k) is added, but they drop when the health premium comes out. Federal and Georgia income tax fall in both cases, because both deductions shrink the wages those taxes are figured on.

The bottom row is the point. In every column, take-home pay falls by less than the amount deducted. The gap is tax the paycheck no longer has to withhold.

What $100 of deduction really costs you

Divide the take-home pay given up by the amount deducted and you get the real price of each dollar you set aside. On this paycheck:

What $100 of deduction costs in take-home payTake-home pay given up for each $100 of deduction on the Savannah example paycheck: $100.00 for an after-tax deduction, $80.30 for the 401(k) deferral, $73.01 for the Section 125 health premium.Take-home pay lost per $100 deductedAfter-tax deductionAfter-tax deduction: $100.00 of take-home pay per $100$100.006% 401(k)6% 401(k): $80.30 of take-home pay per $100$80.30Section 125 health premiumSection 125 health premium: $73.01 of take-home pay per $100$73.01
From the Savannah example above, computed by our pay stub generator. The rest of each $100 is tax the paycheck no longer withholds.

An after-tax deduction costs exactly what it says. A 401(k) dollar costs about 80 cents here, and a cafeteria plan dollar about 73 cents, because it also escapes Social Security and Medicare. Someone in a higher tax bracket, or a state with a higher income tax, saves more per dollar.

A 401(k) is not tax free, though. The tax is deferred: withdrawals in retirement are taxed as income. Health and FSA money spent on qualifying expenses is never taxed at all.

State income tax does not always follow

Most states start from federal taxable wages, so a pre-tax deduction usually lowers state income tax too, as it did for Georgia above. A few states draw the line differently:

  • Pennsylvania taxes employee contributions to 401(k) and similar deferred compensation plans, so they come off federal wages but not Pennsylvania wages (Pennsylvania Department of Revenue). Cafeteria plan health premiums are excluded there as they are federally.
  • California does not follow the federal HSA rules. HSA contributions are taxable for California income tax, even when they come out of pay before federal tax (California Franchise Tax Board, Schedule CA instructions).

This is why box 16 on a W-2, state wages, can be higher than box 1.

Pre-tax vs after-tax deductions

After-tax deductions come out of pay once every tax has been worked out, so they lower take-home pay dollar for dollar. Common ones are below; post-tax deductions covers each with its stub labels and a Roth vs traditional comparison.

  • Roth 401(k) contributions, which are taxed now so that qualified withdrawals later are not.
  • Union dues and charitable gifts made through payroll.
  • Wage garnishments and child support orders.
  • Supplemental life or disability insurance that you choose to pay for after tax.

A good stub separates the two groups, so you can see which lines reduced your taxes. If yours lumps everything under one “Deductions” heading, the guide to what a pay stub shows explains what to ask your employer for.

How pre-tax deductions show up on your W-2

Each pre-tax deduction leaves a trace on the W-2, which is how you can check the treatment at year end:

  • Box 1 (federal wages) is gross pay minus every deduction in the table above. That is why it is often lower than your last stub’s year-to-date gross.
  • Boxes 3 and 5 (Social Security and Medicare wages) drop for cafeteria plan benefits but not for 401(k) deferrals. They are often higher than box 1.
  • Box 12 lists the amounts by code. D is 401(k) deferrals, W is HSA contributions through the employer, and DD is the cost of health coverage, shown for information only.
  • Box 10 shows dependent care benefits.

The full list of codes is in our W-2 box 12 guide, and the effect on federal withholding is in FIT on a pay stub.

Add a 401(k) and health premium to a pay stub

Use only for real payments you made or received. Creating documents with false information may be illegal. Read our acceptable use policy.

Frequently asked questions

Why is there a pre-tax deduction on my pay stub?
Because you, or your employer’s plan, signed you up for a benefit paid from wages, such as health coverage or a retirement plan. Check your enrollment choices; the stub’s label usually names the plan.
Do pre-tax deductions increase my tax refund?
Not directly. They lower the tax you owe for the year, but they also lower what is withheld from each check, so the two mostly cancel out. You cannot deduct them again on your return, because the W-2 already leaves them out.
Are 401(k) contributions pre-tax for Social Security?
No. Traditional 401(k) deferrals are subject to Social Security and Medicare. They are pre-tax for federal income tax and, in most states, for state income tax.
Can an employer make me take a pre-tax deduction?
Some plans enroll new employees automatically in a 401(k), but you can usually change or stop the deferral. Health premiums run through a cafeteria plan because you elected that coverage.

Sources

4

Primary pages this guide cites, linked at the sentence that uses each one.

  1. Publication 15-BIRShttps://www.irs.gov/publications/p15b
  2. Publication 15IRShttps://www.irs.gov/publications/p15
  3. Pennsylvania Department of Revenuepa.govhttps://www.pa.gov/agencies/revenue/forms-and-publications/pa-personal-income-tax-guide/gross-compensation
  4. California Franchise Tax Board, Schedule CA instructionsftb.ca.govhttps://www.ftb.ca.gov/forms/2025/2025-540-ca-instructions.html
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M. Humza
Written and researched byM. HumzaFull-stack developer and researcher. Publisher, GetBizDocs

Full-stack web, software and app developer and researcher who builds accounting and payroll software for small businesses. Writes every guide on GetBizDocs and maintains the tax data files behind the generators.

Educational content, not tax or legal advice.