RN / Registered Nurse - Home Health
BrightSpring Health Services · Fredericksburg, VA
Pay for registered nurses in the Fredericksburg area centers on $48.94 per hour, or about $101,800 a year. The lower quarter earns under $40.18 and the upper quarter over $53.25. The CMS hospital directory lists 2 hospitals in Fredericksburg. That ranks 56th of 379 U.S. metro areas for registered nurse pay, and 100th of 335 once local prices are factored in. The free report below lists employers near Fredericksburg and what they pay.
BrightSpring Health Services · Fredericksburg, VA
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Named employers near Fredericksburg, what they pay and the roles open now. Free for candidates, email only.
Get my free pay reportThe metro median is 15% above the Virginia statewide median of $42.70 per hour. Nationally the median is $45.00 per hour. BLS counts about 43,640 registered nurses employed in the Washington-Arlington-Alexandria metro area, 14.0 per 1,000 jobs. Employment is less concentrated here than in the country as a whole (location quotient 0.66).
| Level | Per hour | Per year | Compared with U.S. |
|---|---|---|---|
| Lowest 10% | $38.20 | $79,460 | 15% below U.S. median |
| Lower quartile | $40.18 | $83,570 | 11% below U.S. median |
| Median | $48.94 | $101,800 | 9% above U.S. median |
| Upper quartile | $53.25 | $110,760 | 18% above U.S. median |
| Top 10% | $62.18 | $129,330 | 38% above U.S. median |
BLS does not publish a separate figure for home health and hospice nurse. These numbers are for the broader category it belongs to, Registered Nurses.
Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2024, Registered Nurses (SOC 29-1141), all industries. This is what employers report paying, not an offer for a specific role.
Source: U.S. Bureau of Economic Analysis, Regional Price Parities by metropolitan area, 2024. Prices are for the metro area, not for a single neighborhood.
Gross pay before taxes and benefits, from BLS pay levels for the Washington-Arlington-Alexandria metro area. For take-home pay use the take-home pay calculator.
| Item | Federal rate |
|---|---|
| Lodging per night | $110 |
| Meals and incidentals per day | $68 |
| Per week (7 nights, 7 days) | $1,246 |
| 13-week assignment | $16,198 |
Travel home health and hospice nurse assignments commonly pay housing and meals stipends. The GSA per diem is the federal benchmark for what those stipends can be tax-free (this is the standard rate that applies here). Whether a stipend is tax-free for you depends on keeping a valid tax home, so confirm with your recruiter and a tax professional. Compare with your offer in the travel pay calculator.
Source: U.S. General Services Administration per diem rates, fiscal year 2026 (average across months).
CMS lists 2 hospitals in Fredericksburg, 0 of the 2 rated ones with 4 or 5 stars. Hospitals are a major employer of home health and hospice nurses.
| Hospital | Type | Ownership | CMS rating | Emergency |
|---|---|---|---|---|
| Mary Washington Hospital Fredericksburg, VA | Acute care | Nonprofit | 3 of 5 | Yes |
| Spotsylvania Regional Medical Center Fredericksburg, VA | Acute care | For-profit | 3 of 5 | Yes |
Source: CMS Hospital General Information, public data. A directory of hospitals, not a list of our clients.
| City | Distance | Median pay | Population |
|---|---|---|---|
| Rockville, MD | 57 mi | $48.94/hr | 68,417 |
| Newport News, VA | 100 mi | $39.03/hr | 183,056 |
Home health and hospice nurse jobs in Virginia · Home health and hospice nurse jobs nationwide
Virginia is in the Nurse Licensure Compact, so an RN or LPN/LVN with a multistate license from another compact state can work here without a new license. Nurses whose home state is not in the compact apply for a Virginia license by endorsement.
Virginia taxes wage income. Use your own rates in the take-home pay calculator.
Fredericksburg city guide: hospitals, employers and licensing
BLS reports pay for registered nurses overall, not by specialty. Registered Nurses in the Washington-Arlington-Alexandria metro area have a median pay of $48.94 per hour, about $101,800 a year. The middle half earn between $40.18 and $53.25 per hour (BLS, May 2024).
Washington-Arlington-Alexandria ranks 100th of 335 metro areas for registered nurse pay after adjusting for local prices, and 56th of 379 before adjusting. Overall prices run 9% above the U.S. average.
We list 1 open role with published pay from 1 employer in Fredericksburg. Your free report adds named employers and pay near Fredericksburg.
Virginia is in the Nurse Licensure Compact, so an RN or LPN/LVN with a multistate license from another compact state can work here without a new license. Nurses whose home state is not in the compact apply for a Virginia license by endorsement. Confirm with the board before you accept a role.
The federal per diem benchmark in Fredericksburg is $110 a night for lodging and $68 a day for meals and incidentals, about $1,246 a week (GSA, fiscal year 2026). Your actual stipend depends on the assignment and your tax home.
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