VA · Fredericksburg · Updated October 15, 2026

Home health and hospice nurse jobs in 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.

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Registered Nurse pay in Fredericksburg, VA

The 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).

LevelPer hourPer yearCompared with U.S.
Lowest 10%$38.20$79,46015% below U.S. median
Lower quartile$40.18$83,57011% below U.S. median
Median$48.94$101,8009% above U.S. median
Upper quartile$53.25$110,76018% above U.S. median
Top 10%$62.18$129,33038% above U.S. median

How Fredericksburg ranks

  • 56th of 379 U.S. metro areas by median hourly pay
  • 100th of 335 after adjusting for local prices

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.

What your pay buys in Fredericksburg

  • Overall prices in Washington-Arlington-Alexandria run 9% above the U.S. average (index 108.9, U.S. = 100).
  • Housing is the biggest driver: 51% above the U.S. average (index 151.1).
  • Adjusted for local prices, a $48.94 median hour buys what $44.95 buys at the national price level, in line with the national median.

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.

Estimate your Fredericksburg paycheck

Estimated weekly gross$1,762
  • Per year: $88,092
  • Per month: $7,341

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.

Travel assignment per diem in Fredericksburg

ItemFederal 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).

Hospitals in Fredericksburg

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.

HospitalTypeOwnershipCMS ratingEmergency
Mary Washington Hospital
Fredericksburg, VA
Acute careNonprofit3 of 5Yes
Spotsylvania Regional Medical Center
Fredericksburg, VA
Acute careFor-profit3 of 5Yes

Source: CMS Hospital General Information, public data. A directory of hospitals, not a list of our clients.

Registered Nurse pay in nearby cities

CityDistanceMedian payPopulation
Rockville, MD57 mi$48.94/hr68,417
Newport News, VA100 mi$39.03/hr183,056

Home health and hospice nurse jobs in Virginia · Home health and hospice nurse jobs nationwide

License and tax basics in Virginia

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.

Virginia state guide · Nurse Licensure Compact guide

Fredericksburg city guide: hospitals, employers and licensing

Common questions

How much do home health and hospice nurses make in Fredericksburg, VA?

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).

Is Fredericksburg a good place for home health and hospice nurses once cost of living is counted?

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.

Who is hiring home health and hospice nurses in Fredericksburg?

We list 1 open role with published pay from 1 employer in Fredericksburg. Your free report adds named employers and pay near Fredericksburg.

Do I need a Virginia license to work in Fredericksburg as a home health and hospice nurse?

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.

What is the per diem for a travel assignment in Fredericksburg?

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.

Does Valorem Health place home health and hospice nurses in Fredericksburg?

Yes. We place healthcare staff in Fredericksburg and across Virginia. Tell us your profession and we email the roles open near Fredericksburg.

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What do employers near Fredericksburg pay home health and hospice nurses? Get the report.

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The Joint Commission Gold Seal of Approval: Health Care Staffing Services Certification, since 2022American Staffing Association memberNATHO member: National Association of Travel Healthcare OrganizationsNALTO member: National Association of Locum Tenens Organizations

Pay report · RN near Fredericksburg, VA
Valorem Health Shift ReportFrom your recruiting team · [email protected]

Your RN pay reportFredericksburg, VA · pay published by hospitals, collected October 15, 2026

1Pay for your role at other hospitals

  • Veterans Health AdministrationRichmond, VA · 2 postings$60.98/ hr$40–$82
  • Sentara HealthcareNorfolk, VA · 255 postings$51.47/ hr$36–$74
  • Mary Washington HealthcareMWHC Corporate, VA · 87 postings$48.43/ hr$34–$65
  • US Oncology NetworkHampton, VA · 3 postings$48.30/ hr$32–$65

Median posted pay per hour, with the range each employer published.

2What they are offering now

Low$34Median$46.12High$61

684 RN postings with published pay in Virginia, 597 of them posted in the last 30 days. Month-by-month history by employer comes with your full report.

3Open now: 684 RN roles

  1. Registered Nurse - Community Living Center (1P)Permanent
    $82k–$164k/ year
    Veterans Health Administration · Richmond, VA · posted today
  2. Transfer Center Bed Flow Coordinator RNPermanent
    $47.47–$69.73/ hour
    Sentara Healthcare · Norfolk, VA · posted today

+ 682 more in your report. Each one has pay, shift and start date.

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