WA · Puyallup · Updated October 15, 2026

ICU nurse jobs in Puyallup, WA

Pay for registered nurses in the Puyallup area centers on $57.00 per hour, or about $118,570 a year. The lower quarter earns under $48.63 and the upper quarter over $63.54. The CMS hospital directory lists 1 hospital in Puyallup. That ranks 30th of 379 U.S. metro areas for registered nurse pay, and 34th of 335 once local prices are factored in. The free report below lists employers near Puyallup and what they pay.

Open ICU nurse roles in Puyallup

PermanentPosted yesterday

MICU RN

MultiCare · Puyallup, WA

$48.15–$90.83/ hour
  • Part time
  • Req JR84498
New this week
View role

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Named employers near Puyallup, what they pay and the roles open now. Free for candidates, email only.

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Registered Nurse pay in Puyallup, WA

The metro median is 6% above the Washington statewide median of $53.93 per hour. Nationally the median is $45.00 per hour. BLS counts about 37,250 registered nurses employed in the Seattle-Tacoma-Bellevue metro area, 17.9 per 1,000 jobs. Employment is less concentrated here than in the country as a whole (location quotient 0.84).

LevelPer hourPer yearCompared with U.S.
Lowest 10%$43.13$89,7104% below U.S. median
Lower quartile$48.63$101,1508% above U.S. median
Median$57.00$118,57027% above U.S. median
Upper quartile$63.54$132,16041% above U.S. median
Top 10%$75.66$157,37068% above U.S. median

How Puyallup ranks

  • 30th of 379 U.S. metro areas by median hourly pay
  • 34th of 335 after adjusting for local prices
  • 1st of 8 Washington metro areas

BLS does not publish a separate figure for ICU 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 Puyallup

  • Overall prices in Seattle-Tacoma-Bellevue run 11% above the U.S. average (index 111.1, U.S. = 100).
  • Housing is the biggest driver: 51% above the U.S. average (index 151.3).
  • Adjusted for local prices, a $57.00 median hour buys what $51.29 buys at the national price level, 14% above 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 Puyallup paycheck

Estimated weekly gross$2,052
  • Per year: $102,600
  • Per month: $8,550
  • Washington has no state income tax on wages.

Gross pay before taxes and benefits, from BLS pay levels for the Seattle-Tacoma-Bellevue metro area. For take-home pay use the take-home pay calculator.

Travel assignment per diem in Puyallup

ItemFederal rate
Lodging per night$136
Meals and incidentals per day$86
Per week (7 nights, 7 days)$1,554
13-week assignment$20,202

Travel ICU nurse assignments commonly pay housing and meals stipends. The GSA per diem is the federal benchmark for what those stipends can be tax-free. 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 Puyallup

CMS lists 1 hospital in Puyallup, 0 of the 1 rated ones with 4 or 5 stars. Hospitals are a major employer of ICU nurses.

HospitalTypeOwnershipCMS ratingEmergency
Multicare Good Samaritan Hospital
Puyallup, WA
Acute careNonprofit2 of 5Yes

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

Primary care shortage areas in Pierce County

HRSA lists 8 active primary care shortage designations that include Pierce County (3 geographic, 1 population-group, 4 facility). The highest-scoring one rates 20 on a 0 to 25 scale, where a higher score means a greater shortage.

Shortage areas are where demand for nurses, nurse practitioners, physician assistants and other clinicians is greatest. Federal loan repayment programs such as the NHSC and Nurse Corps cover some clinicians who work at eligible shortage-area sites. Eligibility is set by each program and by the site, so ask your recruiter before you plan around it.

Source: HRSA Health Professional Shortage Areas data warehouse, designated areas only. A designation can cover part of a county.

Registered Nurse pay in nearby cities

CityDistanceMedian payPopulation
Tacoma, WA9 mi$57.00/hr228,202
Federal Way, WA9 mi$57.00/hr100,252

ICU nurse jobs in Washington · ICU nurse jobs nationwide

License and tax basics in Washington

Washington is not in the Nurse Licensure Compact as of October 15, 2026, so a nurse licensed elsewhere applies to the Washington board for a license by endorsement before working here.

Washington does not tax wage income at the state level, so take-home pay is higher than the same gross pay in a state that does.

Washington state guide · Nurse Licensure Compact guide

Other healthcare roles in Puyallup

Puyallup city guide: hospitals, employers and licensing

Common questions

How much do ICU nurses make in Puyallup, WA?

BLS reports pay for registered nurses overall, not by specialty. Registered Nurses in the Seattle-Tacoma-Bellevue metro area have a median pay of $57.00 per hour, about $118,570 a year. The middle half earn between $48.63 and $63.54 per hour (BLS, May 2024).

Is Puyallup a good place for ICU nurses once cost of living is counted?

Seattle-Tacoma-Bellevue ranks 34th of 335 metro areas for registered nurse pay after adjusting for local prices, and 30th of 379 before adjusting. Overall prices run 11% above the U.S. average.

Who is hiring ICU nurses in Puyallup?

We list 6 open roles with published pay from 1 employer in Puyallup. Your free report adds named employers and pay near Puyallup.

Do I need a Washington license to work in Puyallup as an ICU nurse?

Washington is not in the Nurse Licensure Compact as of October 15, 2026, so a nurse licensed elsewhere applies to the Washington board for a license by endorsement before working here. Confirm with the board before you accept a role.

Is Puyallup in a shortage area?

HRSA lists 8 active primary care shortage designations that include Pierce County. Shortage areas often have more openings, and some loan repayment programs cover clinicians who work at eligible sites.

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

The federal per diem benchmark in Puyallup is $136 a night for lodging and $86 a day for meals and incidentals, about $1,554 a week (GSA, fiscal year 2026). Your actual stipend depends on the assignment and your tax home.

Does Valorem Health place ICU nurses in Puyallup?

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

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What do employers near Puyallup pay ICU 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 Puyallup, WA
Valorem Health Shift ReportFrom your recruiting team · [email protected]

Your RN pay reportPuyallup, WA · pay published by employers and employer-reported wage offers in federal filings

1Pay for your role at other employers

  • Seattle Children'sSeattle, WA · 27 postings$71.45/ hr$52–$91
  • MultiCareTacoma, WA · 269 postings$69.49/ hr$40–$103
  • CommonSpirit HealthSILVERDALE, WA · 70 postings$69.14/ hr$43–$98
  • MultiCare Health SystemFederal Way, WA · 2 wage offers$67.83/ hr$67–$68

Median pay per hour, with the range each employer published or reported in federal filings.

2What they are offering now

Low$44Median$69.49High$91

425 RN postings with published pay in Washington, 404 of them posted in the last 30 days. Month-by-month history by employer comes with your full report.

3Open now: 425 RN roles

  1. Denials Management RNPermanent
    $49.77–$96.85/ hour
    CommonSpirit Health · Bremerton, WA · posted today
  2. Registered Nurse (RN) - NICUPermanent
    $49.77–$93.53/ hour
    MultiCare · Auburn, WA · posted today

+ 423 more in your report. Each one has pay, shift and start date.

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