VA · Richmond · Updated October 15, 2026

Operating room nurse jobs in Richmond, VA

Pay for registered nurses in the Richmond area centers on $43.14 per hour, or about $89,730 a year. The lower quarter earns under $37.67 and the upper quarter over $46.76. The CMS hospital directory lists 6 hospitals in Richmond. That ranks 109th of 379 U.S. metro areas for registered nurse pay, and 125th of 335 once local prices are factored in. Tell us your role and we email current openings near Richmond.

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Registered Nurse pay in Richmond, VA

The metro median is 1% above the Virginia statewide median of $42.70 per hour. Nationally the median is $45.00 per hour. BLS counts about 15,440 registered nurses employed in the Richmond metro area, 23.6 per 1,000 jobs. Employment is more concentrated here than in the country as a whole (location quotient 1.11).

LevelPer hourPer yearCompared with U.S.
Lowest 10%$32.22$67,02028% below U.S. median
Lower quartile$37.67$78,35016% below U.S. median
Median$43.14$89,7304% below U.S. median
Upper quartile$46.76$97,2604% above U.S. median
Top 10%$57.62$119,85028% above U.S. median

How Richmond ranks

  • 109th of 379 U.S. metro areas by median hourly pay
  • 125th of 335 after adjusting for local prices
  • 2nd of 7 Virginia metro areas

BLS does not publish a separate figure for operating room 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 Richmond

  • Overall prices in Richmond run 2% below the U.S. average (index 97.9, U.S. = 100).
  • Housing is the biggest driver: 1% below the U.S. average (index 99.1).
  • Adjusted for local prices, a $43.14 median hour buys what $44.08 buys at the national price level, 2% below 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 Richmond paycheck

Estimated weekly gross$1,553
  • Per year: $77,652
  • Per month: $6,471

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

Travel assignment per diem in Richmond

ItemFederal rate
Lodging per night$157
Meals and incidentals per day$80
Per week (7 nights, 7 days)$1,659
13-week assignment$21,567

Travel operating room 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 Richmond

CMS lists 6 hospitals in Richmond, 5 of the 5 rated ones with 4 or 5 stars. Hospitals are a major employer of operating room nurses.

HospitalTypeOwnershipCMS ratingEmergency
Bon Secours St Marys Hospital
Richmond, VA
Acute careNonprofit5 of 5Yes
Richmond Va Medical Center
Richmond, VA
Acute Care - Veterans AdministrationGovernment and federal5 of 5Yes
Cjw Medical Center
Richmond, VA
Acute careFor-profit4 of 5Yes
Henrico Doctors' Hospital
Richmond, VA
Acute careNonprofit4 of 5Yes
Medical College Of Virginia Hospitals
Richmond, VA
Acute careGovernment and federal4 of 5Yes
Bon Secours Richmond Community Hospital
Richmond, VA
Acute careNonprofitNot ratedYes

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

Primary care shortage areas in Richmond city

HRSA lists 4 active primary care shortage designations that include Richmond city (1 population-group, 3 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
Suffolk, VA74 mi$39.03/hr103,105
Norfolk, VA80 mi$39.03/hr231,105
Virginia Beach, VA95 mi$39.03/hr454,808

Operating room nurse jobs in Virginia · Operating room 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

Other healthcare roles in Richmond

Richmond city guide: hospitals, employers and licensing

Common questions

How much do operating room nurses make in Richmond, VA?

BLS reports pay for registered nurses overall, not by specialty. Registered Nurses in the Richmond metro area have a median pay of $43.14 per hour, about $89,730 a year. The middle half earn between $37.67 and $46.76 per hour (BLS, May 2024).

Is Richmond a good place for operating room nurses once cost of living is counted?

Richmond ranks 125th of 335 metro areas for registered nurse pay after adjusting for local prices, and 109th of 379 before adjusting. Overall prices run 2% below the U.S. average.

Who is hiring operating room nurses in Richmond?

We list 3 open roles with published pay from 1 employer in Richmond. Your free report adds named employers and pay near Richmond.

Do I need a Virginia license to work in Richmond as an operating room 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.

Is Richmond in a shortage area?

HRSA lists 4 active primary care shortage designations that include Richmond city. 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 Richmond?

The federal per diem benchmark in Richmond is $157 a night for lodging and $80 a day for meals and incidentals, about $1,659 a week (GSA, fiscal year 2026). Your actual stipend depends on the assignment and your tax home.

Does Valorem Health place operating room nurses in Richmond?

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

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What do employers near Richmond pay operating room nurses? Get the report.

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

Your RN pay reportRichmond, 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
  • VCU Health SystemRichmond, VA · 105 postings$41.75/ hr$31–$73
  • BrightSpring Health ServicesRICHMOND, VA · 4 postings$41.70/ hr$25–$53
  • Fresenius Medical CareRichmond, VA · 14 postings$39.50/ hr$27–$68

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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