PermanentPosted 3 days ago
RN I - Operating Room
Carilion Clinic · Roanoke, VA
$33.52–$50.28/ hour
New this week
Operating room nurse jobs in Roanoke, VA
Registered Nurses in the Roanoke area earn a median of $36.52 per hour, about $75,960 a year, and the middle half of them earn between $36.08 and $46.13. That ranks 336th of 379 U.S. metro areas for registered nurse pay, and 306th of 335 once local prices are factored in. 4 open roles with published pay are listed for Roanoke. The free report below lists employers near Roanoke and what they pay.
- $36.52median pay per hour, Roanoke
- $36–$46typical range per hour
- 5,970registered nurses employed in the metro area
- 4open roles with published pay
Open Operating room nurse roles in Roanoke
PermanentPosted 29 days ago
RN - Cardiovascular Surgery OR, CVOR
Carilion Clinic · Roanoke, VA
$33.52–$50.28/ hour
For youUpdated weekly
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PermanentPosted 29 days ago
RN - Vascular Surgery OR, CVOR
Carilion Clinic · Roanoke, VA
$33.52–$50.28/ hour
PermanentPosted 29 days ago
CARDIAC SURGERY OPERATING ROOM RN I
Carilion Clinic · Roanoke, VA
$33.52–$50.28/ hour
Get the Roanoke Operating room nurse pay report
Named employers near Roanoke, what they pay and the roles open now. Free for candidates, email only.
Get my free pay reportRegistered Nurse pay in Roanoke, VA
The metro median is 14% below the Virginia statewide median of $42.70 per hour. Nationally the median is $45.00 per hour. BLS counts about 5,970 registered nurses employed in the Roanoke metro area, 39.2 per 1,000 jobs. Employment is more concentrated here than in the country as a whole (location quotient 1.84).
| Level | Per hour | Per year | Compared with U.S. |
|---|---|---|---|
| Lowest 10% | $30.40 | $63,230 | 32% below U.S. median |
| Lower quartile | $36.08 | $75,050 | 20% below U.S. median |
| Median | $36.52 | $75,960 | 19% below U.S. median |
| Upper quartile | $46.13 | $95,950 | 3% above U.S. median |
| Top 10% | $52.50 | $109,200 | 17% above U.S. median |
How Roanoke ranks
- 336th of 379 U.S. metro areas by median hourly pay
- 306th of 335 after adjusting for local prices
- 7th 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 Roanoke
- Overall prices in Roanoke run 6% below the U.S. average (index 93.6, U.S. = 100).
- Housing is the biggest driver: 21% below the U.S. average (index 78.5).
- Adjusted for local prices, a $36.52 median hour buys what $39.01 buys at the national price level, 13% 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 Roanoke paycheck
Estimated weekly gross$1,315
- Per year: $65,736
- Per month: $5,478
Gross pay before taxes and benefits, from BLS pay levels for the Roanoke metro area. For take-home pay use the take-home pay calculator.
Travel assignment per diem in Roanoke
| Item | Federal rate |
|---|---|
| Lodging per night | $119 |
| Meals and incidentals per day | $74 |
| Per week (7 nights, 7 days) | $1,351 |
| 13-week assignment | $17,563 |
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 Roanoke
CMS lists 1 hospital in Roanoke, 0 of the 1 rated ones with 4 or 5 stars. Hospitals are a major employer of operating room nurses.
| Hospital | Type | Ownership | CMS rating | Emergency |
|---|---|---|---|---|
| Carilion Medical Center Roanoke, VA | Acute care | Nonprofit | 3 of 5 | Yes |
Source: CMS Hospital General Information, public data. A directory of hospitals, not a list of our clients.
Primary care shortage areas in Roanoke city
HRSA lists 2 active primary care shortage designations that include Roanoke city (1 population-group, 1 facility). The highest-scoring one rates 17 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.
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.
Other healthcare roles in Roanoke
Roanoke city guide: hospitals, employers and licensing
Common questions
How much do operating room nurses make in Roanoke, VA?
BLS reports pay for registered nurses overall, not by specialty. Registered Nurses in the Roanoke metro area have a median pay of $36.52 per hour, about $75,960 a year. The middle half earn between $36.08 and $46.13 per hour (BLS, May 2024).
Is Roanoke a good place for operating room nurses once cost of living is counted?
Roanoke ranks 306th of 335 metro areas for registered nurse pay after adjusting for local prices, and 336th of 379 before adjusting. Overall prices run 6% below the U.S. average.
Who is hiring operating room nurses in Roanoke?
We list 4 open roles with published pay from 1 employer in Roanoke. Your free report adds named employers and pay near Roanoke.
Do I need a Virginia license to work in Roanoke 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 Roanoke in a shortage area?
HRSA lists 2 active primary care shortage designations that include Roanoke 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 Roanoke?
The federal per diem benchmark in Roanoke is $119 a night for lodging and $74 a day for meals and incidentals, about $1,351 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 Roanoke?
Yes. We place healthcare staff in Roanoke and across Virginia. Tell us your profession and we email the roles open near Roanoke.
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What do employers near Roanoke pay operating room nurses? Get the report.
Tell us your role and city. Within 24 hours you get an email with three things, by employer name. It costs you nothing, because employers pay us.
- 1Pay for your role at other hospitals
The hourly pay at named employers near you, so you see who pays most.
- 2What they are offering now
The pay range and median across current postings, and how many were posted this month.
- 3Roles open for you right now
Every current opening near you with pay, shift and start date. Reply with one click.
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Valorem Health Shift ReportFrom your recruiting team · [email protected]
Your RN pay reportRoanoke, VA · pay published by hospitals, collected October 15, 2026
1Pay for your role at other hospitals
- Carilion ClinicRoanoke, VA · 83 postings$41.90/ hr$28–$69
- AmedisysRoanoke, VA · 5 postings$40.53/ hr$36–$45
- Veterans Health AdministrationRichmond, VA · 2 postings$60.98/ hr$40–$82
- Sentara HealthcareNorfolk, VA · 255 postings$51.47/ hr$36–$74
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
- Registered Nurse - Community Living Center (1P)Permanent$82k–$164k/ year
- Transfer Center Bed Flow Coordinator RNPermanent$47.47–$69.73/ hour
+ 682 more in your report. Each one has pay, shift and start date.
I'm interestedOne click. A recruiter writes only after you reply.