PermanentPosted 15 days ago
Advanced Practice Provider ( NP or PA)- Velocity Care
Carilion Clinic · Roanoke, VA
$108k–$173k/ year
Physician Assistant jobs in Roanoke, VA
Physician Assistants in the Roanoke area earn a median of $62.38 per hour, about $129,750 a year, and the middle half of them earn between $50.56 and $69.50. That ranks 160th of 329 U.S. metro areas for physician assistant pay, and 115th of 301 once local prices are factored in. 1 open role with published pay is listed for Roanoke. Tell us your role and we email current openings near Roanoke.
- $62.38median pay per hour, Roanoke
- $51–$70typical range per hour
- 180physician assistants employed in the metro area
- 1open roles with published pay
Open Physician Assistant roles in Roanoke
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Get my free pay reportPhysician Assistant pay in Roanoke, VA
The metro median is 4% below the Virginia statewide median of $65.14 per hour. Nationally the median is $64.07 per hour. BLS counts about 180 physician assistants employed in the Roanoke metro area, 1.2 per 1,000 jobs. Employment is more concentrated here than in the country as a whole (location quotient 1.16).
| Level | Per hour | Per year | Compared with U.S. |
|---|---|---|---|
| Lowest 10% | $39.36 | $81,870 | 39% below U.S. median |
| Lower quartile | $50.56 | $105,160 | 21% below U.S. median |
| Median | $62.38 | $129,750 | 3% below U.S. median |
| Upper quartile | $69.50 | $144,560 | 8% above U.S. median |
| Top 10% | $78.02 | $162,280 | 22% above U.S. median |
How Roanoke ranks
- 160th of 329 U.S. metro areas by median hourly pay
- 115th of 301 after adjusting for local prices
- 3rd of 8 Virginia metro areas
Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2024, Physician Assistants (SOC 29-1071), 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 $62.38 median hour buys what $66.63 buys at the national price level, 4% 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 Roanoke paycheck
Estimated weekly gross$2,246
- Per year: $112,284
- Per month: $9,357
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 physician assistant 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 physician assistants.
| 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.
Physician Assistant pay in nearby cities
| City | Distance | Median pay | Population |
|---|---|---|---|
| Lynchburg, VA | 43 mi | $57.14/hr | 80,301 |
| Greensboro, NC | 82 mi | $61.61/hr | 307,381 |
| Winston-Salem, NC | 83 mi | $63.26/hr | 255,769 |
| Burlington, NC | 87 mi | $52.52/hr | 61,365 |
| High Point, NC | 89 mi | $61.61/hr | 118,601 |
| Harrisonburg, VA | 100 mi | $57.08/hr | 51,164 |
Physician Assistant jobs in Virginia · Physician Assistant jobs nationwide
License and tax basics in Virginia
Master’s degree from an accredited PA program. Credentials are issued state by state, so confirm what Virginia requires for your role with the Virginia licensing board and with your recruiter before you commit to a start date.
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 physician assistants make in Roanoke, VA?
Physician Assistants in the Roanoke metro area have a median pay of $62.38 per hour, about $129,750 a year. The middle half earn between $50.56 and $69.50 per hour (BLS, May 2024).
Is Roanoke a good place for physician assistants once cost of living is counted?
Roanoke ranks 115th of 301 metro areas for physician assistant pay after adjusting for local prices, and 160th of 329 before adjusting. Overall prices run 6% below the U.S. average.
Who is hiring physician assistants in Roanoke?
We list 1 open role 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 a physician assistant?
Master’s degree from an accredited PA program. Credentials are issued state by state, so confirm what Virginia requires for your role with the Virginia licensing board and with your recruiter before you commit to a start date. 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 physician assistants 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 physician assistants? 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
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Valorem Health Shift ReportFrom your recruiting team · [email protected]
Your PA pay reportRoanoke, VA · pay published by hospitals, collected October 15, 2026
1Pay for your role at other hospitals
- GoHealth Urgent CareWest Springfield, VA · 3 postings$73.00/ hr$69–$77
- Military Treatment Facilities under DHAPortsmouth, VA · 2 postings$63.69/ hr$49–$80
- Mary Washington HealthcareVirginia · 4 postings$63.64/ hr$55–$73
Median posted pay per hour, with the range each employer published.
2What they are offering now
Low$55Median$67.50High$80
11 PA postings with published pay in Virginia, 9 of them posted in the last 30 days. Month-by-month history by employer comes with your full report.
3Open now: 11 PA roles
- Physician AssistantPermanent$69.00–$77.00/ hour
- Physician AssistantPermanent$69.00–$77.00/ hour
+ 9 more in your report. Each one has pay, shift and start date.
I'm interestedOne click. A recruiter writes only after you reply.