NC · Apex · Updated October 15, 2026

Registered Nurse jobs in Apex, NC

Registered Nurses in the Apex area earn a median of $40.80 per hour, about $84,870 a year, and the middle half of them earn between $37.27 and $51.13. That ranks 142nd of 379 U.S. metro areas for registered nurse pay, and 231st of 335 once local prices are factored in. The CMS hospital directory lists 6 hospitals in the Apex metro area. Your free pay report adds named employers and the roles open near Apex.

Registered Nurse pay in Apex, NC

The metro median is 4% above the North Carolina statewide median of $39.36 per hour. Nationally the median is $45.00 per hour. BLS counts about 12,820 registered nurses employed in the Raleigh-Cary metro area, 17.7 per 1,000 jobs. Employment is less concentrated here than in the country as a whole (location quotient 0.83).

LevelPer hourPer yearCompared with U.S.
Lowest 10%$32.43$67,45028% below U.S. median
Lower quartile$37.27$77,52017% below U.S. median
Median$40.80$84,8709% below U.S. median
Upper quartile$51.13$106,35014% above U.S. median
Top 10%$51.83$107,81015% above U.S. median

How Apex ranks

  • 142nd of 379 U.S. metro areas by median hourly pay
  • 231st of 335 after adjusting for local prices
  • 2nd of 12 North Carolina metro areas

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 Apex

  • Overall prices in Raleigh-Cary run 2% below the U.S. average (index 98.2, U.S. = 100).
  • Housing is the biggest driver: 3% above the U.S. average (index 103.5).
  • Adjusted for local prices, a $40.80 median hour buys what $41.57 buys at the national price level, 8% 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.

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

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Estimate your Apex paycheck

Estimated weekly gross$1,469
  • Per year: $73,440
  • Per month: $6,120

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

Travel assignment per diem in Apex

ItemFederal rate
Lodging per night$131
Meals and incidentals per day$74
Per week (7 nights, 7 days)$1,435
13-week assignment$18,655

Travel registered 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).

Open Registered Nurse roles in North Carolina

Nearest open roles with published pay. Your free report adds roles in Apex as they open.

Per diemPosted today

NURSE

Department of War Education Activity · Fort Bragg, NC

$38.86–$57.05/ hour
  • Intermittent
  • Req 888776400
Top 25% payNew this week
View role

All Registered Nurse jobs in North Carolina

Hospitals in the Raleigh-Cary area

CMS lists 6 hospitals in the Raleigh-Cary area, 3 of the 3 rated ones with 4 or 5 stars. Hospitals are a major employer of registered nurses.

HospitalTypeOwnershipCMS ratingEmergency
Rex Hospital
Raleigh, NC
Acute careGovernment and federal5 of 5Yes
Wakemed, Cary Hospital
Cary, NC
Acute careNonprofit5 of 5Yes
Wakemed, Raleigh Campus
Raleigh, NC
Acute careNonprofit4 of 5Yes
Holly Hill Mental Health Services
Raleigh, NC
PsychiatricFor-profitNot ratedNo
Raleigh Oaks Behavioral Health
Garner, NC
PsychiatricFor-profitNot ratedNo
Triangle Springs
Raleigh, NC
PsychiatricFor-profitNot ratedNo

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

Primary care shortage areas in Wake County

HRSA lists 6 active primary care shortage designations that include Wake County (2 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
Cary, NC5 mi$40.80/hr182,659
Raleigh, NC15 mi$40.80/hr499,825
Chapel Hill, NC17 mi$39.36/hr64,028
Durham, NC17 mi$39.36/hr301,870
Burlington, NC41 mi$41.88/hr61,365
Fayetteville, NC45 mi$39.07/hr209,496

Registered Nurse jobs in North Carolina · Registered Nurse jobs nationwide

License and tax basics in North Carolina

North Carolina 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 North Carolina license by endorsement.

North Carolina taxes wage income. Use your own rates in the take-home pay calculator.

North Carolina state guide · Nurse Licensure Compact guide

Other healthcare roles in Apex

Apex city guide: hospitals, employers and licensing

Common questions

How much do registered nurses make in Apex, NC?

Registered Nurses in the Raleigh-Cary metro area have a median pay of $40.80 per hour, about $84,870 a year. The middle half earn between $37.27 and $51.13 per hour (BLS, May 2024).

Is Apex a good place for registered nurses once cost of living is counted?

Raleigh-Cary ranks 231st of 335 metro areas for registered nurse pay after adjusting for local prices, and 142nd of 379 before adjusting. Overall prices run 2% below the U.S. average.

Where do registered nurses work in Apex?

CMS lists 6 hospitals in the Raleigh-Cary area, led by Rex Hospital. Ask for the free report to see current openings and pay.

Do I need a North Carolina license to work in Apex as a registered nurse?

North Carolina 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 North Carolina license by endorsement. Confirm with the board before you accept a role.

Is Apex in a shortage area?

HRSA lists 6 active primary care shortage designations that include Wake 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 Apex?

The federal per diem benchmark in Apex is $131 a night for lodging and $74 a day for meals and incidentals, about $1,435 a week (GSA, fiscal year 2026). Your actual stipend depends on the assignment and your tax home.

Does Valorem Health place registered nurses in Apex?

Yes. We place healthcare staff in Apex and across North Carolina. Tell us your profession and we email the roles open near Apex.

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What do employers near Apex pay registered nurses? Get the report.

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    Pay for your role at other hospitals

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

Your RN pay reportApex, NC · pay published by hospitals, collected October 15, 2026

1Pay for your role at other hospitals

  • Veterans Health AdministrationFayetteville, NC · 2 postings$56.27/ hr$40–$75
  • Sentara HealthcareElizabeth City, NC · 12 postings$51.47/ hr$36–$61
  • Advocate HealthCharlotte, NC · 194 postings$47.75/ hr$36–$77
  • BrightSpring Health ServicesWINSTON-SALEM, NC · 4 postings$43.75/ hr$39–$48

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

2What they are offering now

Low$36Median$47.75High$57

261 RN postings with published pay in North Carolina, 255 of them posted in the last 30 days. Month-by-month history by employer comes with your full report.

3Open now: 261 RN roles

  1. Registered Nurse - Veterans Affairs Surgery Quality Improvement Program Quality Consultant (VASQIP)Permanent
    $86k–$144k/ year
    Veterans Health Administration · Fayetteville, NC · posted today
  2. Clinical Nurse Specialist - CardiacPermanent
    $92k–$134k/ year
    ECU Health · Greenville, NC · posted today

+ 259 more in your report. Each one has pay, shift and start date.

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