50 states + DC

Healthcare jobs by state

Pay, hospitals, license rules and taxes for every state we place in, built from postings, federal filings and CMS data. Pick yours or compare.

Compare all states

AlabamaSouth71$36.78Compact stateApplies99
AlaskaWest25$49.83Not in compactNone25
ArizonaWest212$46.52Compact stateApplies108
ArkansasSouth61$39.73Compact stateApplies90
CaliforniaWest1,924$66.48Not in compactApplies377
ColoradoWest629$46.89Compact stateApplies96
ConnecticutNortheast247$48.05PendingApplies36
DelawareSouth173$54.74Compact stateApplies13
District of ColumbiaSouth8Not in compactApplies10
FloridaSouth306$42.84Compact stateNone221
GeorgiaSouth230$47.75Compact stateApplies149
HawaiiWest29$51.25Not in compactApplies23
IdahoWest31$52.59Compact stateApplies48
IllinoisMidwest1,401$42.69Not in compactApplies193
IndianaMidwest89$43.58Compact stateApplies148
IowaMidwest65$44.10Compact stateApplies118
KansasMidwest49$40.21Compact stateApplies139
KentuckySouth158$36.75Compact stateApplies103
LouisianaSouth54$42.07Compact stateApplies161
MaineNortheast281$44.28Compact stateApplies36
MarylandSouth511$46.70Compact stateApplies56
MassachusettsNortheast2,160$56.69PendingApplies84
MichiganMidwest133$45.14Not in compactApplies149
MinnesotaMidwest1,364$59.05Not in compactApplies136
MississippiSouth210$35.53Compact stateApplies109
MissouriMidwest102$46.61Compact stateApplies120
MontanaWest17$54.72Compact stateApplies63
NebraskaMidwest166$44.10Compact stateApplies93
NevadaWest65$45.44Not in compactNone46
New HampshireNortheast105$46Compact stateNone27
New JerseyNortheast596$48.67Compact stateApplies78
New MexicoWest35$51.13Compact stateApplies45
New YorkNortheast913$50.88Not in compactApplies192
North CarolinaSouth808$47.75Compact stateApplies120
North DakotaMidwest114$43.66Compact stateApplies47
OhioMidwest243$45Compact stateApplies193
OklahomaSouth66$38.11Compact stateApplies136
OregonWest164$57.50Not in compactApplies62
PennsylvaniaNortheast244$45.50Compact stateApplies186
Rhode IslandNortheast39$56.02Compact stateApplies13
South CarolinaSouth97$37.38Compact stateApplies66
South DakotaMidwest545$39.38Compact stateNone61
TennesseeSouth162$40.77Compact stateNone121
TexasSouth455$45.41Compact stateNone467
UtahWest72$42.95Compact stateApplies52
VermontNortheast18$52.26Compact stateApplies17
VirginiaSouth1,859$46.12Compact stateApplies96
WashingtonWest1,351$69.49Not in compactNone100
West VirginiaSouth67$41.44Compact stateApplies55
WisconsinMidwest462$45.50Compact stateApplies140
WyomingWest11$36.15Compact stateNone31

Roles are postings with published pay, collected October 15, 2026. RN median is from postings; a * marks a figure from employer-reported wage offers in federal filings (July 2025 – June 2026), which are wage offers, not open roles. Hospitals come from the CMS directory. Click a column to sort.

How states rank

Highest RN pay in postings

  1. Washington$69.49425 RN postings
  2. California$66.48536 RN postings
  3. Minnesota$59.05423 RN postings
  4. Oregon$57.5019 RN postings
  5. Massachusetts$56.69543 RN postings
  6. Delaware$54.7484 RN postings
  7. New York$50.88281 RN postings
  8. New Jersey$48.67194 RN postings
  9. Connecticut$48.0557 RN postings
  10. North Carolina$47.75261 RN postings

States with at least 10 RN postings, median per hour.

Most roles with published pay

  1. Massachusetts2,160roles with pay
  2. California1,924roles with pay
  3. Virginia1,859roles with pay
  4. Illinois1,401roles with pay
  5. Minnesota1,364roles with pay
  6. Washington1,351roles with pay
  7. New York913roles with pay
  8. North Carolina808roles with pay
  9. Colorado629roles with pay
  10. New Jersey596roles with pay

Browse by region

Northeast

Midwest

South

West

How to choose a state

Compact or not

The Nurse Licensure Compact lets an RN or LPN/LVN with a multistate license from a compact home state work in the other compact states without a new license. Today 38 states are in it. Non-compact states need a license by endorsement, which takes weeks, so it shapes how fast you can start. Read the guide.

State income tax

9 jurisdictions do not tax wage income: Alaska, Florida, Nevada, New Hampshire, South Dakota, Tennessee, Texas, Washington, Wyoming. Take-home pay for the same gross pay is higher there, but pay levels and living costs differ, so compare the whole picture. Run your numbers.

Read pay in context

Pay on this site comes from two sources, and each figure says which. Postings are the pay range an employer published on a role. Wage offers in federal filings are what employers reported to the U.S. Department of Labor in PERM and LCA filings. Neither is a promise of pay on a specific role.

Questions to ask about any state

  • Which license do I need, and how long does it take to get?
  • What are the guaranteed hours, and what happens if a shift is cancelled?
  • Which certifications (BLS, ACLS, PALS) does the facility require?
  • Is orientation paid, and when does coverage start?
  • How are housing and meals stipends set, and what is my tax home?

Common questions

Which states are in the Nurse Licensure Compact?

38 states are compact states as of October 15, 2026. The state pages and the compact license map show the status of each one.

Which states have no state income tax on wages?

Alaska, Florida, Nevada, New Hampshire, South Dakota, Tennessee, Texas, Washington, Wyoming.

Does Valorem Health place healthcare staff in every state?

Yes. We place staff in all 50 states and DC. Tell us your profession and city and your free Shift Report follows by email within 24 hours.

Where does the pay on state pages come from?

From postings with published pay (collected October 15, 2026) and, where postings are thin, from employer-reported wage offers in federal filings with the U.S. Department of Labor. Each figure is labeled with its source.

Free for every candidate

Not sure where to go? See what RNs get paid near you.

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.

  1. 1
    Pay for your role at other hospitals

    The hourly pay at named employers near you, so you see who pays most.

  2. 2
    What they are offering now

    The pay range and median across current postings, and how many were posted this month.

  3. 3
    Roles open for you right now

    Every current opening near you with pay, shift and start date. Reply with one click.

Get your free pay report

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

Your RN pay reportyour city · pay published by hospitals, collected October 15, 2026

1Pay for your role at other hospitals

  • Veterans Health AdministrationSan Antonio, TX · 5 postings$62.40/ hr$36–$87
  • Military Treatment Facilities under DHAFort Hood, TX · 3 postings$55.88/ hr$47–$67
  • BrightSpring Health ServicesIRVING, TX · 4 postings$50.00/ hr$44–$55
  • Select MedicalDallas, TX · 3 postings$46.19/ hr$32–$53

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

2What they are offering now

Low$35Median$45.41High$55

124 RN postings with published pay in Texas, 105 of them posted in the last 30 days. Month-by-month history by employer comes with your full report.

3Open now: 124 RN roles

  1. Registered Nurse (Critical Care) - Education Debt Reduction Program AuthorizedPermanent
    $86k–$174k/ year
    Veterans Health Administration · San Antonio, TX · posted today
  2. Nurse (Clinical/Ambulatory)Permanent
    $107k–$139k/ year
    Military Treatment Facilities under DHA · Fort Sam Houston, TX · posted today

+ 122 more in your report. Each one has pay, shift and start date.

I'm interestedOne click. A recruiter writes only after you reply.
Check my pay