Hospitals' own reports to Medicare, joined to who is hiring
What hospitals pay nurses per hour
Every hospital paid under Medicare's inpatient system reports what it paid its nurses, aides and medical assistants and for how many hours. These are 2,887 hospitals' averages (in 2022 pay periods, staff and contract nurses together, before benefits), by state, with the employers hiring on this site.
By state
All of a state's hospitals together (wages over hours). Each state opens every hospital in it.
| State | RN | LPN | Nursing aide | Hospitals |
|---|---|---|---|---|
| California | $85.20 | $42.49 | $27.98 | 260 |
| Washington | $73.16 | $40.68 | $28.90 | 44 |
| Oregon | $70.29 | $41.52 | $27.59 | 31 |
| New Mexico | $67.55 | $37.00 | $21.42 | 19 |
| Hawaii | $67.32 | $36.04 | $25.05 | 11 |
| Vermont | $66.30 | $36.83 | $31.45 | 6 |
| District of Columbia | $65.88 | $46.08 | $26.18 | 6 |
| Massachusetts | $64.72 | $45.32 | $24.60 | 51 |
| Connecticut | $64.33 | $47.56 | $24.90 | 25 |
| Alaska | $63.69 | $43.66 | $26.05 | 6 |
| New York | $63.42 | $35.51 | $25.66 | 124 |
| New Jersey | $62.46 | $36.72 | $24.44 | 61 |
| New Hampshire | $62.36 | $39.59 | $27.63 | 13 |
| Maine | $62.04 | $38.08 | $28.81 | 13 |
| Arizona | $61.06 | $36.42 | $22.12 | 54 |
| Wyoming | $60.64 | $36.39 | $22.56 | 8 |
| Rhode Island | $60.42 | $40.40 | $30.70 | 10 |
| Maryland | $59.14 | $33.88 | $23.04 | 43 |
| Virginia | $58.97 | $37.23 | $22.66 | 68 |
| Idaho | $58.95 | $35.75 | $23.89 | 15 |
| North Carolina | $58.67 | $35.99 | $22.73 | 76 |
| Delaware | $58.67 | $33.88 | $23.38 | 6 |
| Minnesota | $58.56 | $39.46 | $26.88 | 44 |
| Colorado | $58.56 | $41.21 | $27.66 | 50 |
| Kentucky | $58.38 | $31.78 | $23.48 | 57 |
| Georgia | $58.29 | $33.26 | $20.62 | 89 |
| North Dakota | $58.17 | $27.69 | $21.73 | 6 |
| Indiana | $57.92 | $37.44 | $23.68 | 79 |
| Nevada | $57.61 | $41.77 | $24.84 | 20 |
| Illinois | $57.36 | $35.60 | $24.22 | 110 |
| Nebraska | $56.78 | $31.83 | $22.01 | 22 |
| Florida | $56.57 | $38.67 | $22.58 | 159 |
| Missouri | $56.39 | $35.30 | $25.47 | 62 |
| Montana | $55.34 | $36.09 | $25.31 | 9 |
| Oklahoma | $55.07 | $29.01 | $20.28 | 62 |
| Texas | $54.99 | $32.84 | $21.00 | 251 |
| Arkansas | $54.90 | $30.89 | $21.14 | 39 |
| Wisconsin | $54.59 | $35.90 | $25.57 | 61 |
| Pennsylvania | $53.97 | $31.16 | $22.20 | 125 |
| Tennessee | $52.96 | $35.42 | $22.53 | 72 |
| South Carolina | $52.66 | $32.48 | $21.06 | 49 |
| Louisiana | $52.64 | $29.76 | $18.58 | 69 |
| Michigan | $51.91 | $33.90 | $20.92 | 89 |
| Ohio | $51.50 | $30.81 | $22.29 | 114 |
| Iowa | $50.98 | $30.78 | $21.78 | 29 |
| Alabama | $50.90 | $27.77 | $17.86 | 63 |
| Utah | $50.22 | $34.91 | $24.07 | 32 |
| Kansas | $50.16 | $31.66 | $22.09 | 42 |
| West Virginia | $49.93 | $28.78 | $18.74 | 23 |
| South Dakota | $48.45 | $28.93 | $23.95 | 15 |
| Mississippi | $47.84 | $25.96 | $16.61 | 51 |
Hospitals hiring now, highest RN average first
The hospitals of the employers hiring on this site.
| Hospital | RN | LPN | Nursing aide | Hiring here |
|---|---|---|---|---|
| Alameda HospitalAlameda, CA | $129.62 | $68.01 | $39.26 | Alameda Health System |
| Kaiser Foundation Hospital - Redwood CityRedwood City, CA | $127.97 | $46.99 | $48.97 | Kaiser Permanente |
| El Camino HealthMountain View, CA | $124.51 | $76.93 | $46.52 | El Camino Health |
| Kaiser Foundation Hospital - South San FranciscoSouth San Francisco, CA | $122.32 | $45.08 | $40.01 | Kaiser Permanente |
| Kaiser Foundation Hospital - San FranciscoSan Francisco, CA | $121.10 | $45.29 | $51.17 | Kaiser Permanente |
| Kaiser Foundation Hospital - VacavilleVacaville, CA | $120.98 | $45.56 | $52.59 | Kaiser Permanente |
| Kaiser Foundation Hospital - Oakland/RichmondOakland, CA | $120.63 | $51.31 | $40.05 | Kaiser Permanente |
| Kaiser Foundation Hospital - FremontFremont, CA | $120.43 | $43.43 | $37.50 | Kaiser Permanente |
| Confluence Health HospitalWenatchee, WA | $119.46 | $61.98 | $28.35 | Confluence Health |
| Kaiser Foundation Hospital - San LeandroSan Leandro, CA | $118.60 | $49.69 | None | Kaiser Permanente |
| Kaiser Foundation Hospital-Santa ClaraSanta Clara, CA | $118.55 | $44.80 | $38.14 | Kaiser Permanente |
| Kaiser Foundation Hospital and Rehab CenterVallejo, CA | $117.10 | $46.94 | $53.80 | Kaiser Permanente |
| Kaiser Foundation Hospital-San JoseSan Jose, CA | $117.00 | $44.13 | $38.05 | Kaiser Permanente |
| Highland HospitalOakland, CA | $116.69 | $58.46 | $40.17 | Alameda Health System |
| Kaiser Foundation HospitalSan Rafael, CA | $116.64 | $44.63 | $35.37 | Kaiser Permanente |
| Stanford Health CareStanford, CA | $115.69 | $66.52 | $38.64 | Stanford Health Care |
| Kaiser Foundation Hospital - Walnut CreekWalnut Creek, CA | $115.55 | $46.18 | $41.58 | Kaiser Permanente |
| Kaiser Foundation Hospital MantecaManteca, CA | $115.18 | $46.84 | $36.24 | Kaiser Permanente |
| Kaiser Foundation Hospital - AntiochAntioch, CA | $114.77 | $44.98 | None | Kaiser Permanente |
| Kaiser Foundation Hospital-Santa RosaSanta Rosa, CA | $114.10 | $42.43 | $42.56 | Kaiser Permanente |
| California Pacific Medical Ctr-Davies Campus HospSan Francisco, CA | $113.93 | $79.45 | $33.89 | Sutter Health |
| Kaiser Foundation Hospital - RosevilleRoseville, CA | $113.73 | $46.49 | $38.47 | Kaiser Permanente |
| Kaiser Foundation Hospital - SacramentoSacramento, CA | $111.95 | $46.68 | $37.61 | Kaiser Permanente |
| Ucsf Medical CenterSan Francisco, CA | $110.05 | $57.90 | $38.49 | UCSF Health |
| Kaiser Foundation Hosp So SacramentoSacramento, CA | $109.67 | $44.54 | $36.62 | Kaiser Permanente |
| San Ramon Regional Medical CenterSan Ramon, CA | $109.35 | $67.83 | $34.47 | Tenet Healthcare |
| John Muir Medical Center - Walnut Creek CampusWalnut Creek, CA | $107.78 | $64.94 | $49.84 | John Muir Health |
| John Muir Medical Center - Concord CampusConcord, CA | $107.78 | $64.94 | $49.84 | John Muir Health |
| Washington HospitalFremont, CA | $107.67 | $52.20 | $36.72 | Washington Hospital Healthcare System |
| Ucsf Health St. Mary's HospitalSan Francisco, CA | $105.91 | $74.19 | $36.45 | UCSF Health |
| California Pacific Medical Center - Mission BernalSan Francisco, CA | $105.65 | $74.10 | $35.77 | Sutter Health |
| Marinhealth Medical CenterGreenbrae, CA | $104.02 | $70.62 | $42.50 | MarinHealth |
| Eden Medical CenterCastro Valley, CA | $104.02 | $63.20 | $35.58 | Sutter Health |
| Alta Bates Summit Medical Center - Alta Bates CampBerkeley, CA | $103.70 | $45.07 | $39.17 | Sutter Health |
| Dominican HospitalSanta Cruz, CA | $103.61 | $73.17 | $42.92 | CommonSpirit Health |
| Providence Santa Rosa Memorial HospitalSanta Rosa, CA | $103.57 | $59.09 | $35.24 | Providence |
| Stanford Health Care Tri-ValleyPleasanton, CA | $102.68 | $48.61 | $34.43 | Stanford Health Care |
| Community Hospital of the Monterey PeninsulaMonterey, CA | $102.55 | $54.21 | $40.57 | Montage Health |
| California Pacific Medical Center- Van Ness CampusSan Francisco, CA | $102.16 | $53.15 | $35.15 | Sutter Health |
| Alta Bates Summit Medical CenterOakland, CA | $101.76 | $59.91 | $34.93 | Sutter Health |
| Robert Packer HospitalSayre, PA | $101.02 | $53.71 | $31.38 | Guthrie |
| Peninsula Medical CenterBurlingame, CA | $100.59 | $59.40 | $36.49 | Sutter Health |
| Ahmc Seton Medical CenterDaly City, CA | $99.64 | $69.66 | $32.96 | AHMC Healthcare |
| Kaiser Foundation Hospital Fontana/OntarioFontana, CA | $97.71 | $41.01 | $35.34 | Kaiser Permanente |
| Sierra Nevada Memorial HospitalGrass Valley, CA | $97.40 | $51.24 | $32.58 | CommonSpirit Health |
| Salinas Valley Health Medical CenterSalinas, CA | $97.18 | $52.83 | $37.35 | Salinas Valley Health |
| Novato Community HospitalNovato, CA | $96.87 | $64.83 | $37.01 | Sutter Health |
| St Michael Medical CenterSilverdale, WA | $96.84 | $36.98 | $28.40 | CommonSpirit Health |
| Emory Hillandale HospitalLithonia, GA | $96.53 | $34.79 | $24.12 | Emory Healthcare |
| Providence Queen of the Valley Medical CenterNapa, CA | $94.92 | $60.39 | $32.17 | Providence |
| Nantucket Cottage HospitalNantucket, MA | $94.87 | $50.26 | $32.07 | Mass General Brigham |
| Ucsf Health Saint Francis HospitalSan Francisco, CA | $94.34 | $61.10 | $33.56 | UCSF Health |
| Sutter Solano Medical CenterVallejo, CA | $94.20 | $65.13 | $33.01 | Sutter Health |
| Sutter Delta Medical CenterAntioch, CA | $94.03 | $66.10 | $36.66 | Sutter Health |
| Kaiser Foundation Hospital - San DiegoSan Diego, CA | $93.26 | $47.92 | $35.62 | Kaiser Permanente |
| Multicare Covington Medical CenterCovington, WA | $92.69 | $42.70 | $29.51 | MultiCare Health System |
| Sequoia HospitalRedwood City, CA | $92.67 | $61.45 | $34.46 | CommonSpirit Health |
| Kaiser Foundation Hospital - DowneyDowney, CA | $92.46 | $49.35 | $32.24 | Kaiser Permanente |
| Sutter Santa Rosa Regional HospitalSanta Rosa, CA | $92.20 | $51.15 | $35.40 | Sutter Health |
| Eastern New Mexico Medical CenterRoswell, NM | $92.02 | $30.08 | $23.13 | CHS (Community Health Systems) |
Hospital nurse pay: common questions
How much do hospitals pay registered nurses per hour?
By 2,887 hospitals' own reports to Medicare (in 2022 pay periods, staff and contract nurses together, before benefits), registered nurse hours averaged $60.42 an hour across all their hours; the middle hospital averaged $55.11 an hour, and the middle half of hospitals $47.98 to $64.00. Licensed practical nurse hours averaged $35.02 an hour, nursing aide hours $23.53 an hour and medical assistant hours $23.13 an hour.
Which states' hospitals pay nurses the most?
By registered nurse hours: California ($85.20), Washington ($73.16), Oregon ($70.29), New Mexico ($67.55) and Hawaii ($67.32). The least: Mississippi ($47.84), South Dakota ($48.45) and West Virginia ($49.93).
Which hospitals hiring now pay nurses the most?
Of the hospitals of the employers hiring on this site, the highest registered nurse averages: Alameda Hospital in Alameda, CA ($129.62, Alameda Health System), Kaiser Foundation Hospital - Redwood City in Redwood City, CA ($127.97, Kaiser Permanente), El Camino Health in Mountain View, CA ($124.51, El Camino Health), Kaiser Foundation Hospital - South San Francisco in South San Francisco, CA ($122.32, Kaiser Permanente), Kaiser Foundation Hospital - San Francisco in San Francisco, CA ($121.10, Kaiser Permanente) and Kaiser Foundation Hospital - Vacaville in Vacaville, CA ($120.98, Kaiser Permanente). A high average can also mean many travel nurses that year.
What do the largest health systems pay nurses per hour?
Their hospitals together, by registered nurse hours: CommonSpirit Health $69.30 over 82 hospitals, Kaiser Permanente $103.46 over 31 hospitals, Advocate Health $56.88 over 38 hospitals, Ascension $57.49 over 45 hospitals, Trinity Health $54.03 over 42 hospitals, Providence $72.25 over 24 hospitals, Tenet Healthcare $64.68 over 38 hospitals and AdventHealth $63.06 over 27 hospitals.
What does the figure include?
Each hospital paid under Medicare's inpatient payment system reports, for a year's pay periods, the wages and paid hours of its registered nurses, licensed practical nurses, nursing aides and medical assistants, its own staff and contract (agency) staff together, to the Centers for Medicare & Medicaid Services, which uses it to set hospital pay by area. The average is wages over hours, before benefits: what an hour of that work cost the hospital, not one nurse's pay. Critical access hospitals do not report it. These are 2022 pay periods, the latest the survey holds; the next survey covers 2025.
Sources and method
The survey's salaries over its paid hours for each category, per hospital; a state's and a system's over all their hospitals' hours (so a large hospital counts for its hours). Hospitals whose survey Medicare judged aberrant are left out, as Medicare leaves them out. A hospital is joined to an employer hiring here by Medicare's own record of who runs it. Read 9 Nov 2026. Pay that postings state: salaries.
- Centers for Medicare & Medicaid Services, Medicare wage index occupational mix survey (FY 2027 April public use file)
Cite this page
CareJobs.Now. (2026). What hospitals pay nurses per hour. Data as of 9 Nov 2026. https://carejobs.now/hospital-nurse-pay