Registered Nurse Salary in Roanoke, VA — 2026
Registered Nurse salary data for Roanoke, VA — adjusted for local cost of living. Entry-level to senior pay ranges, take-home pay calculator, and local job market insights.
The median Registered Nurse salary in Roanoke, VA is $80,090 per year ($6,674/month, $38.50/hr). That is the BLS OEWS May 2025 median annual wage for Registered Nurses in the Roanoke, VA metropolitan area, which covers Roanoke. Salario's cost-of-living model (index 88) would have estimated $85,844; the entry, senior and top tiers below are Salario estimates rescaled to the BLS median.
Also known as: RN, Staff Nurse, Clinical Nurse. The estimates on this page are used for these related job titles in Roanoke, VA, although actual pay can differ by title and scope.
Median: BLS OEWS May 2025, Registered Nurses (SOC 29-1141), Roanoke, VA MSA. Entry, senior and top earner are Salario estimates rescaled to the BLS median.
Registered Nurse Take-Home Pay in Roanoke
Tax Breakdown (Median Salary)
| Gross Annual | $80,090 |
| Federal Tax | -$8,790 |
| State Tax (4.8% eff.) | -$3,845 |
| FICA (SS + Medicare) | -$6,127 |
| Annual Take-Home | $61,329 |
| Monthly Take-Home | $5,111 |
Living Cost Comparison
Registered Nurse Requirements
Key Skills
Registered Nurse salary search terms in Roanoke
People comparing Registered Nurse pay in Roanoke, VA may use related job-title wording. Salario keeps the main estimate tied to the Registered Nurse role, then treats the terms below as comparison phrases that should be checked for licensing, employer type, seniority, and role scope.
| Comparison point | How to use it |
|---|---|
| Primary local answer | $80,090 median salary, $52,800-$103,600 modeled range, and $61,329 estimated take-home pay in Roanoke. |
| Title variants | RN, Staff Nurse, Clinical Nurse can point to similar searches, but some variants may represent a narrower specialty or a higher/lower seniority band. |
| Offer comparison | Compare base salary, hourly equivalent, take-home pay, certifications, local cost of living, and whether the job is employee, contractor, public-sector, commission-heavy, or management-level. |
Roanoke Job Market Overview
Roanoke, Virginia has a population of 100,011 and an unemployment rate of 3.2%. The top industries are Healthcare, Transportation, Manufacturing. The local job growth rate is 1.2%, and the average commute time is 20minutes. These local figures come from Salario's city dataset; verify current values with BLS Local Area Unemployment Statistics and Census QuickFacts.
Registered Nurse Salary in Nearby Virginia Cities
Salary Percentile Breakdown — Registered Nurse in Roanoke
Based on Salario's cost-of-living-adjusted salary tiers for Registered Nurse in Roanoke, VA, here is an estimated percentile breakdown:
| Percentile | Annual Salary | Hourly Equivalent | Career Stage |
|---|---|---|---|
| 10th (lowest) | $52,800 | $25/hr | Entry-level, < 1 yr exp. |
| 25th | $66,445 | $32/hr | Junior, 1-3 yrs exp. |
| 50th (median) | $80,090 | $39/hr | Mid-career, 0-2 years |
| 75th | $103,600 | $50/hr | Senior, 5-10 yrs exp. |
| 90th (top) | $118,700 | $57/hr | Lead/Principal, 10+ yrs |
P50 is the measured BLS OEWS May 2025 metro median; P10, P25, P75 and P90 are approximations, not measured local percentiles: they map to Salario's entry, senior and top tiers rescaled to the BLS median, with P25 interpolated halfway between entry and median. Top earners (P90) typically include managers, specialists with rare skills, or those at high-paying employers in Roanoke's Healthcare sector.
5-Year Salary Trajectory
Salario's national dataset models approximately 16.0% salary growth for Registered Nurses over the past 5 years. That national assumption is applied to the Roanoke estimate below; it is not a measured local trend, and it should be compared with cumulative CPI inflation before treating it as a real-terms gain:
Year-over-year, an average Registered Nurse can expect a 18.4% annual increase moving from entry to senior level over 4 years in Roanoke. Negotiation, certifications (NCLEX-RN, BLS Certification), and changing employers strategically can accelerate this trajectory.
Roanoke vs National Average
The national median Registered Nurse salary is $97,550 (BLS OEWS May 2025, Registered Nurses). In the Roanoke, VA metro, the BLS median of $80,090 is 17.9% below the national figure. Roanoke's cost of living index is 88 (lower than the national average of 100), so the wage premium and the cost premium do not necessarily cancel out.
For Registered Nurses, this means: rent typically consumes 18.6% of take-home pay (households spending >30% are considered affordable), and a median home in Roanoke costs about 3.0× annual take-home. Homeownership is relatively attainable on this salary in Roanoke.
Industry Context: Healthcare in Roanoke
Roanoke's economy is anchored by Healthcare, Transportation, Manufacturing, with 100,011 residents and an unemployment rate of 3.2% in Salario's city dataset. Pay for Registered Nurses can differ by sector, so compare Healthcare employers with other local employers. The local job growth rate in Salario's city dataset is 1.2%, and Salario's job dataset lists a 6.0% growth outlook for Registered Nurse roles; check the BLS Occupational Outlook Handbook for the official 2024-2034 projection for the closest matching occupation.
Methodology & Data Sources
How we calculate Registered Nurse salaries in Roanoke, VA:
- Local median is the BLS OEWS May 2025 median annual wage for Registered Nurses (SOC 29-1141) in the Roanoke, VA metropolitan statistical area, retrieved from the BLS Public Data API on September 17, 2026. BLS reports by metro area, so this is a regional figure, not a Roanoke-only wage.
- Cost-of-living adjustment is shown only for comparison ($85,844 modeled) using the Roanoke index of 88 relative to the national baseline of 100, with local rent, home price, unemployment, and tax inputs stored separately in Salario's city dataset.
- Percentile distribution (P10-P90) estimated from the entry, median, senior, and top compensation tiers in the Salario salary model rescaled to the BLS metro median rather than claimed as exact employer payroll data.
- Take-home pay calculated using 2026 federal tax brackets (10%-37%), VA 2026 state income tax brackets after the standard deduction (top rate 5.8%), and FICA (Social Security 6.2% + Medicare 1.45%).
- Tax brackets and standard deduction ($16,100 single filer for tax year 2026) sourced from IRS Revenue Procedure 2025-32 and updated annually.
Authoritative data sources:
- BLS Occupational Employment and Wage Statistics — national and metro-area salary data
- O*NET OnLine — occupation tasks, alternate job titles, skills, and SOC crosswalks
- BLS Occupational Outlook Handbook — occupation outlook where a matching profile is available
- BLS Consumer Price Index (CPI-U) — regional inflation data (CPI measures price changes, not city-to-city price levels)
- U.S. Census Bureau — Roanoke QuickFacts — population and demographic data
- IRS Revenue Procedure 2025-32 summary — 2026 federal tax brackets and standard deductions
- BLS Local Area Unemployment Statistics — official local unemployment rates to verify the Roanoke figure above
Last reviewed: 2026. Salario's salary dataset is refreshed periodically, not automatically; check the linked BLS releases for the latest official data. Registered Nurse salaries can vary significantly based on employer, sector (Healthcare vs others in Roanoke), specific skill set (Patient Care, IV Therapy, EHR Systems), and individual negotiation. Always verify current compensation through multiple sources before making career decisions.
Frequently Asked Questions
What is the average Registered Nurse salary in Roanoke, VA?
How much does a Registered Nurse take home in Roanoke after taxes?
Is Roanoke a good city for Registered Nurses?
What skills are needed for a Registered Nurse in Roanoke?
How does Registered Nurse salary in Roanoke compare to the national average?
What job titles are similar to Registered Nurse in Roanoke?
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Frequently Asked Questions
What is the average Registered Nurse salary in Roanoke, VA?
The median Registered Nurse salary in Roanoke, VA is $80,090 per year: the BLS OEWS May 2025 median annual wage for Registered Nurses (SOC 29-1141) in the Roanoke, VA metropolitan area. BLS publishes wages by metro area, not by city. The entry-level estimate of around $52,800 and the senior estimate of $103,600 or more are Salario tiers calibrated to that BLS median, not BLS percentiles.
How much does a Registered Nurse take home in Roanoke after taxes?
A Registered Nurse earning the median salary of $80,090 in Roanoke, VA takes home approximately $61,329 per year ($5,111/month) after federal, state, and local taxes. The effective tax rate is 23.4%.
Is Roanoke a good city for Registered Nurses?
Roanoke, VA has a cost of living index of 88 (below national average). Registered Nurses here earn above the city median. The local unemployment rate is 3.2% and top industries include Healthcare, Transportation, Manufacturing.
What skills are needed for a Registered Nurse in Roanoke?
Key skills for Registered Nurses include Patient Care, IV Therapy, EHR Systems, Critical Thinking, BLS/ACLS. Typical education requirement is Bachelor's Degree (BSN). Valuable certifications include NCLEX-RN, BLS Certification, ACLS.
How does Registered Nurse salary in Roanoke compare to the national average?
The national median for Registered Nurses is $97,550 (BLS OEWS May 2025). In the Roanoke, VA metro, the BLS median is $80,090, which is 17.9% lower than the national figure. For comparison, Salario's cost-of-living model (index 88) would have estimated $85,844.
What job titles are similar to Registered Nurse in Roanoke?
Related search terms for Registered Nurse in Roanoke, VA include RN, Staff Nurse, Clinical Nurse. Use them as comparison terms, not always exact matches: licensing, employer type, seniority, public-sector rules, and whether the role is W-2, contractor, clinical, technical, management, or sales-focused can change the salary range.