Registered Nurse Salary in Sacramento, CA: 2026
Registered Nurse salary data for Sacramento, CA, 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 Sacramento, CA is $171,460 per year ($14,288/month, $82.43/hr). That is the BLS OEWS May 2025 median annual wage for Registered Nurses in the Sacramento-Roseville-Folsom, CA metropolitan area, which covers Sacramento. Salario's cost-of-living model (index 118) would have estimated $115,109; 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 Sacramento, CA, although actual pay can differ by title and scope.
Median: BLS OEWS May 2025, Registered Nurses (SOC 29-1141), Sacramento-Roseville-Folsom, CA MSA. Entry, senior and top earner are Salario estimates rescaled to the BLS median.
Registered Nurse Take-Home Pay in Sacramento
Tax Breakdown (Median Salary)
| Gross Annual | $171,460 |
| Federal Tax | -$29,884 |
| State Tax (6.9% eff.) | -$11,854 |
| FICA (SS + Medicare) | -$13,117 |
| Annual Take-Home | $116,605 |
| Monthly Take-Home | $9,717 |
Living Cost Comparison
Registered Nurse Requirements
Key Skills
Registered Nurse salary search terms in Sacramento
People comparing Registered Nurse pay in Sacramento, CA 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 | $171,460 median salary, $113,000-$221,800 modeled range, and $116,605 estimated take-home pay in Sacramento. |
| 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. |
Sacramento Job Market Overview
Sacramento, California has a population of 524,943 and an unemployment rate of 3.8%. The top industries are Government, Healthcare, Technology. The local job growth rate is 2.0%, and the average commute time is 27minutes. These local figures come from Salario's city dataset; verify current values with BLS Local Area Unemployment Statistics and Census QuickFacts.
Related Healthcare Salaries in Sacramento
Registered Nurse Salary in Nearby California Cities
Salary Percentile Breakdown: Registered Nurse in Sacramento
Based on Salario's cost-of-living-adjusted salary tiers for Registered Nurse in Sacramento, CA, here is an estimated percentile breakdown:
| Percentile | Annual Salary | Hourly Equivalent | Career Stage |
|---|---|---|---|
| 10th (lowest) | $113,000 | $54/hr | Entry-level, < 1 yr exp. |
| 25th | $142,230 | $68/hr | Junior, 1-3 yrs exp. |
| 50th (median) | $171,460 | $82/hr | Mid-career, 0-2 years |
| 75th | $221,800 | $107/hr | Senior, 5-10 yrs exp. |
| 90th (top) | $254,200 | $122/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 Sacramento's Government 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 Sacramento 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 Sacramento. Negotiation, certifications (NCLEX-RN, BLS Certification), and changing employers strategically can accelerate this trajectory.
Sacramento vs National Average
The national median Registered Nurse salary is $97,550 (BLS OEWS May 2025, Registered Nurses). In the Sacramento-Roseville-Folsom, CA metro, the BLS median of $171,460 is 75.8% above the national figure. Sacramento's cost of living index is 118 (higher 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 17.5% of take-home pay (households spending >30% are considered affordable), and a median home in Sacramento costs about 3.9× annual take-home. Homeownership is relatively attainable on this salary in Sacramento.
Industry Context: Government in Sacramento
Sacramento's economy is anchored by Government, Healthcare, Technology, with 524,943 residents and an unemployment rate of 3.8% in Salario's city dataset. Pay for Registered Nurses can differ by sector, so compare Government employers with other local employers. The local job growth rate in Salario's city dataset is 2.0%, 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 Sacramento, CA:
- Local median is the BLS OEWS May 2025 median annual wage for Registered Nurses (SOC 29-1141) in the Sacramento-Roseville-Folsom, CA 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 Sacramento-only wage.
- Cost-of-living adjustment is shown only for comparison ($115,109 modeled) using the Sacramento index of 118 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%), CA 2026 state income tax brackets after the standard deduction (top rate 13.3%), 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, Sacramento 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 Sacramento 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 (Government vs others in Sacramento), 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 Sacramento, CA?
How much does a Registered Nurse take home in Sacramento after taxes?
Is Sacramento a good city for Registered Nurses?
What skills are needed for a Registered Nurse in Sacramento?
How does Registered Nurse salary in Sacramento compare to the national average?
What job titles are similar to Registered Nurse in Sacramento?
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Frequently Asked Questions
What is the average Registered Nurse salary in Sacramento, CA?
The median Registered Nurse salary in Sacramento, CA is $171,460 per year: the BLS OEWS May 2025 median annual wage for Registered Nurses (SOC 29-1141) in the Sacramento-Roseville-Folsom, CA metropolitan area. BLS publishes wages by metro area, not by city. The entry-level estimate of around $113,000 and the senior estimate of $221,800 or more are Salario tiers calibrated to that BLS median, not BLS percentiles.
How much does a Registered Nurse take home in Sacramento after taxes?
A Registered Nurse earning the median salary of $171,460 in Sacramento, CA takes home approximately $116,605 per year ($9,717/month) after federal, state, and local taxes. The effective tax rate is 32.0%.
Is Sacramento a good city for Registered Nurses?
Sacramento, CA has a cost of living index of 118 (above national average). Registered Nurses here earn above the city median. The local unemployment rate is 3.8% and top industries include Government, Healthcare, Technology.
What skills are needed for a Registered Nurse in Sacramento?
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 Sacramento compare to the national average?
The national median for Registered Nurses is $97,550 (BLS OEWS May 2025). In the Sacramento-Roseville-Folsom, CA metro, the BLS median is $171,460, which is 75.8% higher than the national figure. For comparison, Salario's cost-of-living model (index 118) would have estimated $115,109.
What job titles are similar to Registered Nurse in Sacramento?
Related search terms for Registered Nurse in Sacramento, CA 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.