This data-driven guide covers:
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Average RN salary in California (latest verified data)
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Hourly wage vs annual income breakdown
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Highest-paying cities for RNs
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Hospital vs outpatient pay comparison
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Salary by experience level
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Travel nurse pay in California
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Cost of living impact
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Career advancement paths that increase RN income
RN Salary in California: 2026 Overview
According to the U.S. Bureau of Labor Statistics, California remains the top-paying state for registered nurses in the United States.
📊 Average Registered Nurse Salary in California
| Metric | California Average |
|---|---|
| Annual Salary | ~$133,000 |
| Hourly Wage | ~$64 per hour |
| Top 10% Earners | $175,000+ |
| Entry-Level RN | ~$90,000–$105,000 |
California RNs earn significantly more than the national average (~$94,000 per year).
RN Salary by Major California Cities (Comparison Table)
Nursing salaries vary dramatically by metro area.
| City | Average Annual RN Salary | Estimated Hourly Rate | Cost of Living Impact |
|---|---|---|---|
| San Francisco | $160,000+ | $75–$85 | Very High |
| San Jose | $155,000+ | $74–$82 | Very High |
| Los Angeles | $120,000–$135,000 | $58–$65 | High |
| San Diego | $118,000–$130,000 | $56–$63 | High |
| Sacramento | $115,000–$125,000 | $55–$60 | Moderate |
🔎 Key Insight:
Northern California consistently offers the highest RN pay, but housing costs significantly reduce net disposable income.
RN Salary by Experience Level
Experience plays a major role in compensation.
| Experience Level | Estimated Annual Salary |
|---|---|
| New Graduate RN (0–2 years) | $90,000–$105,000 |
| Mid-Level RN (3–7 years) | $110,000–$135,000 |
| Senior RN (8–15 years) | $130,000–$160,000 |
| 15+ Years / Specialized RN | $150,000–$180,000 |
Specializations such as ICU, ER, OR, and Labor & Delivery typically earn at the higher end of these ranges.
Hospital vs Outpatient RN Salary in California
| Work Setting | Average Annual Salary | Notes |
|---|---|---|
| Large Urban Hospital | $130,000–$165,000 | Strong union presence, better benefits |
| Private Surgical Center | $115,000–$140,000 | Day shifts common |
| Outpatient Clinic | $100,000–$125,000 | Lower stress, predictable schedule |
| Travel Nursing Contract | $150,000–$220,000+ | Short-term contracts, premium pay |
Travel Nurse Salary in California
California is one of the most lucrative markets for travel nurses.
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Weekly pay: $2,800–$4,500+
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Annualized earnings: $150,000–$220,000+
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Crisis contracts can exceed standard rates
High-demand areas: Bay Area, Los Angeles County, and Central Valley hospitals.
Travel nurses often receive:
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Housing stipends
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Completion bonuses
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Overtime premiums
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Tax-advantaged reimbursements
What Increases RN Salary in California?
1. Advanced Degrees
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BSN vs ADN salary difference
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MSN or Nurse Practitioner pathway
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Clinical Nurse Specialist roles
2. Specialty Certifications
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CCRN (Critical Care)
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CEN (Emergency Nursing)
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CNOR (Operating Room)
3. Union Representation
California has one of the strongest nursing union presences in the country, influencing wages and staffing ratios.
4. Overtime & Differential Pay
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Night shift differential
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Weekend premium
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Holiday pay
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Mandatory overtime laws
Cost of Living vs RN Salary in California
High salaries don’t automatically mean higher take-home wealth.
Example:
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$160,000 salary in San Francisco may equal purchasing power of ~$110,000 in lower-cost states.
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Housing costs in Bay Area exceed $3,000–$4,500 per month for rentals.
Smart financial planning is critical.
California RN Salary vs Other States (Quick Comparison)
| State | Average RN Salary |
|---|---|
| California | ~$133,000 |
| Texas | ~$85,000 |
| Florida | ~$78,000 |
| New York | ~$100,000 |
California remains the highest-paying state overall.
Is Becoming an RN in California Worth It?
Pros:
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Highest RN wages nationally
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Strong labor protections
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Safe staffing ratio laws
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Career mobility
Cons:
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Extremely high housing costs
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Competitive new grad market
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State licensing requirements
For many nurses, the higher base salary offsets cost-of-living challenges — especially in unionized hospital systems.
RN Salary in California: Frequently Asked Questions
How much do new grad RNs make in California?
Typically between $90,000 and $105,000 annually, depending on region and hospital.
What is the highest-paying city for nurses in California?
San Francisco and San Jose consistently rank at the top.
Can an RN make over $200,000 in California?
Yes — typically through travel nursing, overtime, advanced practice roles, or specialized hospital positions.
Do California nurses get paid more than other states?
Yes, California leads the nation in RN compensation according to federal labor statistics.
RN salary in California is among the highest in the United States, with strong earning potential across major metro areas. However, cost of living, union representation, specialty choice, and work setting all dramatically impact real take-home income.
For nurses considering relocation or career advancement, California offers significant financial opportunity — especially in high-demand specialties and travel contracts.

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