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COL-adjusted ranking

Best Cities for Registered Nursess by Take-Home Pay

The cities that pay Registered Nursess the most on paper aren't usually the best deals once rent and prices are factored in. San Jose-Sunnyvale-Santa Clara ranks first with a COL-adjusted equivalent of $196,287/year, better purchasing power than San Jose-Sunnyvale-Santa Clara's higher nominal pay of $216,740. The table below uses BLS OEWS May 2025 salary data and BEA Regional Price Parities.

Highest nominal pay

#1 San Jose-Sunnyvale-Santa Clara$216,740
#2 Vallejo$203,290
#3 San Francisco-Oakland-Fremont$186,610

Best purchasing power

#1 San Jose-Sunnyvale-Santa Clara$196,287
#2 Vallejo$187,399
#3 Santa Rosa-Petaluma$161,950

Top 25 metros by purchasing power

Ranked by COL-adjusted salary. Metros with fewer than 100 employed registered nursess excluded.

Rank
Metro
Nominal
COL-adj.
#1
$216,740
$196,287
#2
Vallejo
13% rent burden
$203,290
$187,399
#3
Santa Rosa-Petaluma
19% rent burden
$174,550
$161,950
#4
$186,610
$161,413
#5
$171,460
$160,739
#6
Santa Cruz-Watsonville
30% rent burden
$170,960
$155,560
#7
Yuba City
12% rent burden
$149,320
$143,260
#8
Merced
14% rent burden
$131,620
$133,923
#9
Redding
14% rent burden
$134,350
$133,443
#10
Kahului-Wailuku
22% rent burden
$144,350
$131,959
#11
Bend
16% rent burden
$135,010
$130,306
#12
Stockton-Lodi
16% rent burden
$134,580
$128,062
#13
$138,820
$127,827
#14
Bakersfield-Delano
14% rent burden
$128,810
$127,674
#15
Modesto
16% rent burden
$132,590
$127,356
#16
Salem
14% rent burden
$131,750
$127,110
#17
$137,360
$126,250
#18
Hanford-Corcoran
14% rent burden
$128,160
$126,129
#19
Chico
15% rent burden
$127,360
$125,850
#20
$133,940
$125,836
#21
Urban Honolulu
23% rent burden
$139,260
$125,505
#22
Visalia
14% rent burden
$125,180
$125,393
#23
Medford
14% rent burden
$127,030
$125,239
#24
$139,520
$124,694
#25
Salinas
24% rent burden
$134,910
$123,725

COL-adjusted = nominal salary divided by (BEA RPP divided by 100). Rent burden = annual 2BR FMR as % of nominal salary. Sources: BLS OEWS May 2025, BEA Regional Price Parities, HUD Fair Market Rents.

Common questions

What does "COL-adjusted pay" mean for Registered Nursess?

COL-adjusted pay divides the BLS median salary by the BEA Regional Price Parity index (100 = national average). A salary of $216,740 in a city with RPP 120 has the same purchasing power as $180,617 at national average prices.

Why doesn't New York or San Francisco top this list?

Both cities pay above-average salaries, but rent and everyday costs eat most of that premium. A registered nurses in New York might earn 30% more but pay 60-80% more in rent. The net result is often less purchasing power than mid-cost metros.

How is purchasing power calculated?

Purchasing power equals nominal median salary divided by (BEA RPP divided by 100). BEA's Regional Price Parities measure relative price levels across metro areas, updated annually from the National Income and Product Accounts.

What's the most affordable metro for Registered Nursess?

Yuba City has one of the lowest rent burdens for Registered Nursess in this dataset. HUD FMR for a 2-bedroom is $1,550/month, with a median salary of $149,320.

Where do Registered Nursess get paid the most in nominal terms?

San Jose-Sunnyvale-Santa Clara pays the highest nominal median salary at $216,740/year, per BLS OEWS May 2025. But check the COL-adjusted column before accepting any relocation offer.

National salary breakdown for Registered NursessView →How to become a registered nursesGuide →Compare two cities side by sideCompare →