Nurse Midwives Salary
In San Francisco-Oakland-Fremont, CA, nurse midwives earn $212,630 at the median, or about $102.23 an hour. The range runs from $165K at the entry level to $257K for experienced workers. Prices run high here (RPP 115.61), so that salary is closer to $183,920 in real purchasing power. Rent on a 2-bedroom averages $3,604/month, or 29.5% of estimated take-home pay.
So what does $213K get you in San Francisco-Oakland-Fremont?
Groceries, utilities, transportation, and healthcare scaled from national averages by San Francisco-Oakland-Fremont’s Regional Price Parity (115.61). Rent from HUD Fair Market Rents. Taxes estimated for single filer, standard deduction. * Healthcare is the employee-paid share only (premiums + out-of-pocket). Actual costs vary by coverage type: employer-sponsored, ACA marketplace, or uninsured.
About nurse midwives
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What this looks like in San Francisco-Oakland-Fremont
San Francisco-Oakland-Fremont sits well above the national pay line for nurse midwives, local pay runs about 59% higher than the U.S. median of $134K. Rent runs $3,604/month for a 2-bedroom (HUD FMR), taking 30.4% of the median take-home. That's within the 30% rule, though not by much. Cost-of-living overall is 16% above the national average (BEA RPP 115.61), so groceries and services cost more too. Use the affordability calculator above to model your specific situation.
Compared to nearby metros
Median pay for nurse midwives in metros near San Francisco-Oakland-Fremont, adjusted for local cost of living.
| Metro | Median pay | COL-adjusted |
|---|---|---|
| Los Angeles-Long Beach-Anaheim | $203K | $179K |
| Sacramento-Roseville-Folsom | $191K | $179K |
| San Diego-Chula Vista-Carlsbad | $181K | $162K |
| Riverside-San Bernardino-Ontario | $219K | $206K |
COL-adjusted = median salary ÷ (BEA Regional Price Parity ÷ 100). Expresses purchasing power in national-average dollars.
Compensation breakdown
Annual earnings by percentile, San Francisco-Oakland-Fremont, CA
Entry-level nurse midwives (10th percentile) start around $165K. Mid-career wages sit at $213K. Top earners bring in $257K or more, a $92K spread from bottom to top.
Nurse Midwives pay across states
Median income ranked highest to lowest, compared to the national figure
View Nurse Midwives salary in all states
| State | Median salary | vs. national | Employment |
|---|---|---|---|
| California | $204K | +52% | 870 |
| Hawaii | $170K | +27% | N/A |
| Massachusetts | $160K | +19% | 280 |
| Washington | $159K | +19% | 170 |
| New Jersey | $154K | +15% | 120 |
| Vermont | $151K | +13% | 60 |
| Oregon | $147K | +10% | 240 |
| New York | $145K | +8% | 360 |
| New Hampshire | $143K | +7% | 60 |
| Arizona | $141K | +5% | 80 |
| Maryland | $140K | +5% | 240 |
| Nebraska | $139K | +4% | N/A |
| Colorado | $138K | +3% | 180 |
| Virginia | $136K | +1% | N/A |
| Rhode Island | $135K | +1% | 80 |
| Minnesota | $135K | +1% | 410 |
| Alaska | $133K | -0% | 60 |
| Maine | $133K | -1% | 50 |
| Wisconsin | $133K | -1% | 200 |
| Iowa | $131K | -2% | 80 |
| Utah | $131K | -2% | 140 |
| Connecticut | $131K | -2% | 150 |
| Missouri | $130K | -3% | 80 |
| Ohio | $128K | -5% | 180 |
| Delaware | $128K | -5% | N/A |
| Florida | $127K | -5% | 460 |
| North Carolina | $126K | -6% | 240 |
| Michigan | $125K | -7% | 430 |
| Texas | $123K | -8% | 290 |
| New Mexico | $123K | -8% | 50 |
| South Carolina | $122K | -9% | 100 |
| Illinois | $121K | -10% | 280 |
| Pennsylvania | $120K | -10% | 320 |
| Louisiana | $119K | -11% | 60 |
| Tennessee | $117K | -13% | 330 |
| Georgia | $106K | -21% | 300 |
| Indiana | $102K | -24% | 170 |
| District of Columbia | $101K | -24% | 70 |
| North Dakota | $73K | -46% | N/A |
Showing 1–10 of 39 states with published data
BLS does not publish data for every state when sample sizes are too small
Track nurse midwives salary changes
BLS updates this data quarterly. We'll email you when San Francisco-Oakland-Fremont numbers change.
Related careers in Healthcare
Frequently asked questions
Can a nurse midwife afford a 2BR apartment alone in San Francisco-Oakland-Fremont?
It’s a stretch — at the median salary of $213K, rent takes 30.4% of take-home pay. A 2-bedroom at the HUD Fair Market Rent runs $3,604/month. The 30% guideline puts the comfortable ceiling at roughly $3,600/month in rent — so roommates or a 1-bedroom would ease the math significantly.
What’s the entry-level salary for nurse midwives in San Francisco-Oakland-Fremont?
The 10th-percentile wage — what new nurse midwives typically earn — is $165K/year. Take-home on that works out to about $9,928/month. At HUD’s $3,604/month FMR, rent would take 36% of that take-home — above the 30% guideline, so a 1-bedroom or shared housing is likely necessary starting out.
Is nurse midwife a high-paying job in San Francisco-Oakland-Fremont?
Local pay is 59% above the national median — $213K here vs. $134K nationally. Keep in mind cost of living here is 16% above the national average, which offsets some of that premium.
How does San Francisco-Oakland-Fremont compare to the national average for nurse midwives?
San Francisco-Oakland-Fremont pays $213K median vs. the U.S. average of $134K — that’s +59%. After adjusting for local cost of living (RPP 115.61), the purchasing-power equivalent is $184K — still ahead of the national median.
How much do nurse midwives make in San Francisco-Oakland-Fremont, CA?
The median is $212,630 a year, that works out to about $102 an hour. But the range is wide: entry-level workers start around $165,470, and experienced nurse midwives can clear $257,020. These are BLS numbers, based on employer-reported data, not self-reported surveys.
Is $213K enough to live in San Francisco-Oakland-Fremont?
On that salary, you'd take home roughly $11,858/month after taxes. A 2-bedroom here rents for about $3,604/month, which eats 30.4% of your paycheck. That's above the 30% rule of thumb, housing will be a stretch at the median salary, though you can manage with roommates or a smaller place.
How far does a nurse midwives salary go in San Francisco-Oakland-Fremont?
San Francisco-Oakland-Fremont has a Regional Price Parity of 115.61 (100 is the national average). Prices are above average here, so your dollar buys less than the same salary would in a cheaper metro. After cost-of-living adjustment, the median nurse midwives salary is worth about $183,920 in national-average purchasing power.
Where do nurse midwives get paid the most?
The table above ranks every state by median pay for this role. Keep in mind that the highest-paying states tend to have the highest costs of living, so the top salary doesn't always mean the most money in your pocket.