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What to Pay a Certified Registered Nurse Anesthetist in San Francisco, CA (2026)

Last updated: May 15, 2026 Built for: Total Rewards, Comp, HR Sample: BLS OEWS + disclosed-range postings
Market Median
$315,000
base, annual
Competitive Range
$280K–$360K
25th–75th percentile
YoY Movement
+4.6%
trailing 12 months
Days to Fill
~62
San Francisco metro average
To hire a Certified Registered Nurse Anesthetist in San Francisco at market, plan on a base salary range of $280,000 to $360,000, with $315,000 as the midpoint. To attract candidates in a market where average time-to-fill runs 62 days, expect to lead at $360K–$410K plus a sign-on bonus, common in skilled nursing settings. California REQUIRES pay scale disclosure under SB 1162.

How to set your CRNA pay range in San Francisco

Three pay positions, modeled against current San Francisco market data. Pick the one that matches your comp philosophy and the role's strategic value.

Lag Market
Pay Below Median
$252K–$280K
Workable in non-acute settings with strong non-cash differentiation. Expect longer fill times and turnover ~1.4× the San Francisco average.
Match Market — recommended
Pay at Median
$301K–$333K
Default for most San Francisco employers. Competitive enough to fill in ~62 days. A range width of ~30% (min $280,000 to max $360,000) keeps compa-ratio movement smooth across a CRNA's typical 8–12 year tenure.
Lead Market
Pay Above Median
$342K–$410K
Use for hard-to-fill specialties (wound care, IV therapy, bilingual), 24/7 SNF roles, or when speed-to-hire trumps budget. Reduces fill time by 35–45% on average.

CRNA salary percentile distribution in San Francisco, CA

Where the San Francisco market actually sits for CRNA base pay.

10th $252K
25th $280K
Median $315K
75th $360K
90th $410K

Most San Francisco employers building a range for this role anchor the midpoint to the market median ($315,000) and set range width at 30–35% — a min of $280,000 and a max of $360,000. This keeps the band wide enough for experience-based progression without concentrating range penetration at the cap.

California pay transparency compliance for CRNA job postings

What you must post when hiring a CRNA in California.

Required. California requires employers with 15+ employees to include the pay scale in every posting — internal, external, or third-party. SB 642 (2026) extended the requirement to bonuses and incentive pay.
Requirement Applies When Penalty for Non-Compliance
Pay scale in job posting 15+ employees, ≥1 in California $100–$10,000 per violation
Good-faith range (no inflated bands) All covered postings $100–$10,000 per violation; escalates for repeat
Include bonuses and incentive pay (SB 642) All covered postings from 2026 Same penalty schedule
Provide pay scale to current employees on request Any covered employer $100–$10,000 per violation
Maintain wage history records for 3 years All employers Presumption against employer in disputes

For a CRNA role in San Francisco, a compliant good-faith range looks like $280,000 to $360,000. A good-faith range for this role is $280,000–$360,000. Ranges wider than ~50% have been challenged under CA enforcement actions.

Top CRNA employers in San Francisco — who you're competing against

Top healthcare employers hiring CRNAs in the San Francisco metro and what they're posting.

Employer Type Disclosed Range Sign-on Bonus
UCSF Health Academic medical center (ACT) $308K–$380K Very common ($25K–$45K)
Stanford Health Care Academic medical center (ACT) $305K–$378K Very common ($25K–$45K)
Kaiser Permanente Integrated (CRNA-only) $315K–$385K Very common ($35K–$55K)
Sutter Health Health system $298K–$368K Very common ($40K–$65K)
Independent anesthesia groups Physician-led ACT $322K–$405K Production-based

CRNA talent supply and hiring difficulty in San Francisco

How hard is it to fill a CRNA role in San Francisco.

~62
Avg Days to Fill
~95
Active Postings
~850
San Francisco CRNA Workforce
Very tight
Supply : Demand

Skill premiums CRNA candidates command in San Francisco, CA

Skill / Credential Pay Premium Demand Signal
Cardiac anesthesia (Stanford) +12–18% Very high
Regional anesthesia / blocks +8–12% Very high
Pediatric anesthesia (UCSF Benioff) +10–15% Very high
Independent practice +15–22% California allows

CRNA total compensation in San Francisco — what candidates expect beyond base

Total rewards mix for CRNAs in San Francisco. "Prevalence" reflects share of San Francisco disclosed-range postings including each element.

Component Typical Value Prevalence in San Francisco Postings
Base salary $315,000 (median) 100%
Call pay (standby + callback) $14–$22/hr standby + 2–3× hourly ~96%
Sign-on bonus $35,000–$65,000 ~88%
Loan repayment $40K–$90K total ~58%
Housing stipend (some employers) $10K–$25K/yr ~28%
Estimated total comp benchmark ~$380K–$460K

Shift differentials and sign-on bonuses are typically table stakes rather than differentiators. Tuition reimbursement for LPN-to-RN bridge programs is increasingly the lever that wins competitive offers, particularly for early-career candidates.

CRNA pay by setting in San Francisco — SNF, hospital, clinic, home health

Where the CRNA range splits by employer type in the San Francisco metro.

Setting Median Competitive Range Hiring Difficulty
Hospital OR (CRNA-only) $322,000 $295K–$370K Very high
Hospital OR (ACT) $305,000 $278K–$350K Very high
Ambulatory surgery center $292,000 $268K–$335K Very high
Pain management clinic $298,000 $272K–$340K Tight
Independent practice $335,000 $305K–$385K Very tight

CRNA salary in San Francisco vs. other California and nearby metros

What you'd pay if you hired in a nearby metro instead.

Location Median Base vs. San Francisco Hiring Difficulty
San Francisco–Oakland–Hayward, CA $315,000 Very tight
Los Angeles–Long Beach–Anaheim, CA $268,000 −14.9% Very tight
San Jose–Sunnyvale–Santa Clara, CA $318,000 +1.0% Very tight
Sacramento–Roseville, CA $272,000 −13.7% Tight
California statewide $268,000 −14.9%
U.S. national $220,000

FAQ: hiring a Certified Registered Nurse Anesthetist in San Francisco, CA

Market median is $315,000 for base pay. To match market, set a range with the midpoint at $315,000 — typically $280,000 to $360,000. To lead the market, plan on $360K–$410K base plus a sign-on bonus.
Yes. SB 1162 requires a good-faith pay scale in every posting if you have 15+ employees with at least one in California. Penalties run $100–$10,000 per violation.
$283,000 falls below the San Francisco market median of $315,000 — roughly at the 25th–50th percentile locally. Acceptable in SNF or physician office settings where the candidate pool is deeper; below-market for hospital or specialty roles.
Bay Area CRNA sign-ons routinely $40K–$65K — highest in the country. Sutter most aggressive. Housing stipends ($10K–$25K/yr) are emerging as the next-stage retention lever. Independent groups can hit $400K+ all-in.
Average fill time is approximately 62 days in the San Francisco metro. Roles paid above the 75th percentile ($360K+) fill in roughly 18–22 days. Roles below the 25th percentile ($280K) commonly take 45+ days and have elevated turnover within the first 90 days.
By San Francisco-metro posting volume: UCSF Health, Stanford Health Care, Kaiser Permanente, Sutter Health, Independent anesthesia groups lead the pack.
A 30–35% range width (min to max) is standard for CRNA in San Francisco — for example, $280,000 to $360,000. Narrower than 25% compresses progression and creates compa-ratio pressure within 18 months. Wider than 50% has been challenged as not in good faith under California enforcement.
Yes. SB 1162 covers both internal and external postings. SB 642 (2026) also requires disclosure of expected bonuses and incentive pay.

Related CRNA pay benchmarks — California metros and nearby nursing roles

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Data refreshed May 15, 2026. Next scheduled update: August 15, 2026.
© 2026 BetterComp. Market data informational only — not legal advice.