What to Pay an Emergency Room Registered Nurse in Nashville, TN (2026)

Last updated: May 15, 2026 Built for: Total Rewards, Comp, HR Sample: BLS OEWS + disclosed-range postings

Market Median

$94,000

base, annual

Competitive Range

$82K–$108K

25th–75th percentile

YoY Movement

+4.1%

trailing 12 months

Days to Fill

~30

Nashville metro average

To hire a Emergency Room Registered Nurse in Nashville at market, plan on a base salary range of $82,000 to $108,000, with $94,000 as the midpoint. To attract candidates in a market where average time-to-fill runs 30 days, expect to lead at $108K–$124K plus a sign-on bonus, common in skilled nursing settings. Tennessee does not currently require pay range disclosure in job postings.

How to set your ER RN pay range in Nashville

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

Lag Market

Pay Below Median

$71K–$82K

Workable in non-acute settings with strong non-cash differentiation. Expect longer fill times and turnover ~1.4× the Nashville average.

Match Market — recommended

Pay at Median

$89.2K–$99.6K

Default for most Nashville employers. Competitive enough to fill in ~30 days. A range width of ~30% (min $82,000 to max $108,000) keeps compa-ratio movement smooth across a ER RN's typical 8–12 year tenure.

Lead Market

Pay Above Median

$102.4K–$124K

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.

ER RN salary percentile distribution in Nashville, TN

Where the Nashville market actually sits for ER RN base pay.

10th $71K

25th $82K

Median $94K

75th $108K

90th $124K

Most Nashville employers building a range for this role anchor the midpoint to the market median ($94,000) and set range width at 30–35% — a min of $82,000 and a max of $108,000. This keeps the band wide enough for experience-based progression without concentrating range penetration at the cap.

Tennessee pay transparency compliance for ER RN job postings

What you must post when hiring a ER RN in Tennessee.

Not required statewide. Tennessee has no statewide pay transparency law. Posting a range is optional — but roughly half of healthcare employers in the market now disclose ranges voluntarily, and candidates increasingly skip postings without one.

For a ER RN role in Nashville, a compliant good-faith range looks like $82,000 to $108,000. No statutory requirement applies, but if you disclose voluntarily, post a good-faith range of $82,000–$108,000 rather than a single number — it screens out misaligned candidates and reduces offer-stage fallout.

Top ER RN employers in Nashville — who you're competing against

Top healthcare employers hiring ER RNs in the Nashville metro and what they're posting.

Employer	Type	Disclosed Range	Sign-on Bonus
Vanderbilt University Medical Center	Academic medical center	$88K–$111K	Very common ($10K–$18K)
HCA Healthcare (TriStar Health)	Health system	$88K–$111K	Very common ($10K–$18K)
Ascension Saint Thomas	Health system	$88K–$111K	Very common ($10K–$18K)
Monroe Carell Jr. Children's Hospital	Pediatric specialty	$88K–$111K	Very common ($10K–$18K)
Williamson Medical Center	Community hospital	$85K–$107K	Very common ($10K–$18K)

ER RN talent supply and hiring difficulty in Nashville

How hard is it to fill a ER RN role in Nashville.

~30

Avg Days to Fill

~854

Active Postings

~846,000

Nashville ER RN Workforce

Very tight

Supply : Demand

Nashville ER RN market reflects broader RN supply constraints, with emergency specialty demand elevated by post-COVID staffing gaps.

Skill premiums ER RN candidates command in Nashville, TN

Skill / Credential	Pay Premium	Demand Signal
CEN	Required baseline	Standard
Cardiac subspecialty	+7–11%	Very high
Trauma / Level I experience	+6–10%	Very high
BSN (vs ADN)	+5–8%	Standard at Magnet hospitals

ER RN total compensation in Nashville — what candidates expect beyond base

Total rewards mix for ER RNs in Nashville. "Prevalence" reflects share of Nashville disclosed-range postings including each element.

Component	Typical Value	Prevalence in Nashville Postings
Base salary	$94,000 (median)	100%
Shift differential	+16–24% premium	~94%
Sign-on bonus	$9K–$19K	~80%
CEN certification pay	+8–12% on base	~72%
Overtime opportunity	$10K–$21K annualized	~94%
Estimated total comp benchmark	~$115K–$135K	—

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.

ER RN pay by setting in Nashville — SNF, hospital, clinic, home health

Where the ER RN range splits by employer type in the Nashville metro.

Setting	Median	Competitive Range	Hiring Difficulty
Adult ED (community)	$90,000	$81K–$103K	Very high
Adult ED (academic)	$94,000	$85K–$107K	Very high
Level I trauma	$102,000	$90K–$115K	Very high
Pediatric ED	$98,000	$88K–$113K	Very high
Freestanding ER	$85,000	$77K–$98K	Tight

FAQ: hiring a Emergency Room Registered Nurse in Nashville, TN

How much should I pay a Emergency Room Registered Nurse in Nashville, TN?

Market median is $94,000 for base pay. To match market, set a range with the midpoint at $94,000 — typically $82,000 to $108,000. To lead the market, plan on $108K–$124K base plus a sign-on bonus.

What pay range must I post for a ER RN job in Tennessee?

No statewide law requires a posted range in Tennessee. Disclosing one voluntarily — a good-faith range such as $82,000–$108,000 — is increasingly the market norm and improves application rates.

Is offering $84,000 competitive for a ER RN in Nashville?

$84,000 falls below the Nashville market median of $94,000 — 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.

What sign-on bonuses are typical for ER RNs in Nashville?

Roughly 80% of Nashville ER RN postings include a sign-on bonus ($9K–$19K).

How long does it take to fill a ER RN role in Nashville?

Average fill time is approximately 30 days in the Nashville metro. Roles paid above the 75th percentile ($108K+) fill in roughly 18–22 days. Roles below the 25th percentile ($82K) commonly take 45+ days and have elevated turnover within the first 90 days.

Which employers are we competing against for ER RN talent in Nashville?

By Nashville-metro posting volume: Vanderbilt University Medical Center, HCA Healthcare (TriStar Health), Ascension Saint Thomas, Monroe Carell Jr. Children's Hospital, Williamson Medical Center lead the pack.

How wide should my pay range be for a ER RN in Nashville?

A 30–35% range width (min to max) is standard for ER RN in Nashville — for example, $82,000 to $108,000. Narrower than 25% compresses progression and creates compa-ratio pressure within 18 months.

Does Tennessee require ER RN pay range disclosure for internal postings?

No. Tennessee has no pay transparency law covering internal or external postings. Note that remote roles open to candidates in states like Colorado or California may still trigger those states' disclosure requirements.

Related ER RN pay benchmarks — Tennessee metros and nearby nursing roles

Same role, nearby metros

ER RN pay benchmark — Louisville, KY → ER RN pay benchmark — Charlotte, NC → ER RN pay benchmark — Atlanta, GA → All ER RN pay benchmarks →

Related roles in Nashville

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