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What to Pay a Medical-Surgical Registered Nurse in Baltimore, MD (2026)

Last updated: May 15, 2026 Built for: Total Rewards, Comp, HR Sample: BLS OEWS + disclosed-range postings
Market Median
$101,000
base, annual
Competitive Range
$88K–$116K
25th–75th percentile
YoY Movement
+3.7%
trailing 12 months
Days to Fill
~28
Baltimore metro average
To hire a Medical-Surgical Registered Nurse in Baltimore at market, plan on a base salary range of $88,000 to $116,000, with $101,000 as the midpoint. To attract candidates in a market where average time-to-fill runs 28 days, expect to lead at $116K–$133K plus a sign-on bonus, common in skilled nursing settings. Maryland requires a pay range in job postings.

How to set your Med-Surg RN pay range in Baltimore

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

Lag Market
Pay Below Median
$77K–$88K
Workable in non-acute settings with strong non-cash differentiation. Expect longer fill times and turnover ~1.4× the Baltimore average.
Match Market — recommended
Pay at Median
$95.8K–$107K
Default for most Baltimore employers. Competitive enough to fill in ~28 days. A range width of ~30% (min $88,000 to max $116,000) keeps compa-ratio movement smooth across a Med-Surg RN's typical 8–12 year tenure.
Lead Market
Pay Above Median
$110K–$133K
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.

Med-Surg RN salary percentile distribution in Baltimore, MD

Where the Baltimore market actually sits for Med-Surg RN base pay.

10th $77K
25th $88K
Median $101K
75th $116K
90th $133K

Most Baltimore employers building a range for this role anchor the midpoint to the market median ($101,000) and set range width at 30–35% — a min of $88,000 and a max of $116,000. This keeps the band wide enough for experience-based progression without concentrating range penetration at the cap.

Maryland pay transparency compliance for Med-Surg RN job postings

What you must post when hiring a Med-Surg RN in Maryland.

Required. Maryland requires all employers to include the wage range and a general description of benefits and other compensation in public and internal job postings, under the Wage Range Transparency Act, effective October 1, 2024. A first violation brings an order to comply, followed by fines of up to $300 and then $600 per affected applicant or employee, enforced by the Maryland Commissioner of Labor and Industry.
Requirement Applies When Penalty for Non-Compliance
Pay range in job postings All employers must follow the law, regardless of size. A first violation brings a letter ordering compliance. A second brings a fine of up to $300 per affected applicant or employee, and any later violation within three years of a prior violation finding brings up to $600 each.
General description of benefits in postings All covered postings Same as above

For a Med-Surg RN role in Baltimore, a compliant good-faith range looks like $88,000 to $116,000. Job ads must include the wage range plus a general description of benefits and any other compensation.

Top Med-Surg RN employers in Baltimore — who you're competing against

Top healthcare employers hiring Med-Surg RNs in the Baltimore metro and what they're posting.

Employer Type Disclosed Range Sign-on Bonus
Johns Hopkins Medicine Academic medical center $95K–$119K Very common ($10K–$18K)
University of Maryland Medical System Health system $95K–$119K Very common ($10K–$18K)
MedStar Health Health system $95K–$119K Very common ($10K–$18K)
LifeBridge Health Health system $95K–$119K Very common ($10K–$18K)
Adventist HealthCare Health system $95K–$119K Very common ($10K–$18K)

Med-Surg RN talent supply and hiring difficulty in Baltimore

How hard is it to fill a Med-Surg RN role in Baltimore.

~28
Avg Days to Fill
~3,030
Active Postings
~30,300
Baltimore Med-Surg RN Workforce
Tight
Supply : Demand

Baltimore med-surg RN market is the largest RN specialty by headcount. High turnover ratio drives constant recruitment cycles.

Skill premiums Med-Surg RN candidates command in Baltimore, MD

Skill / Credential Pay Premium Demand Signal
CMSRN (Med-Surg certified) +5–8% Standard progression
Telemetry / step-down experience +4–7% High
Charge nurse experience +5–8% High
BSN (vs ADN) +5–8% Standard at Magnet hospitals

Med-Surg RN total compensation in Baltimore — what candidates expect beyond base

Total rewards mix for Med-Surg RNs in Baltimore. "Prevalence" reflects share of Baltimore disclosed-range postings including each element.

Component Typical Value Prevalence in Baltimore Postings
Base salary $101,000 (median) 100%
Shift differential +12–20% premium ~90%
Sign-on bonus $8K–$18K ~76%
CMSRN certification pay +5–8% on base ~48%
Overtime opportunity $11K–$22K annualized ~94%
Estimated total comp benchmark ~$121K–$141K —

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.

Med-Surg RN pay by setting in Baltimore — SNF, hospital, clinic, home health

Where the Med-Surg RN range splits by employer type in the Baltimore metro.

Setting Median Competitive Range Hiring Difficulty
Adult med-surg (community) $95,000 $85K–$109K Very high
Adult med-surg (academic) $103,000 $91K–$117K Very high
Telemetry / step-down $107,000 $95K–$121K Very high
Progressive care unit (PCU) $109,000 $97K–$123K Very high
Ortho / surgical unit $101,000 $91K–$115K High

FAQ: hiring a Medical-Surgical Registered Nurse in Baltimore, MD

Market median is $101,000 for base pay. To match market, set a range with the midpoint at $101,000 — typically $88,000 to $116,000. To lead the market, plan on $116K–$133K base plus a sign-on bonus.
Maryland requires all employers to include the wage range and a general description of benefits and other compensation in public and internal job postings, under the Wage Range Transparency Act, effective October 1, 2024. A first violation brings an order to comply, followed by fines of up to $300 and then $600 per affected applicant or employee, enforced by the Maryland Commissioner of Labor and Industry. For this role in Baltimore, a good-faith range is $88,000–$116,000.
$90,000 falls below the Baltimore market median of $101,000 — 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.
Roughly 76% of Baltimore med-surg RN postings include a sign-on bonus ($8K–$18K). Highest values at large hospital systems for tele/step-down roles.
Average fill time is approximately 28 days in the Baltimore metro. Roles paid above the 75th percentile ($116K+) fill in roughly 18–22 days. Roles below the 25th percentile ($88K) commonly take 45+ days and have elevated turnover within the first 90 days.
By Baltimore-metro posting volume: Johns Hopkins Medicine, University of Maryland Medical System, MedStar Health, LifeBridge Health, Adventist HealthCare lead the pack.
A 30–35% range width (min to max) is standard for Med-Surg RN in Baltimore — for example, $88,000 to $116,000. Narrower than 25% compresses progression and creates compa-ratio pressure within 18 months.
Public and internal postings are covered for positions physically performed at least in part in Maryland.

Related Med-Surg RN pay benchmarks — Maryland 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.