What to Pay a Medical-Surgical Registered Nurse in Las Vegas, NV (2026)
How to set your Med-Surg RN pay range in Las Vegas
Three pay positions, modeled against current Las Vegas market data. Pick the one that matches your comp philosophy and the role's strategic value.
Med-Surg RN salary percentile distribution in Las Vegas, NV
Where the Las Vegas market actually sits for Med-Surg RN base pay.
Most Las Vegas employers building a range for this role anchor the midpoint to the market median ($91,000) and set range width at 30–35% — a min of $79,000 and a max of $105,000. This keeps the band wide enough for experience-based progression without concentrating range penetration at the cap.
Nevada pay transparency compliance for Med-Surg RN job postings
What you must post when hiring a Med-Surg RN in Nevada.
| Requirement | Applies When | Penalty for Non-Compliance |
|---|---|---|
| Pay range on request or before an offer | The law applies to public and private employers in Nevada and to employment agencies, with no minimum number of employees. | The Labor Commissioner may impose an administrative penalty of up to $5,000 per violation and may recover the costs of the proceeding, including investigative costs and attorney's fees. |
For a Med-Surg RN role in Las Vegas, a compliant good-faith range looks like $79,000 to $105,000. You don't have to post it, but you must share it: the wage or salary range or rate must be given to an applicant who has completed an interview, and to a current employee who applied for a promotion or transfer, interviewed for it or was offered it, and asks for the range.
Top Med-Surg RN employers in Las Vegas — who you're competing against
Top healthcare employers hiring Med-Surg RNs in the Las Vegas metro and what they're posting.
| Employer | Type | Disclosed Range | Sign-on Bonus |
|---|---|---|---|
| Sunrise Health System (HCA) | Health system | $86K–$107K | Very common ($10K–$18K) |
| Valley Health System (UHS) | Health system | $86K–$107K | Very common ($10K–$18K) |
| Dignity Health Nevada / CommonSpirit | Health system | $86K–$107K | Very common ($10K–$18K) |
| University Medical Center | Public / Level I trauma | $86K–$107K | Very common ($10K–$18K) |
| Kaiser Permanente | Integrated health system | $86K–$107K | Very common ($10K–$18K) |
Med-Surg RN talent supply and hiring difficulty in Las Vegas
How hard is it to fill a Med-Surg RN role in Las Vegas.
Las Vegas 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 Las Vegas, NV
| 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 Las Vegas — what candidates expect beyond base
Total rewards mix for Med-Surg RNs in Las Vegas. "Prevalence" reflects share of Las Vegas disclosed-range postings including each element.
| Component | Typical Value | Prevalence in Las Vegas Postings |
|---|---|---|
| Base salary | $91,000 (median) | 100% |
| Shift differential | +12–20% premium | ~90% |
| Sign-on bonus | $7K–$16K | ~76% |
| CMSRN certification pay | +5–8% on base | ~48% |
| Overtime opportunity | $10K–$20K annualized | ~94% |
| Estimated total comp benchmark | ~$109K–$127K | — |
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 Las Vegas — SNF, hospital, clinic, home health
Where the Med-Surg RN range splits by employer type in the Las Vegas metro.
| Setting | Median | Competitive Range | Hiring Difficulty |
|---|---|---|---|
| Adult med-surg (community) | $86,000 | $76K–$98K | Very high |
| Adult med-surg (academic) | $93,000 | $82K–$106K | Very high |
| Telemetry / step-down | $96,000 | $86K–$109K | Very high |
| Progressive care unit (PCU) | $98,000 | $87K–$111K | Very high |
| Ortho / surgical unit | $91,000 | $82K–$104K | High |
FAQ: hiring a Medical-Surgical Registered Nurse in Las Vegas, NV
Related Med-Surg RN pay benchmarks — Nevada 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.