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What to Pay a Medical-Surgical Registered Nurse in Omaha, NE (2026)

Last updated: May 15, 2026 Built for: Total Rewards, Comp, HR Sample: BLS OEWS + disclosed-range postings
Market Median
$77,000
base, annual
Competitive Range
$67K–$89K
25th–75th percentile
YoY Movement
+3.7%
trailing 12 months
Days to Fill
~28
Omaha metro average
To hire a Medical-Surgical Registered Nurse in Omaha at market, plan on a base salary range of $67,000 to $89,000, with $77,000 as the midpoint. To attract candidates in a market where average time-to-fill runs 28 days, expect to lead at $89K–$102K plus a sign-on bonus, common in skilled nursing settings. Nebraska does not currently require pay range disclosure in job postings.

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

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

Lag Market
Pay Below Median
$59K–$67K
Workable in non-acute settings with strong non-cash differentiation. Expect longer fill times and turnover ~1.4× the Omaha average.
Match Market — recommended
Pay at Median
$73K–$81.8K
Default for most Omaha employers. Competitive enough to fill in ~28 days. A range width of ~30% (min $67,000 to max $89,000) keeps compa-ratio movement smooth across a Med-Surg RN's typical 8–12 year tenure.
Lead Market
Pay Above Median
$84.2K–$102K
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 Omaha, NE

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

10th $59K
25th $67K
Median $77K
75th $89K
90th $102K

Most Omaha employers building a range for this role anchor the midpoint to the market median ($77,000) and set range width at 30–35% — a min of $67,000 and a max of $89,000. This keeps the band wide enough for experience-based progression without concentrating range penetration at the cap.

Nebraska pay transparency compliance for Med-Surg RN job postings

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

Not required statewide. Nebraska 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 Med-Surg RN role in Omaha, a compliant good-faith range looks like $67,000 to $89,000. No statutory requirement applies, but if you disclose voluntarily, post a good-faith range of $67,000–$89,000 rather than a single number — it screens out misaligned candidates and reduces offer-stage fallout.

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

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

Employer Type Disclosed Range Sign-on Bonus
Nebraska Medicine Academic medical center $72K–$91K Very common ($10K–$18K)
CHI Health (CommonSpirit) Health system $72K–$91K Very common ($10K–$18K)
Methodist Health System Health system $72K–$91K Very common ($10K–$18K)
Children's Hospital & Medical Center Pediatric specialty $72K–$91K Very common ($10K–$18K)
Bergan Mercy Medical Center Hospital $69K–$88K Very common ($10K–$18K)

Med-Surg RN talent supply and hiring difficulty in Omaha

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

~28
Avg Days to Fill
~2,310
Active Postings
~23,100
Omaha Med-Surg RN Workforce
Tight
Supply : Demand

Omaha 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 Omaha, NE

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 Omaha — what candidates expect beyond base

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

Component Typical Value Prevalence in Omaha Postings
Base salary $77,000 (median) 100%
Shift differential +12–20% premium ~90%
Sign-on bonus $6K–$14K ~76%
CMSRN certification pay +5–8% on base ~48%
Overtime opportunity $8K–$17K annualized ~94%
Estimated total comp benchmark ~$92K–$108K —

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 Omaha — SNF, hospital, clinic, home health

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

Setting Median Competitive Range Hiring Difficulty
Adult med-surg (community) $72,000 $65K–$83K Very high
Adult med-surg (academic) $79,000 $69K–$89K Very high
Telemetry / step-down $82,000 $72K–$92K Very high
Progressive care unit (PCU) $83,000 $74K–$94K Very high
Ortho / surgical unit $77,000 $69K–$88K High

FAQ: hiring a Medical-Surgical Registered Nurse in Omaha, NE

Market median is $77,000 for base pay. To match market, set a range with the midpoint at $77,000 — typically $67,000 to $89,000. To lead the market, plan on $89K–$102K base plus a sign-on bonus.
No statewide law requires a posted range in Nebraska. Disclosing one voluntarily — a good-faith range such as $67,000–$89,000 — is increasingly the market norm and improves application rates.
$69,000 falls below the Omaha market median of $77,000 — 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 Omaha med-surg RN postings include a sign-on bonus ($6K–$14K). Highest values at large hospital systems for tele/step-down roles.
Average fill time is approximately 28 days in the Omaha metro. Roles paid above the 75th percentile ($89K+) fill in roughly 18–22 days. Roles below the 25th percentile ($67K) commonly take 45+ days and have elevated turnover within the first 90 days.
By Omaha-metro posting volume: Nebraska Medicine, CHI Health (CommonSpirit), Methodist Health System, Children's Hospital & Medical Center, Bergan Mercy Medical Center lead the pack.
A 30–35% range width (min to max) is standard for Med-Surg RN in Omaha — for example, $67,000 to $89,000. Narrower than 25% compresses progression and creates compa-ratio pressure within 18 months.
No. Nebraska 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 Med-Surg RN pay benchmarks — Nebraska 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.