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What to Pay a Medical-Surgical Registered Nurse in Portland, OR (2026)

Last updated: May 15, 2026 Built for: Total Rewards, Comp, HR Sample: BLS OEWS + disclosed-range postings
Market Median
$120,000
base, annual
Competitive Range
$104K–$138K
25th–75th percentile
YoY Movement
+3.7%
trailing 12 months
Days to Fill
~28
Portland metro average
To hire a Medical-Surgical Registered Nurse in Portland at market, plan on a base salary range of $104,000 to $138,000, with $120,000 as the midpoint. To attract candidates in a market where average time-to-fill runs 28 days, expect to lead at $138K–$158K plus a sign-on bonus, common in skilled nursing settings. Oregon does not currently require pay range disclosure in job postings.

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

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

Lag Market
Pay Below Median
$91K–$104K
Workable in non-acute settings with strong non-cash differentiation. Expect longer fill times and turnover ~1.4× the Portland average.
Match Market — recommended
Pay at Median
$113.6K–$127.2K
Default for most Portland employers. Competitive enough to fill in ~28 days. A range width of ~30% (min $104,000 to max $138,000) keeps compa-ratio movement smooth across a Med-Surg RN's typical 8–12 year tenure.
Lead Market
Pay Above Median
$130.8K–$158K
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 Portland, OR

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

10th $91K
25th $104K
Median $120K
75th $138K
90th $158K

Most Portland employers building a range for this role anchor the midpoint to the market median ($120,000) and set range width at 30–35% — a min of $104,000 and a max of $138,000. This keeps the band wide enough for experience-based progression without concentrating range penetration at the cap.

Oregon pay transparency compliance for Med-Surg RN job postings

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

Not required statewide. Oregon 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 Portland, a compliant good-faith range looks like $104,000 to $138,000. No statutory requirement applies, but if you disclose voluntarily, post a good-faith range of $104,000–$138,000 rather than a single number — it screens out misaligned candidates and reduces offer-stage fallout.

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

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

Employer Type Disclosed Range Sign-on Bonus
OHSU Academic medical center $113K–$142K Very common ($10K–$18K)
Providence Health & Services Health system $113K–$142K Very common ($10K–$18K)
Legacy Health Health system $113K–$142K Very common ($10K–$18K)
Kaiser Permanente Northwest Integrated health system $113K–$142K Very common ($10K–$18K)
Randall Children's Hospital Pediatric specialty $113K–$142K Very common ($10K–$18K)

Med-Surg RN talent supply and hiring difficulty in Portland

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

~28
Avg Days to Fill
~3,600
Active Postings
~36,000
Portland Med-Surg RN Workforce
Tight
Supply : Demand

Portland 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 Portland, OR

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 Portland — what candidates expect beyond base

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

Component Typical Value Prevalence in Portland Postings
Base salary $120,000 (median) 100%
Shift differential +12–20% premium ~90%
Sign-on bonus $10K–$22K ~76%
CMSRN certification pay +5–8% on base ~48%
Overtime opportunity $13K–$26K annualized ~94%
Estimated total comp benchmark ~$144K–$168K —

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 Portland — SNF, hospital, clinic, home health

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

Setting Median Competitive Range Hiring Difficulty
Adult med-surg (community) $113,000 $101K–$130K Very high
Adult med-surg (academic) $122,000 $108K–$139K Very high
Telemetry / step-down $127,000 $113K–$144K Very high
Progressive care unit (PCU) $130,000 $115K–$146K Very high
Ortho / surgical unit $120,000 $108K–$137K High

FAQ: hiring a Medical-Surgical Registered Nurse in Portland, OR

Market median is $120,000 for base pay. To match market, set a range with the midpoint at $120,000 — typically $104,000 to $138,000. To lead the market, plan on $138K–$158K base plus a sign-on bonus.
No statewide law requires a posted range in Oregon. Disclosing one voluntarily — a good-faith range such as $104,000–$138,000 — is increasingly the market norm and improves application rates.
$108,000 falls below the Portland market median of $120,000 — 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 Portland med-surg RN postings include a sign-on bonus ($10K–$22K). Highest values at large hospital systems for tele/step-down roles.
Average fill time is approximately 28 days in the Portland metro. Roles paid above the 75th percentile ($138K+) fill in roughly 18–22 days. Roles below the 25th percentile ($104K) commonly take 45+ days and have elevated turnover within the first 90 days.
By Portland-metro posting volume: OHSU, Providence Health & Services, Legacy Health, Kaiser Permanente Northwest, Randall Children's Hospital lead the pack.
A 30–35% range width (min to max) is standard for Med-Surg RN in Portland — for example, $104,000 to $138,000. Narrower than 25% compresses progression and creates compa-ratio pressure within 18 months.
No. Oregon 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 — Oregon 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.