What to Pay a Medical-Surgical Registered Nurse in Richmond, VA (2026)
Last updated: May 15, 2026Built for: Total Rewards, Comp, HRSample: BLS OEWS + disclosed-range postings
Market Median
$80,000
base, annual
Competitive Range
$70K–$92K
25th–75th percentile
YoY Movement
+3.7%
trailing 12 months
Days to Fill
~28
Richmond metro average
To hire a Medical-Surgical Registered Nurse in Richmond at market, plan on a base salary range of
$70,000 to $92,000,
with $80,000 as the midpoint.
To attract candidates in a market where average time-to-fill runs 28 days,
expect to lead at $92K–$106K plus a sign-on bonus,
common in skilled nursing settings. Virginia requires a pay range in job postings.
How to set your Med-Surg RN pay range in Richmond
Three pay positions, modeled against current Richmond market data. Pick the one that matches your comp philosophy and the role's strategic value.
Lag Market
Pay Below Median
$61K–$70K
Workable in non-acute settings with strong non-cash differentiation. Expect longer fill times and turnover ~1.4× the Richmond average.
Match Market — recommended
Pay at Median
$76K–$84.8K
Default for most Richmond employers. Competitive enough to fill in ~28 days.
A range width of ~30% (min $70,000 to max $92,000) keeps compa-ratio movement smooth across a Med-Surg RN's typical 8–12 year tenure.
Lead Market
Pay Above Median
$87.2K–$106K
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 Richmond, VA
Where the Richmond market actually sits for Med-Surg RN base pay.
10th$61K
25th$70K
Median$80K
75th$92K
90th$106K
Most Richmond employers building a range for this role anchor the midpoint to the market median ($80,000) and set range width at 30–35% — a min of $70,000 and a max of $92,000. This keeps the band wide enough for experience-based progression without concentrating range penetration at the cap.
Virginia pay transparency compliance for Med-Surg RN job postings
What you must post when hiring a Med-Surg RN in Virginia.
Required. Since July 1, 2026, Virginia has required employers of any size to include the wage, salary, or a good-faith wage or salary range in each public and internal posting for a job, promotion, transfer, or other employment opportunity, under HB 636 / SB 215. Benefits are not required in the posting. The Attorney General can seek civil penalties of up to $1,000 for a first violation and up to $5,000 for each later one. Applicants and employees can also sue within one year, but for a posting error the employer first gets 15 business days after written notice to fix it.
Requirement
Applies When
Penalty for Non-Compliance
Pay range in job postings
The law has no minimum size, so it applies to employers of any size that do business or operate in Virginia.
The Attorney General can seek civil penalties of up to $1,000 for a first violation and up to $5,000 for each later violation. Before an applicant or employee can sue over a posting, the employer must get written notice and 15 business days to correct it.
For a Med-Surg RN role in Richmond, a compliant good-faith range looks like $70,000 to $92,000.
Job ads must include the wage, salary, or wage or salary range for the position, and any range must be set in good faith. Benefits are not required.
Top Med-Surg RN employers in Richmond — who you're competing against
Top healthcare employers hiring Med-Surg RNs in the Richmond metro and what they're posting.
Employer
Type
Disclosed Range
Sign-on Bonus
HCA Virginia
Health system
$75K–$94K
Very common ($10K–$18K)
VCU Health
Academic medical center
$75K–$94K
Very common ($10K–$18K)
Bon Secours Richmond
Health system
$75K–$94K
Very common ($10K–$18K)
Children's Hospital of Richmond
Pediatric specialty
$75K–$94K
Very common ($10K–$18K)
Sentara Healthcare
Health system
$75K–$94K
Very common ($10K–$18K)
Med-Surg RN talent supply and hiring difficulty in Richmond
How hard is it to fill a Med-Surg RN role in Richmond.
~28
Avg Days to Fill
~2,400
Active Postings
~24,000
Richmond Med-Surg RN Workforce
Tight
Supply : Demand
Richmond 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 Richmond, VA
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 Richmond — what candidates expect beyond base
Total rewards mix for Med-Surg RNs in Richmond. "Prevalence" reflects share of Richmond disclosed-range postings including each element.
Component
Typical Value
Prevalence in Richmond Postings
Base salary
$80,000 (median)
100%
Shift differential
+12–20% premium
~90%
Sign-on bonus
$6K–$14K
~76%
CMSRN certification pay
+5–8% on base
~48%
Overtime opportunity
$9K–$18K annualized
~94%
Estimated total comp benchmark
~$96K–$112K
—
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 Richmond — SNF, hospital, clinic, home health
Where the Med-Surg RN range splits by employer type in the Richmond metro.
Setting
Median
Competitive Range
Hiring Difficulty
Adult med-surg (community)
$75,000
$67K–$86K
Very high
Adult med-surg (academic)
$82,000
$72K–$93K
Very high
Telemetry / step-down
$85,000
$75K–$96K
Very high
Progressive care unit (PCU)
$86,000
$77K–$98K
Very high
Ortho / surgical unit
$80,000
$72K–$91K
High
FAQ: hiring a Medical-Surgical Registered Nurse in Richmond, VA
Market median is $80,000 for base pay. To match market, set a range with the midpoint at $80,000 — typically $70,000 to $92,000. To lead the market, plan on $92K–$106K base plus a sign-on bonus.
Since July 1, 2026, Virginia has required employers of any size to include the wage, salary, or a good-faith wage or salary range in each public and internal posting for a job, promotion, transfer, or other employment opportunity, under HB 636 / SB 215. Benefits are not required in the posting. The Attorney General can seek civil penalties of up to $1,000 for a first violation and up to $5,000 for each later one. Applicants and employees can also sue within one year, but for a posting error the employer first gets 15 business days after written notice to fix it. For this role in Richmond, a good-faith range is $70,000–$92,000.
$72,000 falls below the Richmond market median of $80,000 — 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 Richmond 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 Richmond metro. Roles paid above the 75th percentile ($92K+) fill in roughly 18–22 days. Roles below the 25th percentile ($70K) commonly take 45+ days and have elevated turnover within the first 90 days.
By Richmond-metro posting volume: HCA Virginia, VCU Health, Bon Secours Richmond, Children's Hospital of Richmond, Sentara Healthcare lead the pack.
A 30–35% range width (min to max) is standard for Med-Surg RN in Richmond — for example, $70,000 to $92,000. Narrower than 25% compresses progression and creates compa-ratio pressure within 18 months.
Every public and internal posting for a job, promotion, transfer, or other opportunity is covered.
Related Med-Surg RN pay benchmarks — Virginia metros and nearby nursing roles
If you're modeling pay ranges across hundreds of roles and dozens of locations, doing this manually is the merit-cycle scramble that ate your last quarter. BetterComp keeps your full range structure current against live market data — without the survey lag.
