What to Pay a Nurse Practitioner in San Francisco, CA (2026)
How to set your NP pay range in San Francisco
Three pay positions, modeled against current San Francisco market data. Pick the one that matches your comp philosophy and the role's strategic value.
NP salary percentile distribution in San Francisco, CA
Where the San Francisco market actually sits for NP base pay.
Most San Francisco employers building a range for this role anchor the midpoint to the market median ($192,000) and set range width at 30–35% — a min of $172,000 and a max of $218,000. This keeps the band wide enough for experience-based progression without concentrating range penetration at the cap.
California pay transparency compliance for NP job postings
What you must post when hiring a NP in California.
| Requirement | Applies When | Penalty for Non-Compliance |
|---|---|---|
| Pay scale in job posting | 15+ employees, ≥1 in California | $100–$10,000 per violation |
| Good-faith range (no inflated bands) | All covered postings | $100–$10,000 per violation; escalates for repeat |
| Include bonuses and incentive pay (SB 642) | All covered postings from 2026 | Same penalty schedule |
| Provide pay scale to current employees on request | Any covered employer | $100–$10,000 per violation |
| Maintain wage history records for 3 years | All employers | Presumption against employer in disputes |
For a NP role in San Francisco, a compliant good-faith range looks like $172,000 to $218,000. A good-faith range for this role is $172,000–$218,000. Ranges wider than ~50% have been challenged under CA enforcement actions.
Top NP employers in San Francisco — who you're competing against
Top healthcare employers hiring NPs in the San Francisco metro and what they're posting.
| Employer | Type | Disclosed Range | Sign-on Bonus |
|---|---|---|---|
| UCSF Health | Academic medical center | $192K–$235K | Common ($10K–$20K) |
| Stanford Health Care | Academic medical center | $188K–$232K | Common ($10K–$18K) |
| Kaiser Permanente | Integrated health system | $185K–$228K | Common ($10K–$18K) |
| Sutter Health | Health system | $178K–$220K | Very common ($15K–$25K) |
| Dignity Health / CommonSpirit | Health system | $172K–$212K | Very common ($15K–$28K) |
NP talent supply and hiring difficulty in San Francisco
How hard is it to fill a NP role in San Francisco.
Skill premiums NP candidates command in San Francisco, CA
| Skill / Credential | Pay Premium | Demand Signal |
|---|---|---|
| PMHNP (Psychiatric) | +12–18% | Very high |
| AGACNP (Acute Care) | +10–15% | Very high |
| Bilingual (Spanish, Mandarin) | +5–8% | High |
| Cardiology / oncology subspecialty | +8–12% | High |
NP total compensation in San Francisco — what candidates expect beyond base
Total rewards mix for NPs in San Francisco. "Prevalence" reflects share of San Francisco disclosed-range postings including each element.
| Component | Typical Value | Prevalence in San Francisco Postings |
|---|---|---|
| Base salary | $192,000 (median) | 100% |
| Productivity bonus (RVU) | $20K–$50K | ~64% |
| Sign-on bonus | $10,000–$28,000 | ~68% |
| Housing stipend (some employers) | $6K–$15K/yr | ~18% |
| CME allowance | $4,000–$6,000/yr | ~92% |
| Estimated total comp benchmark | ~$220,000–$258,000 | — |
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.
NP pay by setting in San Francisco — SNF, hospital, clinic, home health
Where the NP range splits by employer type in the San Francisco metro.
| Setting | Median | Competitive Range | Hiring Difficulty |
|---|---|---|---|
| Primary care | $178,000 | $162K–$200K | Tight |
| Hospital (acute care) | $208,000 | $188K–$235K | Very high |
| Specialty clinic | $198,000 | $178K–$222K | Very high |
| Urgent care | $182,000 | $165K–$205K | Tight |
| Psychiatric / PMHNP | $222,000 | $200K–$250K | Very high |
NP salary in San Francisco vs. other California and nearby metros
What you'd pay if you hired in a nearby metro instead.
| Location | Median Base | vs. San Francisco | Hiring Difficulty |
|---|---|---|---|
| San Francisco–Oakland–Hayward, CA | $192,000 | — | Very tight |
| Los Angeles–Long Beach–Anaheim, CA | $165,000 | −14.1% | Tight |
| San Jose–Sunnyvale–Santa Clara, CA | $195,000 | +1.6% | Very tight |
| Sacramento–Roseville, CA | $162,000 | −15.6% | Above national avg |
| California statewide | $168,000 | −12.5% | — |
| U.S. national | $129,210 | — | — |
FAQ: hiring a Nurse Practitioner in San Francisco, CA
Related NP pay benchmarks — California 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.