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What to Pay an Operating Room Registered Nurse in Boston, MA (2026)

Last updated: May 15, 2026 Built for: Total Rewards, Comp, HR Sample: BLS OEWS + disclosed-range postings
Market Median
$135,000
base, annual
Competitive Range
$118K–$158K
25th–75th percentile
YoY Movement
+3.9%
trailing 12 months
Days to Fill
~44
Boston metro average
To hire a Operating Room Registered Nurse in Boston at market, plan on a base salary range of $118,000 to $158,000, with $135,000 as the midpoint. To attract candidates in a market where average time-to-fill runs 44 days, expect to lead at $158K–$182K plus a sign-on bonus, common in skilled nursing settings. Massachusetts REQUIRES pay range disclosure under the MA Pay Transparency Act (effective October 2025).

How to set your OR RN pay range in Boston

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

Lag Market
Pay Below Median
$102K–$118K
Workable in non-acute settings with strong non-cash differentiation. Expect longer fill times and turnover ~1.4× the Boston average.
Match Market — recommended
Pay at Median
$128.2K–$144.2K
Default for most Boston employers. Competitive enough to fill in ~44 days. A range width of ~30% (min $118,000 to max $158,000) keeps compa-ratio movement smooth across a OR RN's typical 8–12 year tenure.
Lead Market
Pay Above Median
$148.8K–$182K
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.

OR RN salary percentile distribution in Boston, MA

Where the Boston market actually sits for OR RN base pay.

10th $102K
25th $118K
Median $135K
75th $158K
90th $182K

Most Boston employers building a range for this role anchor the midpoint to the market median ($135,000) and set range width at 30–35% — a min of $118,000 and a max of $158,000. This keeps the band wide enough for experience-based progression without concentrating range penetration at the cap.

Massachusetts pay transparency compliance for OR RN job postings

What you must post when hiring a OR RN in Massachusetts.

Required. Massachusetts requires employers with 25+ employees to include a good-faith pay range in every job posting for roles to be performed in Massachusetts.
Requirement Applies When Penalty for Non-Compliance
Pay range in job posting 25+ employees; role in MA Civil fine up to $500 first violation; up to $1,000 subsequent
Provide pay range to applicants on request All covered employers Same schedule

For a OR RN role in Boston, a compliant good-faith range looks like $118,000 to $158,000. A compliant range for this role in Boston is $118,000–$158,000.

Top OR RN employers in Boston — who you're competing against

Top healthcare employers hiring OR RNs in the Boston metro and what they're posting.

Employer Type Disclosed Range Sign-on Bonus
Mass General Brigham Academic medical center $132K–$168K Very common ($12K–$22K)
Beth Israel Lahey Health Health system $128K–$162K Very common ($15K–$25K)
Tufts Medicine Academic medical center $125K–$158K Common ($10K–$18K)
Boston Children's (peds OR) Pediatric specialty $128K–$162K Common ($10K–$18K)
Surgical Care Affiliates (ASCs) Ambulatory surgery centers $118K–$150K Common ($8K–$15K)

OR RN talent supply and hiring difficulty in Boston

How hard is it to fill a OR RN role in Boston.

~44
Avg Days to Fill
~750
Active Postings
~8,800
Boston OR RN Workforce
Very tight
Supply : Demand

Boston OR RN market driven by MGH, BWH, Beth Israel. Cardiothoracic and neuro sub-specialties command premium.

Skill premiums OR RN candidates command in Boston, MA

Skill / Credential Pay Premium Demand Signal
CNOR +8–12% on base Standard
Cardiothoracic OR (BWH) +8–12% Very high
Neurosurgery OR (MGH) +7–11% Very high
Pediatric OR (Boston Children's) +7–11% Very high

OR RN total compensation in Boston — what candidates expect beyond base

Total rewards mix for OR RNs in Boston. "Prevalence" reflects share of Boston disclosed-range postings including each element.

Component Typical Value Prevalence in Boston Postings
Base salary $135,000 (median) 100%
Call pay (standby + callback) $6–$10/hr standby + 1.5–2× hourly ~96%
Sign-on bonus $12,000–$25,000 ~78%
CNOR certification pay +8–12% on base ~75%
Holiday / weekend differential +22–36% ~92%
Estimated total comp benchmark ~$168K–$202K

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.

OR RN pay by setting in Boston — SNF, hospital, clinic, home health

Where the OR RN range splits by employer type in the Boston metro.

Setting Median Competitive Range Hiring Difficulty
General OR $132,000 $118K–$152K Very high
Cardiothoracic OR (BWH) $148,000 $132K–$168K Very high
Neurosurgery OR (MGH) $142,000 $128K–$162K Very high
Pediatric OR (Boston Children's) $142,000 $128K–$162K Very high
Ambulatory surgery center $122,000 $108K–$140K Tight

OR RN salary in Boston vs. other Massachusetts and nearby metros

What you'd pay if you hired in a nearby metro instead.

Location Median Base vs. Boston Hiring Difficulty
Boston–Cambridge–Nashua, MA-NH $135,000 Very tight
New York–Newark–Jersey City, NY-NJ-PA $122,000 −9.6% Very tight
Providence–Warwick, RI-MA $108,000 −20.0% Above national avg
Washington, DC-VA-MD-WV $118,000 −12.6% Very tight
Massachusetts statewide $125,000 −7.4%
U.S. national $106,000

FAQ: hiring a Operating Room Registered Nurse in Boston, MA

Market median is $135,000 for base pay. To match market, set a range with the midpoint at $135,000 — typically $118,000 to $158,000. To lead the market, plan on $158K–$182K base plus a sign-on bonus.
Yes. The Massachusetts Pay Transparency Act (effective October 29, 2025) requires a good-faith pay range in every posting for employers with 25+ employees.
$121,000 falls below the Boston market median of $135,000 — 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 78% of Boston OR RN postings include a sign-on bonus. BILH leads with $15K–$25K. Call pay is a major component — $6–$10/hr standby plus 1.5–2× hourly when called in.
Average fill time is approximately 44 days in the Boston metro. Roles paid above the 75th percentile ($158K+) fill in roughly 18–22 days. Roles below the 25th percentile ($118K) commonly take 45+ days and have elevated turnover within the first 90 days.
By Boston-metro posting volume: Mass General Brigham, Beth Israel Lahey Health, Tufts Medicine, Boston Children's (peds OR), Surgical Care Affiliates (ASCs) lead the pack.
A 30–35% range width (min to max) is standard for OR RN in Boston — for example, $118,000 to $158,000. Narrower than 25% compresses progression and creates compa-ratio pressure within 18 months. Massachusetts does not cap range width but the range must represent a good-faith estimate.
Yes. Massachusetts's law covers internal transfer and promotion postings as well as external job ads.

Related OR RN pay benchmarks — Massachusetts 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.