Salario de Enfermera Registrada en Virginia (2026)
El salario promedio de un Enfermera Registrada en Virginia es de $88,000/año. Después de impuestos, tu sueldo neto estimado es de $66,439/año ($5,537/mes).
Desglose del Sueldo Neto
| Categoría | Cantidad |
|---|---|
Sueldo Neto Anual | $66,439 |
Sueldo Neto Mensual | $5,537 |
Sueldo Neto Quincenal | $2,555 |
Sueldo Neto por Hora basado en 2,080 hrs/año | $32/hr |
Impuesto Federal | $10,530 |
Impuesto Estatal | $4,299 |
Impuestos FICA | $6,732 |
Tasa Efectiva de Impuesto impuestos totales ÷ salario bruto | 24.5% |
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Rangos de Salario de Enfermera Registrada en Virginia
No todas las Enfermera Registradas ganan lo mismo — ni de cerca
VA nursing splits into Northern VA (Inova + DC commuter dynamic working at MedStar / GW / Children's National), Richmond / central VA (VCU Health + Bon Secours Mercy + HCA Henrico), Hampton Roads / Southeast VA (Sentara Norfolk + Riverside Newport News + CHKD pediatrics), and Charlottesville (UVA Health academic). DC commuter dynamic creates the highest VA nursing comp tier in NoVA. Here's what each specialty pays in 2026:
CRNA (Nurse Anesthetist)
$210,000–$260,000
Requires DNP · UVA + VCU + Inova academic premium · NoVA DC commuter premium
Nurse Practitioner
$118,000–$160,000
VA reduced→full practice after 5 years supervised (HB 793 2018) — transition pathway
ICU / Critical Care
$95,000–$125,000
VCU + UVA + Inova + Sentara · CCRN cert · NoVA DC commuter premium 10-15%
ER / Emergency
$92,000–$120,000
VCU Trauma I · Sentara Norfolk Trauma I · Inova Fairfax Trauma I
OR / Surgical
$98,000–$125,000
CNOR cert · UVA + VCU + Inova surgical specialty premium
Pediatric (PICU / NICU)
$95,000–$125,000
CHKD Norfolk + UVA Children's + Inova Children's + Children's National DC commuter
Oncology
$95,000–$125,000
Massey Cancer Center VCU + UVA Cancer Center · OCN cert premium
Med-Surg / Telemetry
$78,000–$100,000
Entry point — VA right-to-work, mostly non-union
Travel Nurse (VA assignment)
$2,400–$3,800/wk
NoVA / Richmond / Norfolk premium · tax-free housing stipend stacks
Vale la pena saber: Inova Health System (Falls Church HQ) is the NoVA structural anchor — 5 hospitals plus ~2,000 employed physicians, anchored by Inova Fairfax Hospital (Trauma I, regional pediatric center). The DC commuter dynamic adds 10-15% to NoVA nursing comp via DC hospital wage premiums (MedStar Washington, GW University Hospital, Children's National Hospital, Howard University Hospital) — VA-DC tax reciprocity means VA residents pay only VA tax on DC-earned wages, not DC's 8.5-10.75%. Sentara Healthcare (Norfolk HQ) is the southeast VA anchor — 12 hospitals across VA + NC, integrated with Optima Health insurance plan. UVA Health Charlottesville is the academic flagship for central VA. HCA Virginia operates 14 hospitals across VA — for-profit, NOT -eligible.
Overtime, OBBBA 2025, and Virginia's DC reciprocity advantage
5.75%
VA top progressive rate (kicks in at $17K — effectively flat for senior RNs)
$0
VA municipal income tax statewide; VA-DC + VA-MD tax reciprocity
$12.5K
OBBBA 2025 no-tax-on-overtime deduction cap (single, $25K MFJ)
If you're picking up extra shifts at a major VA system, OT rules are mostly employer-set under federal defaults — VA is right-to-work and mostly non-union. Standard 1.5× after 40 hours/week, holiday premiums, weekend differentials, charge-nurse pay. Combined with abundant per-diem work at academic systems and float-pool premium, total comp routinely runs 18-30% above base for senior staff RNs.
The 2025 law (One Big Beautiful Bill Act — yes, that's the actual name) created a brand-new federal deduction on the premium portion of overtime pay. For tax years 2025 through 2028, you can deduct up to $12,500/year (single) or $25,000 (married filing jointly) of qualifying OT premium from your federal taxable income.
What 'premium portion' means in plain English: if your hourly is $46, OT pays $69 ($46 × 1.5). Only the extra $23/hour counts toward the deduction — not the full $69. Just the half.
Real numbers for an Inova senior ICU nurse at $46/hour base, picking up 8 OT hours a week for 50 weeks. OT premium = $46 × 0.5 × 8 × 50 = $9,200. All $9,200 is -eligible (under the $12,500 single cap). At your federal marginal bracket (~22%), that's roughly $2,025 federal back annually. Push to 11 OT hours/week and you hit the cap. VA's 5.75% top rate applies above $17K so most senior nurses are at the top bracket; VA conforms federal for most items so state savings on OBBBA OT premium likely flows through (state-level guidance still being issued through 2026).
Two catches. First, only — straight-time and shift differentials probably don't qualify (the IRS is still issuing guidance; expect clarity by mid-2026). Second, phaseout — the deduction phases out above $150K single / $300K , fully gone by $275K / $550K. Senior CRNAs and nursing directors should run the math on the calculator before counting on the full $12,500.
The structural NoVA DC commuter dynamic is the highest-leverage VA nursing tactic. VA-DC tax reciprocity (formal agreement since 1972) means VA residents working in DC pay only VA state income tax, not DC's 8.5-10.75% — the work-state tax does not apply. Same for VA-MD reciprocity (VA residents working in MD pay only VA tax). For an NoVA nurse working at MedStar Washington Hospital Center / GW University Hospital / Children's National, DC nursing wage premium runs 10-15% above NoVA equivalents AND the entire DC tax is skipped. Senior NoVA nurses working at DC hospitals net the highest take-home in the VA market.
Virginia as a place to live — the honest take for nurses
VA nursing is functionally four different markets. Northern VA (Arlington / Alexandria / Fairfax / Loudoun / Prince William counties) is Inova + the DC commuter dynamic — highest comp, highest COL. Richmond and central VA is VCU Health + Bon Secours Mercy + HCA Henrico — academic anchor + community systems. Hampton Roads (Norfolk / Virginia Beach / Newport News / Hampton / Chesapeake) is Sentara + Riverside + CHKD pediatrics — military-medicine adjacent. Charlottesville is UVA Health academic — small but high-prestige market.
VA-DC tax reciprocity is the structural NoVA advantage. VA residents at DC hospitals (MedStar Washington, GW, Children's National, Howard, MedStar Georgetown, Sibley) pay ONLY VA tax — DC's 8.5-10.75% does not apply. Same for VA-MD reciprocity (since 1972). DC nursing wage premium runs 10-15% above NoVA equivalents — senior NoVA nurses at DC hospitals net the highest take-home in the entire VA market.
NoVA nurse housing is the most expensive in VA but absorbed via the DC commute premium. Arlington / Alexandria $700K-$1.5M for 3BR; Falls Church / McLean / Vienna / Reston / Herndon $800K-$1.6M for 4BR. Top-tier public schools (Falls Church City SD, McLean / Langley pyramids, Loudoun's Lightridge / Briar Woods). Loudoun + PWC exurbs (Ashburn / Leesburg / Bristow) $600-900K with longer commute.
Richmond + Hampton Roads dramatically more affordable. Richmond suburbs (Henrico / Chesterfield) $350-650K; Hampton Roads (Virginia Beach Kempsville, Chesapeake Western Branch, Newport News Denbigh) $300-550K. Hampton Roads has strong military medicine adjacency (Naval Medical Center Portsmouth, Hampton VA Medical Center). Charlottesville $400-800K — UVA Health academic + Albemarle County affluent.
Most senior VA nurses retire in VA or in TN / FL. VA taxes / IRA / pension distributions at 5.75% top — modest but real. VA offers up to $12,000 deduction for those 65+ on qualifying retirement income, which reduces effective rate. The VA-specific intra-state retirement move is to coastal VA (Virginia Beach, Norfolk waterfront) or western VA (Roanoke, Blue Ridge mountains). TN (0% income tax) or FL is the relocation play for those serious about escaping VA's modest retirement tax — TN is 4 hours from Richmond / VA Beach.
How Virginia taxes work for nurses (and the DC commuter reciprocity advantage)
Virginia's progressive state tax is technically 2-5.75% but the 5.75% top kicks in at $17K — effectively flat for senior RNs. For a $108K senior Inova ICU nurse, total VA tax is ~$5,820 (~5.4% effective). VA has zero city income tax statewide — structural advantage vs PA (Philly 3.75%) or OH (Cleveland 2.5%). Combined with VA-DC + VA-MD tax reciprocity (NoVA nurses working at DC or MD hospitals pay only VA tax), the VA sub-federal stack for NoVA DC commuters is meaningfully lower than any DC-resident or MD-resident equivalent.
The NoVA DC commuter dynamic is the highest-leverage VA nursing tactic. VA-DC tax reciprocity (formal agreement since 1972) means VA residents working at MedStar Washington / GW / Children's National / Howard / MedStar Georgetown pay ONLY VA state tax (5.75% top), not DC's 8.5-10.75% top rate. DC nursing wage premium runs 10-15% above NoVA equivalents AND the entire DC tax layer is skipped. For a senior NoVA nurse at $135K working at MedStar Washington (vs $115K at Inova Fairfax), total post-tax delta favors DC commute by $14-18K annually — meaningful enough to drive the commute decision for many senior NoVA nurses.
VA fully conforms federal on / / — pre-tax deferrals reduce both federal and VA state taxable income (unlike PA or NJ). Inova, Sentara, VCU Health, UVA Health, Bon Secours Mercy, Riverside all offer 403(b) and most also offer 457(b) for non-profit dual-shelter ($47K combined federal pre-tax). At a $108K senior VA ICU RN combined federal + VA marginal of ~27.75%, maxing both saves ~$13,000/year in tax.
VCU Health and UVA Health are state-affiliated academic systems — employees participate in VRS (Virginia Retirement System) defined-benefit pension. VRS Plan 2 (current new-employee tier) provides a hybrid pension + 401(a) + voluntary structure. The VRS pathway is meaningfully different from purely DC-plan systems — guaranteed lifetime income on top of voluntary contributions. Inova / Sentara / Bon Secours Mercy are private non-profit (no VRS, but + 457(b) available).
VA NP practice authority transitions from reduced to full after 5 years of supervised practice (HB 793 2018) — the only state with this specific pathway. New NPs require physician collaboration agreement; after 5 years of supervised hours, NP can apply for autonomous practice authority. Senior NPs at $145-185K with full practice authority. The transition pathway makes VA an attractive market for NPs willing to commit to 5 years initially in exchange for full practice down the road.
- →NoVA DC commuter tactic — work at MedStar Washington / GW / Children's National / Howard / MedStar Georgetown / Sibley, live in Arlington / Alexandria / Fairfax. VA-DC reciprocity means only VA tax applies. DC nursing wage premium 10-15% + VA-only tax = $14-18K higher take-home than Inova Fairfax equivalent.
- →Max AND at Inova / Sentara / VCU / UVA / Bon Secours Mercy / Riverside — $47K combined federal pre-tax. VA fully conforms federal so state savings stack.
- →VCU Health / UVA Health: VRS defined-benefit pension + 401(a) + voluntary — guaranteed lifetime income on top of voluntary contributions.
- → at Inova, Sentara, VCU Health, UVA Health, Bon Secours Mercy (non-profit arm), Riverside, Carilion Clinic. HCA Virginia is for-profit — NOT PSLF-eligible. Verify before committing.
- →VA NP transition pathway — start under reduced practice with collaboration agreement, transition to full practice after 5 years of supervised hours. Senior NP at $145-185K with autonomous practice.
- →CRNA path is the biggest comp lever — $210-260K. 3-year DNAP at VCU / UVA / Hampton University programs.
- →Per-diem supplement at VA academic + DC hospitals. 1-3 shifts/month at $70-100/hour adds $15-32K/year.
- →TN / FL relocation for retirement if escaping the modest VA 5.75% retirement tax matters. TN is 4 hours from Richmond / VA Beach.
Three Virginia nursing markets — what each one looks like
VA nursing splits into NoVA's Inova + DC commuter cluster, Richmond's VCU + Bon Secours academic-and-community mix, and Hampton Roads' Sentara + Riverside + military-adjacent landscape. UVA Charlottesville is small but high-prestige.
Northern VA + DC Commuter Belt (Inova / DC hospitals via VA-DC reciprocity)
Staff RN $105-135K · ICU/OR with cert $122-148K · CRNA $230-260K (DC commuter premium 10-15%)Inova Health System (Falls Church HQ — Inova Fairfax Hospital academic Trauma I + regional pediatric center, Inova Alexandria, Inova Fair Oaks, Inova Loudoun, Inova Mount Vernon, ~2,000 employed physicians). Plus DC commuters working at MedStar Washington Hospital Center, GW University Hospital, Children's National Hospital, Howard University Hospital, MedStar Georgetown, Sibley Memorial Hospital, NIH Clinical Center. VA-DC tax reciprocity means VA residents pay only VA tax on DC-earned wages.
Arlington / Alexandria / Falls Church / McLean / Vienna / Reston / Herndon at $700K-$1.6M family homes — top NoVA school districts. Loudoun / Prince William exurbs (Ashburn, Leesburg, Bristow) at $600-900K with longer commute. Most expensive VA market but DC commuter premium absorbs much of the COL.
Richmond + Central VA (VCU Health / Bon Secours Mercy / HCA Henrico)
Staff RN $92-120K · ICU/OR with cert $108-138K · CRNA $215-245KVCU Health (academic Trauma I, Massey Cancer Center NCI-Comprehensive, VRS pension for state-employee tracks), Bon Secours Mercy Health Richmond (St. Mary's, Memorial Regional, St. Francis), HCA Virginia (Henrico Doctors', Chippenham, Johnston-Willis — for-profit, NOT -eligible), Hospital Corporation of America's Richmond market. UVA Health (Charlottesville, 1.5 hrs west) is academic anchor for central VA.
Henrico (Short Pump, Glen Allen, Innsbrook) and Chesterfield (Midlothian, Brandermill) at $350-650K family homes. Richmond proper has gentrifying neighborhoods (Fan, Museum District, Scott's Addition) at $300-550K. Cost of living dramatically below NoVA. Charlottesville at $400-800K — UVA Health academic + Albemarle County affluent.
Hampton Roads (Sentara / Riverside / CHKD / Naval Medical Portsmouth)
Staff RN $88-115K · ICU/OR with cert $102-130K · CRNA $200-230KSentara Healthcare (Norfolk HQ, ~12 hospitals across VA + NC, integrated Optima Health insurance), Sentara Norfolk General (Trauma I, EVMS academic affiliate), Riverside Health System (Newport News HQ, ~5 hospitals across southeast VA), CHKD (Children's Hospital of The King's Daughters — Norfolk pediatric anchor, top-50 US peds), Naval Medical Center Portsmouth (federal/military), Hampton VA Medical Center (federal). EVMS (Eastern Virginia Medical School) provides academic affiliations.
Virginia Beach (Kempsville, Great Neck, Princess Anne), Chesapeake (Western Branch, Greenbrier), Newport News (Denbigh, Hilton), Norfolk (Larchmont, Ghent) at $300-550K family homes. Hampton Roads is the most affordable major VA market. Military medicine adjacency creates substantial tricare patient base distinct from civilian markets.
The Virginia nursing career arc — entry, specialty, retirement
Year 1-2 (new grad RN): $78-98K. VA is a charter member of NLC compact (since 2000) — license portable across 41+ states. Inova, VCU Health, UVA Health, Sentara universally require BSN at hire. New-grad residency programs at Inova, VCU, UVA, Sentara are competitive (10-18% acceptance). HCA Virginia less competitive entry but NOT -eligible — verify before committing if loan forgiveness matters.
Year 3-7 (staff RN, specialty pursuit): $92-120K. Pick up cert (CCRN for critical care, CNOR for OR, CEN for emergency, OCN for oncology — Massey Cancer Center VCU + UVA Cancer Center pay extra). Specialty + shift differentials + OT + per-diem add $14-28K to base. NoVA nurses commuting to DC hospitals capture the additional 10-15% DC wage premium on top of base.
Year 7-15 (senior specialty / charge / per-diem / NP-CRNA pivot): $115-148K (NoVA DC commuter $130-165K). Senior ICU / OR / oncology / cardiac RN at Inova, VCU, UVA, Sentara lands at $115-148K. NoVA DC commuters (MedStar Washington, GW, Children's National) at $130-165K with VA-DC reciprocity preserving the tax advantage. VA NP transitions from reduced to full practice authority after 5 years of supervised practice — senior NP at $145-185K with full practice. CRNA pivot is the biggest comp lever ($210-260K, 3-year DNAP at VCU / UVA / Hampton).
Year 15-25 (Director / NP / CRNA / DNP / CNO): $148-285K. Director of Nursing at VA academic $148-225K (NoVA $165-245K). CRNA $215-260K. NP $145-185K under full practice authority. CNO at large VA system $285-405K (executive comp).
Retirement (60-65): VA taxes / / IRA / pension distributions at the 5.75% top — modest but real ($2,875/year on $50K withdrawal). VA offers up to $12,000 deduction for 65+ on qualifying retirement income, reducing effective rate. VRS pension at VCU / UVA adds guaranteed lifetime income. Most senior VA nurses retire in-state (coastal VA, Blue Ridge) or relocate to TN (0% income tax post-Hall-repeal, 4 hours from Richmond / VA Beach) or FL for climate.
Where Virginia nurses actually live
VA nursing housing splits into NoVA's expensive but DC-commuter-premium-supported suburbs, Richmond / central VA's affordable suburban belt, Hampton Roads' military-adjacent affordable market, and Charlottesville's small UVA Health cluster.
Arlington / Alexandria / Falls Church (NoVA inner)
Inova + DC commuter via VA-DC reciprocity · top schools · $700K-$1.6M
McLean / Vienna / Reston / Herndon (NoVA Fairfax)
Inova Fairfax + DC commuter · McLean / Langley pyramids top NoVA · $800K-$1.6M
Ashburn / Leesburg / Bristow (Loudoun + PWC exurbs)
Inova Loudoun · Lightridge / Briar Woods top schools · $600K-$900K · longer commute
Henrico / Chesterfield (Richmond west)
VCU + Bon Secours · Short Pump / Innsbrook / Midlothian · $350-650K
Virginia Beach / Chesapeake (Hampton Roads)
Sentara Norfolk + Virginia Beach General · Kempsville / Great Neck · $300-550K
Charlottesville / Albemarle County (UVA)
UVA Health · UVA academic + affluent · $400-800K · small but high-prestige market
Most senior VA nurses retire in-state (coastal VA, Blue Ridge mountains, Charlottesville) or relocate to TN / FL. VA-DC tax reciprocity is the highest-leverage NoVA nursing tactic — saves DC's 8.5-10.75% on DC-earned wages.
¿Es la decisión correcta?
Virginia nursing — who it's best for
A tu favor
- +VA-DC + VA-MD tax reciprocity — NoVA nurses at DC hospitals pay only VA tax (skips DC's 8.5-10.75% top), capturing 10-15% DC wage premium
- +Inova + Sentara + VCU + UVA + Bon Secours Mercy + Riverside + Carilion — strong system depth across four metros
- +VA progressive 2-5.75% (effectively flat for senior RNs at top bracket from $17K) — modest sub-federal stack
- +VA has zero city income tax statewide — structural advantage vs PA / OH / NY
- +VA fully conforms federal on 401(k) / 403(b) / 457(b) — savings stack on federal (unlike PA / NJ)
- +VA NP transition pathway: reduced practice → full practice authority after 5 years supervised (HB 793 2018) — autonomous practice $145-185K
- +VRS defined-benefit pension at VCU Health + UVA Health state-employee tracks — guaranteed lifetime income
- +NLC compact charter member (since 2000) — portable across 41+ states
Vale la pena saber antes de firmar
- −Right-to-work state — mostly non-union, no PASNAP / 1199 / NYSNA contract floors
- −HCA Virginia (14 hospitals) is for-profit — NOT PSLF-eligible. Verify employer status before committing.
- −VA NP requires 5 years supervised practice before full authority — slower transition than NJ (full practice from start) or NY (Modernization Act 2022)
- −NoVA cost of living is the highest in VA — DC commuter premium absorbs but doesn't fully offset
- −VA does tax 401(k) / IRA / pension distributions at 5.75% — less favorable than PA's full retirement exemption
- −VA OBBBA OT state-conformity status PENDING — state savings on premium pay uncertain until guidance issued
Mercado Laboral en Virginia
Virginia tiene demanda activa de Enfermera Registradas.
Perspectivas de crecimiento: 6% growth through 2032 (faster than average)
Puestos relacionados:
Costo de Vida en Virginia
Virginia tiene un costo de vida variado según la región.
💰 Sueldo neto mensual: $5,537
🏠 Renta típica: $1,600/mo
📊 Después de renta: $3,937/mo
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