Registered Nurse Salary in West Virginia (2026)
The average Registered Nurse in West Virginia earns around $86,000/year. After taxes, your estimated take-home is $66,641/year ($5,553/month).
Take-Home Pay Breakdown
| Category | Amount |
|---|---|
Annual Take-Home Pay | $66,641 |
Monthly Take-Home Pay | $5,553 |
Biweekly Take-Home Pay | $2,563 |
Hourly Take-Home Pay based on 2,080 hrs/year | $32/hr |
Federal Tax | $10,090 |
State Tax | $2,690 |
FICA Taxes | $6,579 |
Effective Tax Rate total taxes ÷ gross salary | 22.51% |
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Registered Nurse Salary Ranges in West Virginia
Not all Registered Nurses earn the same — not even close
West Virginia's RN market is anchored by WVU Medicine Morgantown (the largest WV health system + ~22K WV employees + substantial Magnet-designated nurse workforce + the substantial 23-hospital WV + NW VA + W MD + W PA network), Charleston Area Medical Center CAMC (the largest central WV health system + ~6K employees + Magnet-designated), Cabell Huntington Hospital Huntington (Marshall University teaching hospital), Mon Health System Morgantown, WVU Reynolds Memorial Glen Dale + WVU Camden Clark Parkersburg + WVU Berkeley Medical Center Martinsburg, Beckley ARH, plus the substantial WV opioid epidemic ER + addiction nursing + WV Appalachian rural HPSA + community health center RN demand + WVU School of Nursing + Marshall School of Nursing + WV State + WV Wesleyan + Alderson Broaddus nursing pipelines.
Senior Travel RN / Crisis Rate (Post-Flood)
$2,200–$3,400+/wk
WV flood-season crisis travel rates · post-2016 WV floods + 2024 WV-Helene flooding recovery
Senior CRNA (Nurse Anesthetist)
$185,000–$255,000+ TC
CRNA at WVU + CAMC + Cabell Huntington + Marshall + Mon Health · highest WV RN ceiling
Senior NICU / PICU RN
$78,000–$112,000+ shift diff
NICU + PICU at WVU Children + CAMC Women and Children + Cabell Huntington Children
Senior ICU / CCU RN
$72,000–$108,000+ shift diff
ICU + CCU at WVU + CAMC + Cabell Huntington + Mon Health
Senior ER / Trauma RN (WVU / CAMC Level 1)
$72,000–$108,000+ shift diff
ER + trauma at WVU + CAMC Level 1 trauma + Cabell Huntington + WV opioid overdose surge
Senior Addiction Medicine RN
$75,000–$112,000+
WVU CARE + WV Department of Health addiction treatment + WV opioid response RN
Senior Magnet Charge Nurse
$78,000–$118,000+
Charge nurse at WVU Medicine Magnet + CAMC Magnet · clinical leadership + unit management
Senior Nurse Manager
$88,000–$132,000+ TC
Nurse manager at WV Magnet + tertiary hospitals · unit + service line leadership
Senior Public Health / FQHC RN
$62,000–$92,000
WV Department of Health + WV FQHC + RHC + WVU rural · WV Appalachian rural HPSA + opioid
New Grad RN (BSN + WVU / Marshall)
$56,000–$72,000+
New grad RN · WVU School of Nursing + Marshall + WV State + WV Wesleyan + AB pipeline
Worth knowing: West Virginia's substantial opioid epidemic + the country's worst per-capita opioid overdose death rate create substantial WV-specific addiction medicine + emergency medicine + harm reduction nursing demand most national RN surveys understate for WV. WV has had the country's worst per-capita opioid overdose death rate for multiple consecutive years (~80+ opioid overdose deaths per 100K population annually + the substantial WV Coalfields + Appalachian opioid epicenter + the substantial post-2010 WV opioid prescription crisis + post-2015 illicit fentanyl crisis + the substantial WV-pharmaceutical distributor settlements ~$1B+) supporting substantial WV addiction medicine + emergency medicine + harm reduction nursing work. Senior WV addiction medicine RNs + emergency department RNs clear substantial OT + shift differential premiums during opioid overdose surge periods. WVU Medicine (the largest WV health system + ~22K WV employees + substantial Magnet-designated nurse workforce at WVU J.W. Ruby Memorial Hospital + WVU Cancer Institute + WVU Heart and Vascular Institute + WVU Children's Hospital + the substantial 23-hospital WV + NW VA + W MD + W PA network) operates substantial in-house Magnet + academic + tertiary nursing. Senior WVU Medicine + CAMC Magnet RNs + Charge Nurses + Nurse Managers clear $78-132K+. Charleston Area Medical Center CAMC (Magnet-designated + the largest central WV health system + ~6K employees + CAMC Memorial Hospital + CAMC General Hospital + CAMC Women and Children's Hospital) supports substantial WV community + tertiary nursing. Cabell Huntington Hospital + Marshall Health support substantial Marshall University teaching nursing. WV is a Nurse Licensure Compact (NLC) state since 1999 (one of country's earliest NLC states alongside MD + NC + TX + WI) supporting WV RN practice across all 41+ NLC states. WV progressive 2.36-5.12% top by 2026 + WV RTW since 2016 + WV property tax ~0.55% + no state estate tax + lower WV cost of living anchor the WV RN proposition.
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More on West Virginia
Salaries by profession, top-paying roles by industry, and an economic breakdown for West Virginia in 2026.
Tax brackets, standard deductions, and take-home estimates for West Virginia in 2026.
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