Registered Nurses salary in Richmond, Virginia

About 15,440 Registered Nurses work in the Richmond metro, making it one of the larger nursing labor pools in Virginia. The 2024 median annual wage was $89,730, which sits just above the Virginia median of $88,820 by about 1%. Against the national median of $94,511, Richmond comes in roughly 5% lower.

The mean wage of $90,530 stays close to the median, which tells us pay is fairly consistent across the local workforce. There is no small cluster of very high earners pulling the average far above what a typical nurse earns here.

The spread from the 10th to the 90th percentile runs from $67,020 to $119,860. That is a wide range. A nurse at the bottom of the earnings distribution earns about $22,700 less per year than the median, while one at the top earns about $30,000 more. The gap between the lowest and highest earners is close to $53,000, which reflects differences in experience, specialty, and work setting rather than just seniority alone.

Richmond tracks closely with the state median but trails the national figure. That roughly 5% gap to the US number is not unusual for a mid-Atlantic metro outside of the Northern Virginia corridor, where federal contracting and a higher concentration of specialized health systems push wages up. Richmond's numbers reflect a regional healthcare market anchored by large academic medical centers and a steady employed nursing base rather than wage pressure from a tight, high-cost labor market.