LIVE MARKET·3,821 postings · last 180 days·Updated April 30, 2026

Med Surg/Telemetry Nurse salary: $61.67/hr$2,467/wk$128,274/yr median.

Pay range $57.47$2,299$119,538$66.58/hr$2,663/wk$138,486/yr across the middle 50% of active Med-Surg Nurse Registered Nurse (RN) postings nationwide.

175 unique employers · 449 cities · 59 states. Pay moved +3.1% over the last 30 days.

Show pay as
Median /hr/wk/yr
$61.67$2,467$128,274
P25–P75
$57.47$2,299$119,538$66.58$2,663$138,486
middle 50%
Postings
3,821
92.3%
Coverage
59 states
175 employers
01·PAY DISTRIBUTION·P10 → P90

How Med Surg/Telemetry Nurse pay is distributed.

10% of postings pay under $52.56/hr$2,102/wk$109,325/yr. The top 10% pay above $77.42/hr$3,097/wk$161,034/yr.

P10
$52.56
P25
$57.47
P50
$61.67
P75
$66.58
P90
$77.42
P10
$52.56/hr$2,102/wk$109,325/yr
P25
$57.47/hr$2,299/wk$119,538/yr
P50 (median)
$61.67/hr$2,467/wk$128,274/yr
P75
$66.58/hr$2,663/wk$138,486/yr
P90
$77.42/hr$3,097/wk$161,034/yr
03·STATE BREAKDOWN·n=3,821

Med Surg/Telemetry Nurse pay across every state with live data.

01Alabama AL157 postings
$57.38/hr
02Alaska AK6 postings
$63.81/hr
03Arizona AZ76 postings
$58.17/hr
04Arkansas AR12 postings
$56.46/hr
05California CA105 postings
$63.21/hr
06Colorado CO21 postings
$62.19/hr
07Connecticut CT22 postings
$62.99/hr
08District Of Columbia DC26 postings
$60.53/hr
09Florida FL14 postings
$41.84/hr
10Georgia GA79 postings
$52.61/hr
11Hawaii HI21 postings
$65.00/hr
12Idaho ID8 postings
$64.39/hr
13Illinois IL125 postings
$64.61/hr
14Indiana IN103 postings
$59.36/hr
15Iowa IA242 postings
$61.85/hr
16Kansas KS25 postings
$62.61/hr
17Kentucky KY61 postings
$60.96/hr
18Louisiana LA33 postings
$61.08/hr
19Maine ME37 postings
$67.58/hr
20Maryland MD44 postings
$58.00/hr
21Massachusetts MA337 postings
$80.67/hr
22Michigan MI29 postings
$62.77/hr
23Mississippi MS10 postings
$58.91/hr
24Missouri MO90 postings
$61.42/hr
25Nebraska NE88 postings
$63.67/hr
26Nevada NV9 postings
$62.97/hr
27New Hampshire NH103 postings
$66.75/hr
28New Jersey NJ40 postings
$62.61/hr
29New Mexico NM39 postings
$56.61/hr
30New York NY639 postings
$63.42/hr
31North Carolina NC369 postings
$52.81/hr
32North Dakota ND13 postings
$66.61/hr
33Ohio OH320 postings
$62.30/hr
34Oklahoma OK20 postings
$55.52/hr
35Oregon OR13 postings
$64.23/hr
36Pennsylvania PA58 postings
$60.75/hr
37South Carolina SC61 postings
$53.72/hr
38South Dakota SD22 postings
$71.39/hr
39Tennessee TN38 postings
$57.37/hr
40Texas TX43 postings
$45.89/hr
41Vermont VT53 postings
$70.00/hr
42Virginia VA63 postings
$58.39/hr
43Washington WA9 postings
$62.19/hr
44West Virginia WV41 postings
$62.61/hr
45Wisconsin WI66 postings
$66.65/hr

Showing all 45 states with live data. Bars scale to the highest-paying state.

04·TOP-PAYING CITIES·METROS WITH ACTIVE POSTINGS

The metros writing the biggest Med Surg/Telemetry Nurse paychecks.

CityStateMedian /hr/wk/yrP25–P75Postings
berlinVT · VERMONT$86.64$3,466$180,211$70.14$2,806$145,891$90.22$3,609$187,65825
bostonMA · MASSACHUSETTS$82.53$3,301$171,662$70.85$2,834$147,368$83.89$3,356$174,49141
beverlyMA · MASSACHUSETTS$82.19$3,288$170,955$80.83$3,233$168,126$86.28$3,451$179,46212
miltonMA · MASSACHUSETTS$81.58$3,263$169,686$80.07$3,203$166,546$82.77$3,311$172,16216
cambridgeMA · MASSACHUSETTS$81.53$3,261$169,582$80.69$3,228$167,835$82.53$3,301$171,66229
05·EMPLOYER BREAKDOWN·TOP 20 BY PAY

Where the top of the market is paying for Med Surg/Telemetry Nurse.

EmployerMedian /hr/wk/yrRangePostings
advantage staffing services$84.00$3,360$174,720$78.53$3,141$163,342$88.00$3,520$183,0405
amergis healthcare staffing$81.33$3,253$169,166$77.81$3,112$161,845$82.53$3,301$171,6627
amergis healthcare staffing boston$81.17$3,247$168,834$81.14$3,246$168,771$108.33$4,333$225,32615
amergis healthcare staffing, inc.$78.32$3,133$162,906$55.83$2,233$116,126$82.72$3,309$172,05858
flexstaff$80.61$3,224$167,669$80.61$3,224$167,669$80.61$3,224$167,6695
fusion medical staffing-nursing$79.72$3,189$165,818$71.10$2,844$147,888$86.43$3,457$179,7747
kaiser permanente$91.30$3,652$189,904$28.38$1,135$59,030$102.09$4,084$212,34710
solomon page$79.75$3,190$165,880$53.44$2,138$111,155$84.39$3,376$175,53122
talentburst, inc$79.72$3,189$165,818$47.61$1,904$99,029$87.33$3,493$181,646102
united staffing solutions$82.53$3,301$171,662$80.97$3,239$168,418$84.19$3,368$175,1155

Showing all 10 employers with live pay data.

06·SHIFT & CONTRACT MIX·PAY BY WORK PATTERN

How Med Surg/Telemetry Nurse pay shifts by schedule and contract type.

Permanent pays the most at $64.04/hr$2,562/wk$133,203/yr median — 126% above Staff Position at $28.38/hr$1,135/wk$59,030/yr. Travel Contract drives the volume with 3,652 active postings.

BY SHIFT
Nights
2,265 postings
$61.61/hr$2,464/wk$128,149/yr
Days
1,094 postings
$61.94/hr$2,478/wk$128,835/yr
Day
211 postings
$59.83/hr$2,393/wk$124,446/yr
Rotating
90 postings
$68.61/hr$2,744/wk$142,709/yr
Not Specified
48 postings
$46.50/hr$1,860/wk$96,720/yr
Flexible
43 postings
$67.43/hr$2,697/wk$140,254/yr
Evenings
24 postings
$69.25/hr$2,770/wk$144,040/yr
Night
22 postings
$62.17/hr$2,487/wk$129,314/yr
AM
10 postings
$91.30/hr$3,652/wk$189,904/yr
Weekend
7 postings
$61.00/hr$2,440/wk$126,880/yr
PM
3 postings
$56.14/hr$2,246/wk$116,771/yr
D/N
3 postings
$81.53/hr$3,261/wk$169,582/yr
BY JOB TYPE
Travel Contract
3,652 postings
$61.61/hr$2,464/wk$128,149/yr
Not Specified
85 postings
$64.65/hr$2,586/wk$134,472/yr
Fulltime
38 postings
$50.25/hr$2,010/wk$104,520/yr
Permanent
35 postings
$64.04/hr$2,562/wk$133,203/yr
Parttime
7 postings
$49.00/hr$1,960/wk$101,920/yr
Staff Position
3 postings
$28.38/hr$1,135/wk$59,030/yr
08·HOW TO BECOME·CAREER PATHWAY·GENERAL TO MED-SURG NURSE (MEDICAL-SURGICAL NURSE)

How to become a Med Surg/Telemetry Nurse.

Medical-Surgical nurses provide care to adult patients with a wide variety of medical conditions and post-surgical needs on hospital medical-surgical units.

Education·Min: ADN · Preferred: BSN

Med-surg nursing is often the entry point for new graduate RNs. Most nurses complete BSN, pass NCLEX-RN, and start on med-surg units to build foundational skills.

DegreeDurationNotes
Associate Degree in NursingADN2-3 yearsEntry-level nursing degree. Many med-surg units accept ADN nurses with RN-to-BSN completion plans.
Bachelor of Science in NursingBSN4 yearsPreferred by most hospitals. Required for magnet facilities and leadership advancement.
RN-to-BSN ProgramRN-to-BSN1-2 yearsOnline completion program for ADN nurses to earn BSN while working.
Licenses & Exams·3 credentials
RN LicenseRegistered Nurse LicenseRequired
Exam: NCLEX-RN · Issued by: State Board of Nursing

State RN license required. Must pass NCLEX-RN examination.

BLSBasic Life SupportRequired
Issued by: American Heart Association

CPR certification required for all nursing positions.

ACLSAdvanced Cardiovascular Life SupportOptional
Issued by: American Heart Association

Often required or preferred, especially on telemetry or step-down units.

Optional Certifications·Pay boost where known
CredentialIssued byPay impact
CMSRN
Certified Medical-Surgical Registered Nurse
Primary certification for med-surg nurses. Validates expertise in adult medical-surgical nursing. Requires 2 years and 2,000 hours of practice.
AMSN/MSNCB+5-10%
RN-BC Med-Surg
Medical-Surgical Nursing Certification
Alternative med-surg certification from ANCC. Recognized nationally.
ANCC+5-10%
PCCN
Progressive Care Certified Nurse
For nurses on step-down or progressive care units caring for moderately ill patients.
AACN+5-10%
Wound Care Certification
Wound Care Certified (WCC)
Valuable specialization for med-surg nurses managing complex wounds.
NAWCO+3-8%
Career Path·6 steps
  1. 0-1 years
    New Graduate Med-Surg Nurse

    Entry-level position on med-surg unit. Building foundational nursing skills with preceptor support.

  2. 1-3 years
    Staff Med-Surg Nurse

    Independent practice managing 4-6 patient assignments. Growing clinical confidence.

  3. 3-5 years
    Senior Med-Surg Nurse / Preceptor

    Mentors new nurses, serves as unit resource, may lead patient care teams.

  4. 5-7 years
    Med-Surg Charge Nurse

    Shift leadership coordinating admissions, discharges, and staffing. CMSRN often expected.

  5. 7-10 years
    Unit Educator / Clinical Coach

    Focuses on staff development, competency validation, and quality improvement.

  6. 10+ years
    Nurse Manager / Director

    Leadership role overseeing unit operations, budget, and staff. MSN typically required.

Work Environment
Hospital medical-surgical unitsTelemetry/step-down unitsOrthopedic unitsOncology unitsPost-surgical unitsObservation units

Schedule. Primarily 12-hour shifts (7a-7p or 7p-7a). Rotating weekends and holidays required. Some facilities offer 8-hour day shifts.

Physical demands. Physically demanding with frequent walking, standing, lifting, and patient turning. Fast-paced with multiple patient assignments (typically 4-6 patients).

Job Outlook·Strong
6% (2022-2032)

Med-surg is the largest nursing specialty and serves as the foundation for most nursing careers. High demand at all experience levels. Travel med-surg positions pay $2,000-3,000+/week.

FAQ — Becoming this role·4 questions
Is med-surg nursing a good starting point?

Yes, med-surg is often called the 'foundation of nursing.' You'll gain diverse experience with many conditions, making it excellent preparation for specialty units or advanced roles.

How many patients do med-surg nurses have?

Typically 4-6 patients per nurse, depending on state ratios and unit acuity. California mandates 1:5 ratios by law. Night shifts may have higher ratios.

How long should I stay in med-surg before specializing?

Most recommend 1-2 years to build solid assessment and time management skills. Some specialty units (ICU, ER) may hire earlier with residency programs.

Is CMSRN certification worth it?

Yes. CMSRN demonstrates expertise, often comes with pay increases ($1-3/hour), and can accelerate advancement to charge nurse or leadership roles.

09·FREQUENTLY ASKED·MED SURG/TELEMETRY NURSE

What clinicians ask about Med Surg/Telemetry Nurse pay.

What is the average Med Surg/Telemetry Nurse salary in 2026?

The median Med Surg/Telemetry Nurse salary is $61.67/hr (approximately $128,274/yr) based on 3,821 active job postings.

What is the pay range for Med Surg/Telemetry Nurse?

Hourly pay ranges from $57.47 at the 25th percentile to $66.58 at the 75th percentile, with the top 10% earning above $77.42/hr.

Which state pays Med Surg/Telemetry Nurse roles the most?

Alabama currently leads with a median of $57.38/hr across 157 postings.

How many employers are hiring Med Surg/Telemetry Nurses?

Our dataset shows 175 unique employers posting Med Surg/Telemetry Nurse roles across 59 states.

Where does TrueRounds get Med Surg/Telemetry Nurse salary data?

All salary figures are computed from active US healthcare job postings with listed pay ranges, collected over a rolling 180-day window and weighted by posting volume.

11·METHODOLOGY·HOW WE BUILD THESE NUMBERS

Active US healthcare postings. Weighted by volume. Refreshed daily.

Pay benchmarks are computed from active job postings with listed pay ranges, collected on a rolling 180-day window. Each role's percentiles are weighted by posting volume so a metro with two postings doesn't outweigh a metro with two hundred. Outliers (postings priced more than 4× the role median) are dropped to avoid contract-line distortion.

Use the data, then push back.

Bring these numbers into your next contract conversation. Recruiters know what the market pays — now you do too.