SOC 29-1141 · Winston-Salem, NC metro

Registered Nurses Salary in Winston-Salem, NC

The average salary for registered nurses in Winston-Salem, North Carolina is $91,430 a year ($43.96 an hour), according to BLS estimates for May 2025. The median is $86,120: half of the 10,180 people in this job in the Winston-Salem, NC metro area earn more than that, half earn less. That average is 10% less than the U.S. average for this job ($101,420).

$91,430average per year

$43.96 / hourMedian $86,120Take-home ≈ $70,012

  • $72K10th
  • $79K25th
  • $86KMedian
  • $104K75th
  • $105K90th

median average · bar = middle 50% of workers · how to read it

10,180people in this job
-10%vs U.S. average
#6 of 14North Carolina metros
92cost of living (U.S. = 100)
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Registered Nurses pay range in Winston-Salem

New workers and the lowest-paid 10% earn about $71,550 a year or less, while the top 10% make $105,490 or more. The middle half of registered nurses in Winston-Salem earn between $78,820 and $103,600.

  • $72K10th
  • $79K25th
  • $86KMedian
  • $104K75th
  • $105K90th

median average · bar = middle 50% of workers · how to read it

Pay levelPer yearPer monthPer hour*
Average$91,430$7,619$43.96
Median$86,120$7,177$41.40
Entry level (25th percentile)$78,820$6,568$37.89
Experienced (75th percentile)$103,600$8,633$49.81

*Hourly figures assume 2,080 paid hours a year. Hourly to annual salary.

Registered Nurses pay in Winston-Salem vs. North Carolina and the U.S.

Registered nurses in Winston-Salem earn about the same as the North Carolina average ($90,470) and 10% less than the U.S. average ($101,420). At the median the gap is -12% against the U.S. median of $97,550.

AreaAverageMedian10th pct.90th pct.Jobs
Winston-Salem$91,430$86,120$71,550$105,49010,180
North Carolina$90,470$84,350$67,660$110,220111,120
United States$101,420$97,550$68,940$137,4703,379,720

State and U.S. rows: BLS statewide and national estimates, May 2025, which include rural areas.

Registered Nurses salary after taxes in Winston-Salem

On the average salary of $91,430, a single filer in Winston-Salem takes home about $70,012 a year, or $5,834 a month and $2,693 every two weeks. Taxes take 23% of gross pay.

Single filer, standard deduction: federal income tax (2026 brackets), Social Security, Medicare and state income tax (2026 rules).

North Carolina paycheck calculator: try your own salary

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Is Winston-Salem a good place for registered nurses? Pay vs. cost of living

Prices in the Winston-Salem area are 8% below the U.S. average (BEA price parity 92.0), so the average $91,430 buys what about $99,334 would buy in a typical U.S. metro. This job pays 1.9 times the median wage of all jobs in Winston-Salem ($46,380). A typical home costs $283,871, or 3.1 years of this average salary before tax.

See what $91,430 is worth in another city

Registered Nurses salary in other North Carolina cities

Winston-Salem ranks 6th of 14 North Carolina metro areas for this job; Charlotte pays the most ($93,240).

All Registered Nurses salaries in North Carolina

Highest-paying cities for registered nurses

San Jose, CA pays this job the most of the metro areas we cover ($194,950).

Registered Nurses salary by city

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Reviewed before it counts. Registered Nurses in Winston-Salem, NC.

Registered Nurses salary in Winston-Salem: questions

How much do registered nurses make an hour in Winston-Salem?

$43.96 an hour on average, and $41.40 at the median (BLS, May 2025).

What is the entry-level registered nurses salary in Winston-Salem?

The lowest-paid 10% earn about $71,550 a year and the 25th percentile is $78,820, a fair guide to starting pay.

What is the registered nurses take-home pay in Winston-Salem?

About $70,012 a year ($5,834 a month) for a single filer on the average salary of $91,430.

Do registered nurses earn more in Winston-Salem than elsewhere?

The average here is 10% less than the U.S. average for this job ($101,420).

Sources and how to read this page

  • Wages: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (OEWS), May 2025 estimates for metropolitan areas. SOC code 29-1141; area Winston-Salem, NC (49180). Relative standard error of the mean wage: 0.2%.
  • U.S. and statewide figures: BLS OEWS national and state estimates, May 2025, every employer including rural areas.
  • Cost of living: Bureau of Economic Analysis regional price parities (RPP), 2024; 100 = U.S. average.
  • Home value: Zillow Home Value Index. Typical-wage figure: OEWS all occupations, same metro.
  • Take-home pay: Single filer, standard deduction: federal income tax (2026 brackets), Social Security, Medicare and state income tax (2026 rules).
  • Job concentration: location quotient 1.72, this job is 1.7 times as concentrated as in the U.S. overall.

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