LIVE MARKET·12,408 postings · last 180 days·Updated April 30, 2026

Emergency Department Nurse salary: $62.44/hr$2,498/wk$129,875/yr median.

Pay range $56.67$2,267$117,874$69.78/hr$2,791/wk$145,142/yr across the middle 50% of active Emergency Nurse Registered Nurse (RN) postings nationwide.

250 unique employers · 1,019 cities · 102 states. Pay moved +1.9% over the last 30 days.

Show pay as
Median /hr/wk/yr
$62.44$2,498$129,875
P25–P75
$56.67$2,267$117,874$69.78$2,791$145,142
middle 50%
Postings
12,408
84.3%
Coverage
102 states
250 employers
01·PAY DISTRIBUTION·P10 → P90

How Emergency Department Nurse pay is distributed.

10% of postings pay under $49.89/hr$1,996/wk$103,771/yr. The top 10% pay above $80.56/hr$3,222/wk$167,565/yr.

P10
$49.89
P25
$56.67
P50
$62.44
P75
$69.78
P90
$80.56
P10
$49.89/hr$1,996/wk$103,771/yr
P25
$56.67/hr$2,267/wk$117,874/yr
P50 (median)
$62.44/hr$2,498/wk$129,875/yr
P75
$69.78/hr$2,791/wk$145,142/yr
P90
$80.56/hr$3,222/wk$167,565/yr
03·STATE BREAKDOWN·n=12,408

Emergency Department Nurse pay across every state with live data.

01Alabama AL98 postings
$54.50/hr
02Alaska AK211 postings
$81.25/hr
03Arizona AZ528 postings
$63.61/hr
04Arkansas AR67 postings
$41.00/hr
05California CA1,043 postings
$69.79/hr
06Colorado CO83 postings
$57.00/hr
07Connecticut CT147 postings
$67.00/hr
08Delaware DE8 postings
$67.00/hr
09District Of Columbia DC66 postings
$66.39/hr
10Florida FL90 postings
$55.32/hr
11Georgia GA393 postings
$55.22/hr
12Hawaii HI155 postings
$66.93/hr
13Idaho ID67 postings
$57.11/hr
14Illinois IL369 postings
$63.00/hr
15Indiana IN154 postings
$53.00/hr
16Iowa IA185 postings
$63.80/hr
17Kansas KS237 postings
$55.00/hr
18Kentucky KY89 postings
$53.00/hr
19Louisiana LA46 postings
$48.99/hr
20Maine ME186 postings
$60.70/hr
21Maryland MD214 postings
$60.00/hr
22Massachusetts MA1,160 postings
$73.11/hr
23Michigan MI191 postings
$61.11/hr
24Minnesota MN100 postings
$64.00/hr
25Mississippi MS27 postings
$53.42/hr
26Missouri MO122 postings
$57.00/hr
27Montana MT92 postings
$69.42/hr
28Nebraska NE53 postings
$63.19/hr
29Nevada NV10 postings
$75.07/hr
30New Hampshire NH222 postings
$66.44/hr
31New Jersey NJ118 postings
$64.11/hr
32New Mexico NM521 postings
$58.85/hr
33New York NY1,536 postings
$67.28/hr
34North Carolina NC437 postings
$49.31/hr
35North Dakota ND189 postings
$64.42/hr
36Ohio OH201 postings
$53.00/hr
37Oklahoma OK168 postings
$51.92/hr
38Oregon OR147 postings
$63.11/hr
39Pennsylvania PA167 postings
$62.63/hr
40Rhode Island RI173 postings
$68.15/hr
41South Carolina SC57 postings
$52.60/hr
42South Dakota SD67 postings
$64.86/hr
43Tennessee TN154 postings
$59.73/hr
44Texas TX387 postings
$49.19/hr
45Vermont VT201 postings
$64.27/hr
46Virginia VA336 postings
$59.42/hr
47Washington WA320 postings
$61.00/hr
48West Virginia WV42 postings
$61.57/hr
49Wisconsin WI262 postings
$61.13/hr
50Wyoming WY37 postings
$62.22/hr

Showing all 50 states with live data. Bars scale to the highest-paying state.

04·TOP-PAYING CITIES·METROS WITH ACTIVE POSTINGS

The metros writing the biggest Emergency Department Nurse paychecks.

CityStateMedian /hr/wk/yrP25–P75Postings
klamath fallsOR · OREGON$124.00$4,960$257,920$79.29$3,172$164,923$128.56$5,142$267,40510
vandaliaIL · ILLINOIS$105.30$4,212$219,024$96.15$3,846$199,992$108.63$4,345$225,95015
king cityCA · CALIFORNIA$101.93$4,077$212,014$78.39$3,136$163,051$105.00$4,200$218,40015
garden cityKS · KANSAS$88.39$3,536$183,851$79.31$3,172$164,965$92.00$3,680$191,36017
san diegoCA · CALIFORNIA$87.72$3,509$182,458$86.33$3,453$179,566$89.25$3,570$185,64018
05·EMPLOYER BREAKDOWN·TOP 20 BY PAY

Where the top of the market is paying for Emergency Department Nurse.

EmployerMedian /hr/wk/yrRangePostings
advantage staffing services$84.00$3,360$174,720$56.83$2,273$118,206$94.00$3,760$195,52035
amergis healthcare staffing boston$82.24$3,290$171,059$77.28$3,091$160,742$95.08$3,803$197,7666
amhs staffing alliance$83.47$3,339$173,618$80.47$3,219$167,378$88.47$3,539$184,0189
Essential HealthCare Solutions$100.00$4,000$208,000$100.00$4,000$208,000$100.00$4,000$208,0006
express healthcare staffing of tualatin oregon$83.50$3,340$173,680$66.00$2,640$137,280$83.50$3,340$173,6805
flexstaff$85.64$3,426$178,131$80.61$3,224$167,669$95.64$3,826$198,93111
honorvet technologies$82.31$3,292$171,205$60.00$2,400$124,800$88.00$3,520$183,04048
medsource llc$83.42$3,337$173,514$83.03$3,321$172,702$85.67$3,427$178,19412
merrimack river staffing$84.53$3,381$175,822$79.14$3,166$164,611$84.89$3,396$176,5716
noor inc.$84.00$3,360$174,720$69.61$2,784$144,789$87.56$3,502$182,1256

Showing all 10 employers with live pay data.

06·SHIFT & CONTRACT MIX·PAY BY WORK PATTERN

How Emergency Department Nurse pay shifts by schedule and contract type.

Staff Position pays the most at $81.12/hr$3,245/wk$168,730/yr median — 116% above Fulltime at $37.50/hr$1,500/wk$78,000/yr. Travel Contract drives the volume with 8,264 active postings.

BY SHIFT
Nights
6,954 postings
$61.58/hr$2,463/wk$128,086/yr
Days
2,818 postings
$62.31/hr$2,492/wk$129,605/yr
Day
688 postings
$63.95/hr$2,558/wk$133,016/yr
Rotating
596 postings
$66.42/hr$2,657/wk$138,154/yr
Evenings
449 postings
$66.08/hr$2,643/wk$137,446/yr
Mids
434 postings
$58.00/hr$2,320/wk$120,640/yr
Flexible
237 postings
$73.61/hr$2,944/wk$153,109/yr
Not Specified
79 postings
$40.50/hr$1,620/wk$84,240/yr
Night
62 postings
$67.62/hr$2,705/wk$140,650/yr
AM
19 postings
$67.65/hr$2,706/wk$140,712/yr
PM
18 postings
$67.65/hr$2,706/wk$140,712/yr
Weekend
16 postings
$60.65/hr$2,426/wk$126,152/yr
Evening
15 postings
$62.86/hr$2,514/wk$130,749/yr
Variable
15 postings
$80.90/hr$3,236/wk$168,272/yr
Swing
3 postings
$71.39/hr$2,856/wk$148,491/yr
BY JOB TYPE
Travel Contract
8,264 postings
$63.72/hr$2,549/wk$132,538/yr
Not Specified
3,838 postings
$60.00/hr$2,400/wk$124,800/yr
Permanent
205 postings
$69.38/hr$2,775/wk$144,310/yr
Fulltime
54 postings
$37.50/hr$1,500/wk$78,000/yr
Staff Position
23 postings
$81.12/hr$3,245/wk$168,730/yr
Local Contract
8 postings
$46.50/hr$1,860/wk$96,720/yr
Parttime
5 postings
$45.50/hr$1,820/wk$94,640/yr
Contract
5 postings
$72.50/hr$2,900/wk$150,800/yr
08·HOW TO BECOME·CAREER PATHWAY

How to become a Emergency Department Nurse.

Emergency Department nurses provide rapid assessment and treatment for patients with acute injuries and illnesses in fast-paced emergency room settings.

Education·Min: ADN · Preferred: BSN

Most ER nurses start with a BSN and 1-2 years of acute care (often med-surg or telemetry) before transitioning to ED. Some hospitals offer direct-to-ED residencies for new graduates.

DegreeDurationNotes
Associate Degree in NursingADN2-3 yearsEntry-level option, though BSN increasingly preferred for ED positions at major trauma centers.
Bachelor of Science in NursingBSN4 yearsPreferred by most Level I and II trauma centers. Required for many ER leadership positions.
Master of Science in NursingMSN2-3 years post-BSNRequired for Emergency Nurse Practitioner (ENP) roles or Clinical Nurse Specialist positions.
Licenses & Exams·5 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 ED nursing positions.

ACLSAdvanced Cardiovascular Life SupportRequired
Issued by: American Heart Association

Required for ED nurses. Covers cardiac arrest algorithms, arrhythmia recognition, and resuscitation.

PALSPediatric Advanced Life SupportRequired
Issued by: American Heart Association

Required for EDs that treat pediatric patients. Covers pediatric emergencies and resuscitation.

TNCCTrauma Nursing Core CourseOptional
Issued by: Emergency Nurses Association (ENA)

Often required at trauma centers. Standardized trauma nursing education from ENA.

Optional Certifications·Pay boost where known
CredentialIssued byPay impact
CEN
Certified Emergency Nurse
Gold standard ED certification. Validates specialized knowledge across all emergency nursing competencies. Requires 2 years of ED experience.
BCEN (Board of Certification for Emergency Nursing)+5-15%
CPEN
Certified Pediatric Emergency Nurse
Specialization for nurses treating pediatric emergencies. Valuable in children's hospitals and pediatric EDs.
BCEN+5-10%
CFRN
Certified Flight Registered Nurse
For nurses in flight/transport nursing. Requires significant ED or ICU experience plus flight-specific training.
BCEN+10-20%
TCRN
Trauma Certified Registered Nurse
Specialization in trauma nursing across the continuum of care from ED to ICU.
BCEN+5-10%
SANE-A
Sexual Assault Nurse Examiner - Adult
Credential for forensic nursing and sexual assault examination. Requires specialized training (40+ hours).
IAFNSpecialty differential
Career Path·7 steps
  1. 0-1 years
    ED Residency / New Grad ER Nurse

    Structured ED orientation (typically 12-20 weeks). Gradual increase in patient acuity and independence.

  2. 1-3 years
    Staff ER Nurse

    Independent practice handling diverse emergencies. Often 4-6 patient assignments during shifts.

  3. 3-5 years
    Senior ER Nurse / Preceptor

    Mentors new nurses, handles trauma and critical patients, may lead resuscitations. Often CEN certified.

  4. 5-7 years
    ER Charge Nurse / Team Lead

    Coordinates patient flow, manages staffing, and ensures efficient ED operations during shifts.

  5. 7-10 years
    ED Educator / Clinical Nurse Specialist

    Focuses on staff education, quality improvement, and evidence-based practice. MSN typically required.

  6. 10+ years
    ED Manager / Director

    Oversees ED operations, budgets, staff, and quality metrics. Works closely with medical director.

  7. 5+ years ED/ICU
    Flight Nurse / Transport Nurse

    Advanced role in helicopter/fixed-wing transport. Requires extensive critical care experience and specialized training.

Work Environment
Level I Trauma CentersLevel II-IV Trauma CentersCommunity hospital EDsFreestanding Emergency RoomsPediatric Emergency DepartmentsUrgent Care (some crossover)

Schedule. Primarily 12-hour shifts with rotating days, nights, and weekends. EDs operate 24/7/365. High volume during evenings and weekends. Holiday and overnight requirements.

Physical demands. Highly demanding. Requires constant standing, walking, and quick movements. Must assist with patient transfers and restraints. Exposure to bodily fluids, aggressive patients, and high-stress situations.

Job Outlook·Very Strong
8% (2022-2032)

ED nurses are in high demand, especially at trauma centers. Travel ER nurse positions offer $2,500-4,000+/week. ED experience is highly transferable to flight nursing, ICU, and advanced practice roles.

FAQ — Becoming this role·4 questions
How long does it take to become an ER nurse?

Typically 3-5 years: 2-4 years for nursing degree, then 1-2 years of acute care experience (though some hospitals hire new grads directly into ED residency programs).

Can new grad nurses work in the ER?

Yes, many hospitals offer ED residency programs for new graduates. These competitive programs typically last 16-24 weeks with extensive training and mentorship.

What's the difference between CEN and TNCC?

CEN is a comprehensive certification exam validating ED nursing expertise. TNCC is a 2-day trauma course required by many trauma centers. Many ER nurses have both.

What is the typical patient ratio in the ER?

Ratios vary by acuity: 1:1 for critical/trauma patients, 1:3-4 for acute patients, and up to 1:5-6 for lower-acuity fast-track areas. California mandates 1:4 ratios.

09·FREQUENTLY ASKED·EMERGENCY DEPARTMENT NURSE

What clinicians ask about Emergency Department Nurse pay.

What is the average Emergency Department Nurse salary in 2026?

The median Emergency Department Nurse salary is $62.44/hr (approximately $129,875/yr) based on 12,408 active job postings.

What is the pay range for Emergency Department Nurse?

Hourly pay ranges from $56.67 at the 25th percentile to $69.78 at the 75th percentile, with the top 10% earning above $80.56/hr.

Which state pays Emergency Department Nurse roles the most?

Alabama currently leads with a median of $54.50/hr across 98 postings.

How many employers are hiring Emergency Department Nurses?

Our dataset shows 250 unique employers posting Emergency Department Nurse roles across 102 states.

Where does TrueRounds get Emergency Department 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.