Do med-surg nurses or er nurses earn more in Washington?

In Washington, er nurses earn more — an estimated $136,620 a year versus $124,200 for med-surg nurses, a gap of about $12,420 (roughly 10% more). Both are estimates: public wage data does not report these roles separately, so each starts from reported Washington pay for the closest reported role.

How much is the med-surg nurse vs er nurse pay gap in Washington?

The estimated gap in Washington is about $12,420 a year, or roughly 10% more for er nurses. Your actual pay depends on experience, specialty, shift, and employer — use the calculator to compare both for your situation.

Are these Washington figures exact?

No — they're estimates, not separately reported wages. Public wage data doesn't break out every nursing role, so where it doesn't, we start from reported Washington pay for the closest reported role and adjust. Treat those as a ballpark.

Why are some figures verified and others estimates?

National pay for the main nursing roles — registered nurses, LPNs/LVNs, nurse practitioners, CRNAs, nurse midwives, and nursing assistants — comes from verified public wage data. State, city, and specialty figures that aren't reported on their own start from that national pay and are labeled "Estimated" or "Specialty estimate." We never show an estimate as a verified figure.

Washington · WA

Med-Surg Nurse vs ER Nurse salary in Washington

In Washington, er nurses earn more — an estimated $136,620 a year versus $124,200 for med-surg nurses, a gap of about $12,420 (roughly 10% more). Both are estimates based on national pay for each role adjusted for Washington.

Med-Surg Nurse — Washington

Specialty estimate

Median annual pay

$124,200

+27% vs national

Hourly

$59.71/hr

Median $124,200

$89,630Middle 50%: $103,100–$134,240$161,910

Typical range: $103,100–$134,240; What most nurses earn
High end: $161,910; Top earners
Entry level: $89,630; Newer nurses

ER Nurse — Washington

Specialty estimate

Median annual pay

$136,620

+27% vs national

Hourly

$65.68/hr

Median $136,620

$98,590Middle 50%: $113,410–$147,660$178,100

Typical range: $113,410–$147,660; What most nurses earn
High end: $178,100; Top earners
Entry level: $98,590; Newer nurses

Why the gap in Washington

ER nurses are modeled to earn slightly more than med-surg nurses, though both are staff RN roles drawing on the same underlying wage data. The difference comes from the emergency department's trauma acuity, unpredictable patient volume, and shift differentials common in emergency settings. The Washington figures apply the same local pay adjustment to both roles, so the gap here mirrors the national picture, shifted for Washington's cost of labor. Actual pay varies with experience, specialty, shift, and employer — compare the national Med-Surg Nurse vs ER Nurse comparison or personalize the calculator.

Med-Surg Nurse vs ER Nurse in Washington — FAQ

Do med-surg nurses or er nurses earn more in Washington?: In Washington, er nurses earn more — an estimated $136,620 a year versus $124,200 for med-surg nurses, a gap of about $12,420 (roughly 10% more). Both are estimates: public wage data does not report these roles separately, so each starts from reported Washington pay for the closest reported role.
How much is the med-surg nurse vs er nurse pay gap in Washington?: The estimated gap in Washington is about $12,420 a year, or roughly 10% more for er nurses. Your actual pay depends on experience, specialty, shift, and employer — use the calculator to compare both for your situation.
Are these Washington figures exact?: No — they're estimates, not separately reported wages. Public wage data doesn't break out every nursing role, so where it doesn't, we start from reported Washington pay for the closest reported role and adjust. Treat those as a ballpark.
Why are some figures verified and others estimates?: National pay for the main nursing roles — registered nurses, LPNs/LVNs, nurse practitioners, CRNAs, nurse midwives, and nursing assistants — comes from verified public wage data. State, city, and specialty figures that aren't reported on their own start from that national pay and are labeled "Estimated" or "Specialty estimate." We never show an estimate as a verified figure.

Source & confidence— An estimate for a specialty that public pay data does not list on its own. A ballpark to start from, not an exact figure.

Modeled specialty estimate (BLS state wage × specialty adjustment)

Public wage data does not report Med-Surg Nurse separately. This figure starts from the wage the U.S. Bureau of Labor Statistics published for Registered Nurse in Washington (May 2025) and applies a 1.00× specialty adjustment.

Source year 2025. Last reviewed July 17, 2026. Full methodology

Estimated figures for Washington. Last reviewed July 17, 2026.