Certified Nurse Midwife salary in San Francisco
A certified nurse midwife in the San Francisco, CA area earns an estimated $212,630 a year ($102.23/hr) — about 59% above the U.S. average, with most between $209,050 and $218,420. City figures are estimates based on national pay for the role and local cost of living — a starting point, not a guaranteed local wage.
Certified Nurse Midwife — San Francisco, CA
Verified public wage dataMedian annual pay
$212,630
+59% vs nationalHourly
$102.23/hr
- Typical range
- $209,050–$218,420
- What most nurses earn
- High end
- $257,020
- Top earners
- Entry level
- $165,470
- Newer nurses
Other nursing roles in San Francisco
Compare estimated pay for related roles in this metro.
What affects certified nurse midwife pay in San Francisco
Highest nurse pay in the U.S.; highest cost of living. For a certified nurse midwife, local pay also reflects the concentration of major hospital systems and academic medical centers, union contracts, shift differentials, unit acuity, and how competitive staffing is. Nights, weekends, and critical-care specialties typically add to base pay. Use the calculator to estimate your own.
Where this figure comes from
This is the actual median wage reported for San Francisco, CA in official U.S. government wage data — about 59% above the U.S. average. It is measured from employer-reported payroll, not estimated from a national average.
In San Francisco, CA, the lowest-paid 10% earn about $165,470 and the highest-paid 10% about $257,020. Where you land depends on specialty, shift, overtime, union status, employer type, and years of experience.
Source year: 2025. Updated when new official wage data is published.
How to use this metro figure
- It’s the median actually reported for San Francisco — half of nurses earn more, half earn less. A midpoint, not an offer you’re guaranteed.
- Your actual pay shifts with role and specialty, care setting, shift, overtime, union status, and years of experience — so compare a role-specific page and personalize the calculator.
- Reviewed salary submissions from nurses in San Francisco make this page more precise over time.
Certified Nurse Midwife salary in San Francisco — FAQ
- How much does a certified nurse midwife make in San Francisco?
- A certified nurse midwife in the San Francisco, CA area earns an estimated $212,630 a year — about $102.23 an hour, with most between $209,050 and $218,420. That's about 59% above the national average. This is an estimate based on the role's national pay and San Francisco's local pay level, not a guaranteed local wage.
- Is San Francisco a good place for certified nurse midwifes?
- On pay, San Francisco runs about 59% above the national average for certified nurse midwifes. Big-city wages are often offset by a higher cost of living, so weigh the estimated $212,630 against local housing and expenses.
- How does San Francisco certified nurse midwife pay compare to California overall?
- Statewide, California certified nurse midwifes earn an estimated $203,840 a year, versus about $212,630 in San Francisco. Metro pay can run above or below the state figure depending on hospital concentration and local demand.
- 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— A verified figure from official U.S. public wage data.
BLS OEWS (May 2025, metro)
San Francisco, CA figures are published directly by the U.S. Bureau of Labor Statistics for San Francisco-Oakland-Fremont, CA (May 2025). They are not estimated or adjusted.
Source year 2025. Last reviewed July 17, 2026. Full methodology
Estimated figure — national certified nurse midwife pay adjusted for San Francisco. Last reviewed July 17, 2026.