Acute Care Nurse Salary Guide: Virginia
Average Acute Care Nurse Salary
$52.69/hour
The average salary for an Acute Care Nurse in Virginia is $52.69 per hour. This is 3% higher than the US average of $51.02.
Last updated on October 10, 2026. Based on active jobs on Vivian.com.
Acute Care Nurse salaries in Virginia compared to National Averages
$52.69/hour
Virginia
3% higher than the US average.
$51.02/hour
United States
What cities in Virginia pay the most for Acute Care Nurses?
Fairfax, Virginia pays Acute Care Nurses the most, averaging $59 per hour, followed by Reston, Virginia ($57) and Hopewell, Virginia ($50). Fairfax, Virginia also has the highest ceiling, with max hourly pay reaching $65. For comparison, the Virginia average for Registered Nurses is $53 per hour — Fairfax, Virginia pays 12% more.
| City | Average Hourly Salary | Max Hourly Salary |
|---|---|---|
| Fairfax, Virginia | $59 | $65 |
| Reston, Virginia | $57 | $62 |
| Hopewell, Virginia | $50 | $53 |
| Salem, Virginia | $50 | $52 |
| Richmond, Virginia | $48 | $48 |
How does the pay for Acute Care Nurses in Virginia compare to nearby states?
North Carolina pays Acute Care Nurses the most, averaging $54 per hour, followed by South Carolina ($41) and Tennessee ($40). North Carolina also has the highest ceiling, with max hourly pay reaching $58. For comparison, the Virginia average for Registered Nurses is $53 per hour — North Carolina pays 3% more.
| Average Hourly Salary | Max Hourly Salary | |
|---|---|---|
| North Carolina | $54 | $58 |
| South Carolina | $41 | $44 |
| Tennessee | $40 | $40 |
What are the highest paying Employers and Agencies for Acute Care Nurse jobs in Virginia?
Only Perm Staff Jobs reports pay data for Acute Care Nurses, averaging $40 per hour. Perm Staff Jobs also has the highest ceiling, with max hourly pay reaching $42. For comparison, the Virginia average for Registered Nurses is $53 per hour — Perm Staff Jobs pays 23% less.
| Average Hourly Salary | Max Hourly Salary | |
|---|---|---|
| Perm Staff Jobs | $40 | $42 |
Last updated on October 10, 2026. Information based on active jobs on Vivian.com and pay data from BLS and around the web.

Acute Care Nurse Career Guide
Use our exclusive Career Guides to research the education, qualifications, skills and responsibilities for a variety of healthcare disciplines and specialties employers are hiring now.
Go to the guideTop Acute Care Nurse Jobs
Registered Nurse (RN) - Float Med Surg
- Spotsylvania Regional Medical Center
- Fredericksburg, VA
$42-63/hour
Registered Nurse (RN) - Float Med Surg
- Reston Hospital Center
- Reston, VA
$41-62/hour
Registered Nurse (RN) - Float Med Surg
- LewisGale Medical Center
- Salem, VA
$37-55/hour
Registered Nurse (RN) - Float Med Surg
- LewisGale Hospital - Montgomery
- Blacksburg, VA
$36-53/hour
Registered Nurse (RN) - Acute Care
- LewisGale Medical Center
- Salem, VA
$33-50/hour
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