Medical Surgical Nurse Salary Guide: North Carolina
Average Medical Surgical Nurse Salary
$47.74/hour
The average salary for a Medical Surgical Nurse in North Carolina is $47.74 per hour. This is 9% higher than the US average of $43.42.
Last updated on November 11, 2026. Based on active jobs on Vivian.com.
Medical Surgical Nurse salaries in North Carolina compared to National Averages
$47.74/hour
North Carolina
9% higher than the US average.
$43.42/hour
United States
What cities in North Carolina pay the most for Med Surg Nurses?
Burlington, North Carolina pays Medical Surgical Nurses the most, averaging $100 per hour, followed by Waynesville, North Carolina ($58) and Rutherfordton, North Carolina ($55). For comparison, the North Carolina average for Medical Surgical Nurses is $48 per hour — Burlington, North Carolina pays 109% more.
| City | Average Hourly Salary | Max Hourly Salary |
|---|---|---|
| Burlington, North Carolina | $100 | $100 |
| Waynesville, North Carolina | $58 | $58 |
| Rutherfordton, North Carolina | $55 | $58 |
| Asheville, North Carolina | $54 | $58 |
| Hickory, North Carolina | $52 | $58 |
| Morganton, North Carolina | $51 | $58 |
| Raleigh, North Carolina | $45 | $52 |
| Winston-Salem, North Carolina | $44 | $44 |
| Brevard, North Carolina | $41 | $58 |
How does the pay for Med Surg Nurses in North Carolina compare to nearby states?
Virginia pays Medical Surgical Nurses the most, averaging $53 per hour, followed by Georgia ($51) and Pennsylvania ($49). Virginia also has the highest ceiling, with max hourly pay reaching $56. For comparison, the North Carolina average for Medical Surgical Nurses is $48 per hour — Virginia pays 10% more.
| Average Hourly Salary | Max Hourly Salary | |
|---|---|---|
| Virginia | $53 | $56 |
| Georgia | $51 | $53 |
| Pennsylvania | $49 | $50 |
| West Virginia | $47 | $53 |
| Kentucky | $44 | $46 |
| Ohio | $43 | $44 |
| Alabama | $40 | $40 |
| Tennessee | $38 | $40 |
| South Carolina | $38 | $44 |
What are the highest paying Employers and Agencies for Medical Surgical Nurse jobs in North Carolina?
Bluebird Staffing pays Medical Surgical Nurses the most, averaging $49 per hour, followed by Perm Staff Jobs ($45) and Prolink Direct Placement/RPO Region ($44). Perm Staff Jobs has the highest ceiling, with max hourly pay reaching $58. For comparison, the North Carolina average for Medical Surgical Nurses is $48 per hour — Bluebird Staffing pays 2% more.
| Average Hourly Salary | Max Hourly Salary | |
|---|---|---|
| Bluebird Staffing | $49 | $49 |
| Perm Staff Jobs | $45 | $58 |
| Prolink Direct Placement/RPO Region | $44 | $44 |
| Patterns Hiring - Perm | $44 | $44 |
| CoreMedical Group Perm | $43 | $48 |
Last updated on November 11, 2026. Information based on active jobs on Vivian.com and pay data from BLS and around the web.
Medical Surgical 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 Medical Surgical Nurse Jobs
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Registered Nurse (RN) - Med Surg
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Registered Nurse (RN) - Med Surg
- Mission Hospital
- Waynesville, NC
$58+/hour
Registered Nurse (RN) - Med Surg
- Mission Hospital
- Waynesville, NC
$58+/hour
Registered Nurse (RN) - Med Surg
- Mission Hospital
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$58+/hour
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