Medical Surgical Nurse Salary Guide: Richmond, VA

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Average Medical Surgical Nurse Salary

$32.36/hour

The average salary for a Medical Surgical Nurse in Richmond, VA is $32.36 per hour. This is 50% lower than the Virginia average of $48.64.

Last updated on February 10, 2026. Based on active jobs on Vivian.com.

Medical Surgical Nurse salaries in Richmond, VA compared to State and National Averages

$32.36/hour

Richmond, VA

56% lower than the US average.

$48.64/hour

Virginia

4% lower than the US average.

$50.37/hour

United States

How Medical Surgical Nurse Salaries in Richmond Compare to Other Cities

Select up to 3 cities to compare

Raleigh, North Carolina

$52/hour

This is 32% higher than the Richmond average of $35.34.

Hickory, North Carolina

$43/hour

This is 18% higher than the Richmond average of $35.34.

Morganton, North Carolina

$49/hour

This is 28% higher than the Richmond average of $35.34.

What cities in Virginia pay the most for Med Surg Nurses?

Ashburn, Virginia pays Medical Surgical Nurses the most, averaging $60 per hour, followed by Sterling, Virginia ($59) and Fairfax, Virginia ($58). Sterling, Virginia has the highest ceiling, with max hourly pay reaching $62. For comparison, the Richmond, VA average for Medical Surgical Nurses is $32 per hour — Ashburn, Virginia pays 84% more.

City	Average Hourly Salary	Max Hourly Salary
Ashburn, Virginia	$60	$62
Sterling, Virginia	$59	$62
Fairfax, Virginia	$58	$62
Herndon, Virginia	$58	$62
Reston, Virginia	$58	$62
Fredericksburg, Virginia	$56	$60
Salem, Virginia	$50	$52

What are the highest paying Agencies for Medical Surgical Nurse jobs in Richmond?

Only Perm Staff Jobs reports pay data for Medical Surgical Nurses, averaging $40 per hour. For comparison, the Richmond, VA average for Medical Surgical Nurses is $32 per hour — Perm Staff Jobs pays 24% more.

	Average Hourly Salary	Max Hourly Salary
Perm Staff Jobs	$40	$40

Last updated on February 10, 2026. Information based on active jobs on Vivian.com and pay data from BLS and around the web.

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