Medical Surgical Nurse Salary Guide: Salem, VA
Average Medical Surgical Nurse Salary
$29.94/hour
The average salary for a Medical Surgical Nurse in Salem, VA is $29.94 per hour. This is 62% 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 Salem, VA compared to State and National Averages
$29.94/hour
Salem, VA
64% lower than the US average.
$48.64/hour
Virginia
1% lower than the US average.
$48.98/hour
United States
How Medical Surgical Nurse Salaries in Salem Compare to Other Cities
How Medical Surgical Nurse Salaries in Salem Compare to Other Cities
Raleigh, North Carolina
$33/hour
This is 54% lower than the Salem average of $50.06.
Hickory, North Carolina
$42/hour
This is 18% lower than the Salem average of $50.06.
Morganton, North Carolina
$49/hour
This is 3% lower than the Salem average of $50.06.
What cities in Virginia pay the most for Med Surg Nurses?
Reston, Virginia pays Medical Surgical Nurses the most, averaging $57 per hour, followed by Fredericksburg, Virginia ($56) and Salem, Virginia ($50). Reston, Virginia also has the highest ceiling, with max hourly pay reaching $62. For comparison, the Salem, VA average for Medical Surgical Nurses is $30 per hour — Reston, Virginia pays 91% more.
| City | Average Hourly Salary | Max Hourly Salary |
|---|---|---|
| Reston, Virginia | $57 | $62 |
| Fredericksburg, Virginia | $56 | $57 |
| Salem, Virginia | $50 | $52 |
| Ashburn, Virginia | $49 | $59 |
| Alexandria, Virginia | $40 | $53 |
What are the highest paying Agencies for Medical Surgical Nurse jobs in Salem?
Only Perm Staff Jobs reports pay data for Medical Surgical Nurses, averaging $41 per hour. Perm Staff Jobs also has the highest ceiling, with max hourly pay reaching $44. For comparison, the Salem, VA average for Medical Surgical Nurses is $30 per hour — Perm Staff Jobs pays 38% more.
| Average Hourly Salary | Max Hourly Salary | |
|---|---|---|
| Perm Staff Jobs | $41 | $44 |
Last updated on February 10, 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
Registered Nurse (RN) - Float Med Surg
- LewisGale Medical Center
- Salem, VA
$37-55/hour
Medical-Surgical Staff RN
- LewisGale Medical Center
- Salem, VA
$35-52/hour
Medical-Surgical Staff RN
- LewisGale Medical Center
- Salem, VA
$32-48/hour
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