Medical Surgical Nurse Salary Guide: Virginia
Average Medical Surgical Nurse Salary
$48.96/hour
The average salary for a Medical Surgical Nurse in Virginia is $48.96 per hour. This is 2% lower than the US average of $49.89.
Last updated on October 9, 2026. Based on active jobs on Vivian.com.
Medical Surgical Nurse salaries in Virginia compared to National Averages
$48.96/hour
Virginia
2% lower than the US average.
$49.89/hour
United States
What cities in Virginia pay the most for Med Surg Nurses?
Herndon, Virginia pays Medical Surgical Nurses the most, averaging $61 per hour, followed by Ashburn, Virginia ($60) and Fairfax, Virginia ($59). Fairfax, Virginia has the highest ceiling, with max hourly pay reaching $65. For comparison, the Virginia average for Medical Surgical Nurses is $49 per hour — Herndon, Virginia pays 25% more.
| City | Average Hourly Salary | Max Hourly Salary |
|---|---|---|
| Herndon, Virginia | $61 | $62 |
| Ashburn, Virginia | $60 | $63 |
| Fairfax, Virginia | $59 | $65 |
| Fredericksburg, Virginia | $58 | $62 |
| Reston, Virginia | $57 | $62 |
| Salem, Virginia | $50 | $52 |
| Blacksburg, Virginia | $48 | $53 |
| Richmond, Virginia | $48 | $48 |
How does the pay for Med Surg Nurses in Virginia compare to nearby states?
Delaware pays Medical Surgical Nurses the most, averaging $61 per hour, followed by Maryland ($54) and Pennsylvania ($50). For comparison, the Virginia average for Medical Surgical Nurses is $49 per hour — Delaware pays 25% more.
| Average Hourly Salary | Max Hourly Salary | |
|---|---|---|
| Delaware | $61 | $61 |
| Maryland | $54 | $60 |
| Pennsylvania | $50 | $50 |
| North Carolina | $47 | $58 |
| Ohio | $41 | $42 |
| Tennessee | $38 | $40 |
| South Carolina | $37 | $44 |
| District of Columbia | $35 | $44 |
What are the highest paying Employers and Agencies for Medical Surgical Nurse jobs in Virginia?
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 $47. For comparison, the Virginia average for Medical Surgical Nurses is $49 per hour — Perm Staff Jobs pays 17% less.
| Average Hourly Salary | Max Hourly Salary | |
|---|---|---|
| Perm Staff Jobs | $41 | $47 |
Last updated on October 9, 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
- 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) - Med Surg
- Reston Hospital Center
- Reston, VA
$38-56/hour
Registered Nurse (RN) - Med Surg
- Reston Hospital Center
- Reston, VA
$37-56/hour
Registered Nurse (RN) - Float Med Surg
- LewisGale Medical Center
- Salem, VA
$37-55/hour
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