Average Registered Nurse Salary in Sacramento, CA

The average Registered Nurse in Sacramento, CA earns $154,510 per year. See how this compares to the national average and what it means for your budget.

Average Salary
$154510
Median Salary
$157810
vs. National
63.5% above
Real Pay (COL-adjusted)
$144849

“Real pay” adjusts the average for Sacramento’s cost of living (Regional Price Parity 106.67, U.S. average = 100) — what this salary is worth in national-average dollars.

What Registered Nurses actually earn in Sacramento

The spread from entry-level (10th percentile) to top earners (90th), from BLS wage data.

10th (entry) $101670
25th $122300
Median $157810
75th $187860
90th (top) $207920

21890 Registered Nurses employed in the Sacramento metro.

Can a Registered Nurse afford a home in Sacramento?

Max home price under the 28% rule (housing ≤ 28% of gross), 10% down, 6.7% 30-yr rate. Median Sacramento home: $484600.

Earnings levelSalaryMax homeMedian home?
Entry (10th)$101670$40848984%
Median$157810$634048Yes
Top (90th)$207920$835379Yes

What’s this salary worth in another city?

What you earn (or want to compare)

Take-home pay for a Registered Nurse in Sacramento

Estimated pay after federal, FICA, and CA state taxes (2026). Prefilled with the local average — adjust for your situation.

Estimate only — not tax advice. Tax year 2026, federal + FICA + state (single or married filing jointly). Excludes local/city income taxes (e.g., NYC, Philadelphia) and individual credits. See our methodology.

Sacramento at a glance

Population524802
Median household income$83753
Median home value$484600
Median rent$1694/mo
Cost of living (RPP, U.S.=100)106.67
Bachelor’s degree or higher22.9%
Poverty rate14.2%

In Sacramento, CA, Registered Nurses earn a median of $157,810 a year — about 67% above the U.S. median of $94,480. Among the 50 metros tracked here for this role, that ranks #4.

What that pay is worth in Sacramento

Local prices run 107 on the BEA cost-of-living index (U.S. = 100), so a $154,510 salary buys less than it looks — about $144,849 in national-average buying power.

Can Registered Nurses afford a home in Sacramento?

A typical Sacramento home runs about $484,600 — 3.1 times the average Registered Nurse salary, manageable against the classic 3x rule of thumb. Median rent near $1,694/mo takes roughly 13% of gross pay — within the 30% comfort line.

The Registered Nurse pay ladder in Sacramento

Entry-level (10th percentile) Registered Nurses earn about $101,670; the top 10% reach $207,920 — a $106,250 spread, wide for this field. Most of that gap comes down to experience, employer, and how hard you negotiate.

The Registered Nurse job market in Sacramento

Sacramento employs roughly 21,890 Registered Nurses. It’s a sizable local market to build a career in.

Compare Sacramento with other cities

See the full Registered Nurse salary by city ranking to weigh Sacramento against the other metros on both pay and cost-adjusted value, or use the cost-of-living calculator to compare any two cities directly.

Frequently asked questions

How much do Registered Nurses make in Sacramento?

The average Registered Nurse in Sacramento, CA earns about $154,510 per year, 63.5% above the national average of $94,480.

What is the take-home pay for Registered Nurses in Sacramento after taxes?

After federal and CA taxes, this $154,510 salary is worth about $106,580 a year - roughly $8,881 a month in take-home pay, an effective tax rate near 31%.

What do the highest-paid Registered Nurses earn in Sacramento?

The top 10% of Registered Nurses in Sacramento earn about $207,920 a year, versus about $101,670 for the bottom 10%.

Can Registered Nurses afford a home in Sacramento?

A typical Sacramento home runs about $484,600 - roughly 3.1x this salary, within reach by the classic 3x rule of thumb.

Put your money to work