How much is the icu nurse vs med-surg nurse pay gap in Washington?

The estimated gap in Washington is about $13,810 a year, or roughly 12% more for icu nurses. Your actual pay depends on experience, specialty, shift, and employer — use the calculator to compare both for your situation.

Are these Washington figures exact?

No — they're modeled estimates, not verified Washington wages. They start from each role's national pay and adjust for Washington's cost of labor, and they update to verified numbers when official state data is loaded.

Why are some figures verified and others estimates?

National pay for the main nursing roles — registered nurses, LPNs/LVNs, nurse practitioners, CRNAs, nurse midwives, and nursing assistants — comes from verified public wage data. State, city, and specialty figures that aren't reported on their own start from that national pay and are labeled "Estimated" or "Specialty estimate." We never show an estimate as a verified figure.

Washington · WA

ICU Nurse vs Med-Surg Nurse salary in Washington

In Washington, icu nurses earn more — an estimated $128,920 a year versus $115,110 for med-surg nurses, a gap of about $13,810 (roughly 12% more). Both are estimates based on national pay for each role adjusted for Washington.

ICU Nurse — Washington

Specialty estimate

Median annual pay

$128,920

+18% vs national

Hourly

$61.98/hr

Median $128,920

$91,110Middle 50%: $106,160–$148,480$181,680

Typical range: $106,160–$148,480; What most nurses earn
High end: $181,680; Top earners
Entry level: $91,110; Newer nurses

Med-Surg Nurse — Washington

Specialty estimate

Median annual pay

$115,110

+18% vs national

Hourly

$55.34/hr

Median $115,110

$81,350Middle 50%: $94,790–$132,570$162,210

Typical range: $94,790–$132,570; What most nurses earn
High end: $162,210; Top earners
Entry level: $81,350; Newer nurses

Why the gap in Washington

ICU nurses are modeled to earn slightly more than med-surg nurses, though both roles are built on the same RN license and wage base. The edge reflects the ICU's higher patient acuity, lower nurse-to-patient ratios, and critical-care certifications such as the CCRN. The Washington figures apply the same local pay adjustment to both roles, so the gap here mirrors the national picture, shifted for Washington's cost of labor. Actual pay varies with experience, specialty, shift, and employer — compare the national ICU Nurse vs Med-Surg Nurse comparison or personalize the calculator.

ICU Nurse vs Med-Surg Nurse in Washington — FAQ

Do icu nurses or med-surg nurses earn more in Washington?: In Washington, icu nurses earn more — an estimated $128,920 a year versus $115,110 for med-surg nurses, a gap of about $13,810 (roughly 12% more). Both are estimates based on national pay for each role adjusted for Washington's local pay level.
How much is the icu nurse vs med-surg nurse pay gap in Washington?: The estimated gap in Washington is about $13,810 a year, or roughly 12% more for icu nurses. Your actual pay depends on experience, specialty, shift, and employer — use the calculator to compare both for your situation.
Are these Washington figures exact?: No — they're modeled estimates, not verified Washington wages. They start from each role's national pay and adjust for Washington's cost of labor, and they update to verified numbers when official state data is loaded.
Why are some figures verified and others estimates?: National pay for the main nursing roles — registered nurses, LPNs/LVNs, nurse practitioners, CRNAs, nurse midwives, and nursing assistants — comes from verified public wage data. State, city, and specialty figures that aren't reported on their own start from that national pay and are labeled "Estimated" or "Specialty estimate." We never show an estimate as a verified figure.

Source & confidence— An estimate for a specialty that public pay data does not list on its own. A ballpark to start from, not an exact figure.

Modeled estimate (BLS national × state wage index)

Washington figures are estimated by adjusting the U.S. Bureau of Labor Statistics OEWS national median for local pay levels (a state adjustment of 1.18×).

Source year 2025. Last reviewed July 3, 2026. Full methodology

Estimated figures for Washington. Last reviewed July 3, 2026.