NP Salary/Pay Let's Be Transparent

Transparency is important so we can negotiate. As a new grad nurse practitioner I accepted a ridiculously low paying position and I assumed that was the pay in the new city I move to. I have grown over the past couple years and I understand I was taken advantage of. I hope that this doesn't happen to others. Therefore, I believe it is critical we know what other nurse practitioners are being compensated so we are able to negotiate our salary and benefits packages.

I'm an FNP-C in Houston area working in Surgery (first assist, preop, and follow up post op care) Salary is 110k (negotiating to 115k), 3 weeks pto, 9 paid holidays, 1500 CME/yr, paid DEA, malpractice, 401k without match, 4 day work week (40-50hrs), on-call practically all the time (but only get calls on surgery days 2-3days/week). Overall I'm happy with the work I do.

What is your compensation package look like?

[Hospitalist_APN]

Hello all,

I'm a hospitalist NP, I live in Philadelphia and work in NJ. I started in 2020 at 115K, 160 hours PTO, 401K with 50% match if I contribute at least 6%, $2000/year CME, they cover all licensing costs and DEA. Also, last year got a $500 holiday bonus which was a nice surprise. Salary goes up every 2 years when contract is re-signed. I work nights 7 on 7 off. I love my job. I admit on average 5 patients over night and cover the med/surg and tele floors. The doc I work with admits and covers the critical care patients.  I am very autonomous in my position which is a great perk for me. 

I do think it's important that we discuss this so that new grads can know their value and what to negotiate for. 

[Riburn3, BSN, MSN, APRN, NP]

Hospitalist NP in Southern, NM employed by a large national physician practice.  We work independently within our group and admit to ourselves with no physician oversite.  NM is a very NP friendly state.

-$171k base (have to give fourteen 12 hour shifts a month, at $85/hr).  I typically work 15 or 16 shifts a month so haven't taken home less than 210k a year in the nearly 4 years I've been here.  

-RVU and Quality bonuses equal another $20-30k a year

-4% matched 401k

-Solid Healthcare 

-No PTO, but schedule is week on, week off, so I have over half the month off and can work the schedule between months for more time if necessary

-Holiday differentials

-2k CME (licensing can be covered under CME, as can scrubs and stethoscopes, supplies)

[Riburn3, BSN, MSN, APRN, NP]

42 minutes ago, Alicia777 said:

This is incredible! Good for you ?

Thanks.  I had to crawl through the muck before I got this job, working for a large volume practice, seeing 30+ patients a day all over a decently sized city, and barely was scratching 6 figures.  It prepared me very well for my job, but it's proof that experience pays off.  I would have never landed my current gig as a new NP, and it's important to remember for new NP's out there, that their starting pay out of school will most certainly not be what you are making down the road.  Even in saturated markets, practice groups and larger companies will pay for experience.  

[SanDiFrangles, RN, NP, CNS]

Hi all, Pain Management Adult ACNP here based out an academic medical center in Baltimore, MD.

100k/year starting as a new grad NP (My experience 13 years RN ICU, 3 years as a CNS), base rate approximately 49/hr Weekend differential additional 7/hr, additional shift 75/hr

800 in CE and education reimbursement

7500 loan reimbursement one time

Expense reimbursement except for MD license

403b with dollar for dollar up to 4% of pay, partial vesting after 2, full vesting after 5 yrs

Medical, Dental, Life (small amount), FSA, HSA, about $60 per pay deduction for a mid tier plan, myself only. 

Overall, I feel like I'm getting pretty screwed in compensation. However this was my first new grad position and I wanted to get some experience first. Ultimately, I will probably go back to working as a clinical nurse specialist, since my compensation for that role was significantly higher. I applied for a CNS role in a similar size institution in Baltimore and was initially offered about 127,000 per year without any negotiation. Previously was working as a contract CNS was taking home about 4K weekly, in SF Bay Area - so take that based on cost of living. I'll probably hangout in this role for a year or two and then reshop the market. 

One piece of advice I might add, is I bought a Salary report off of salary.com and am able to use that in the negotiation process.

[nursetim, NP]

When did this start? The last two jobs I interviewed for were for home visits. They paid % of billed, required to carry own malpractice, 1099, no mileage, no benefits. One place was paying $17 a visit, one place 40% of billed/collected, the other 30% billed for 90 days- then 50K base and 30% collected.

What ever happened to, salary and benefits?

I can tell you absolutely, that in the valley of the sun, if you aren’t FNP/PA-C or PMHNP, you are SOL.

[Lennonninja, MSN, APRN, NP]

9 years of RN experience, 1 year of NP experience. This is my new grad job. Vascular surgery NP here, only work in the outpatient office seeing vascular medicine patients, post ops, etc. No time in the hospital. M-F 8-5, $95k per year, 5 days PTO per year, no reimbursement for CEU, DEA, or licensing fees. No call. No benefits offered, no 401k. No raises or cost of living increases offered. Have to do all of the NP work in the office as well as all of the RN work and help at the reception desk. 

[TeleRN2010, ADN, BSN, MSN]

I have 11 years of hospital nursing experience, working in acute care units in the midwest. I will start my first NP job soon in vascular surgery. I will work 1 day a week in the outpatient clinic, and 4 days of week in the hospitals doing consults, post-ops, and assisting in surgeries as I become more experienced. 8 hour days M-F. Starting pay is $110,000, medical, dental, vision, 401K with 4% match, $2000 CME, 5 days CME, malpractice coverage, cell phone reimbursement, mileage reimbursement, PTO (hours accrue each pay period), and the cost for all credentialing. No call. Another perk is free meals and snacks.

[Alicia777, MSN, NP]

Boston suburb hospital.
Updated numbers… I think I posted on here a couple years ago. I have 8 years NP experience. RN since ‘99.

$151K. Full time. Surgical NP. First assisting, seeing consults in the ER and on the floor.

-PTO, 4% matching 403B contributions, Full benefits, time and a half over 40 hours. CME credit has been on hold since Covid.

[JWEMT]

New grad. Hospital medicine. 127k starting 5 weeks vacation, 8 holiday, 2 weeks cme 2500$, sick days, 1 week conference. Full medical benefits, pension. 3% annual raise. Work 3 days a week. 

[FullGlass, BSN, MSN, NP]

I started out as a primary care NP (AGPCNP).  My first year's compensation was $125K.  After 2 years, I switched to mental health and was paid $75 per hour for 1 year.  I just completed 1.5 years with my employer, have earned my PMHNP and I negotiated pay raise to $90 per hour = $187K per year.  I am in Bakersfield, CA.

[Persistent FNP, RN, NP]

New grad FNP, FHQC-130K with 6 wks PTO and extended long term sick pay. 2k CME + 1 wk PTO on top of vacation/sick. 5 8's with one day tele-health from home and half day admin, with promise to re-evaluate for 4 10's when it is feasible. 25k sign on bonus with 10k relocation stipend. Rooming MA and scribe with paid license, uptodate etc. Also qualifies for loan repayment

California, Mendocino County

[OncNP]

Heme/Onc NP with 8 years experience, was my first job out of NP school. I am in Upstate NY, private practice. 

I see 18-22 patients per day, 4.5 days per week. Call is 1:6. 

Salary is $103,000; no CME money. 24 days PTO. 6 paid holidays. No weekends other than call, and half day Fridays. 3% match 401k, about $1500 put into a pension each year, and $3000 profit sharing in a retirement in fund each year. Calls are first call only, don't have to go in, $1000 per weekend. 

PPD is significantly higher than in other oncology practices from what I hear, pay is lower.  Salary is significantly lower compared to other mid levels in community that work for local hospital system and are on productivity.