I am currently on assignment in Tucson, AZ and one of the hospitals, Northwest Med Center, is paying $38 per hour for medsurg tele. And a dollar less for straight medsurg. It is the highest in the state. Several others in town have 2-4000$ completion bonuses. They do this because arizona gets all of the snow birds in the winter. Elderly folk from Iowa and such and the ER's get overrun.