Members are discussing various aspects of nurse practitioner (NP) programs, salaries, and job satisfaction. Some members are sharing their personal experiences with NP programs and salaries, while others are referencing reports on NP salaries by state and specialty. Additionally, there is a conversation about the perception of certain cities and the impact of location on salary and job satisfaction.
Hi everyone. I'm curious as to see what an actual paycheck (before taxes) looks like from an NP. I find salary websites to be not very helpful. So...
What type NP are you?
Where (state)(rural/urban) do you practice?
Are you independent or in a group?
How many years experience?
What is your before tax paycheck amount?
Monthly or bi-weekly?
Salary/hourly/other(explain)?
Avg hours on check?
What are the perks of your contract? (ie. PTO/vacation/bonuses)
I know this is very personal, but if you are able to provide input, I would appreciate it! I'm mainly interested also to see after the gov/operational costs etc have taken their share, how much are you left with?
It's a function of market and cost of living. An RN in Memphis may make $22/hr and an NP $100,000/year. An RN in Oakland may may $65/hour and an NP $200,000. It's not an "exorbitant salary" if the market is willing to pay it. Who would get an NP degree to be paid $100,000 in Oakland when they can get $150,000 as an RN?
Many NPs get about 1/2 to 3/4 of what a physician is paid and that is not a tragedy it's just reality.
I make about $300 per hour or $200k+ working 4 days, 8 hours per week, just billing insurance. If some physician is paying you less, you're getting ripped off. I'm a PMHNP.
Uhhhh did anyone get that these numbers aren't even close to adding up based on a 32h week?
I know RNs that make more than 150k/year, but none of them do it without significant differentials and a significant amount of overtime.
That being said, I will go back to the advice I always give: go to NP school because you want the role not because you want the money. There are much easier ways to make more money.
Uhhhh did anyone get that these numbers aren't even close to adding up based on a 32h week?
I'm thinking that $200k yearly is net. With PMHNP in their own private practice there is overhead, taxes, accountants, malpractice insurance, you get the drift. There are many PMHNP out there who make this in private practice, in independent practice states.
Where is an easy place to look to see typical insurance payments on types of visits. I am trying to negotiate and this would be helpful and I am having a hard time finding it.
The reason is because the $300 per hour is outpatient. Then I have side things like training fellowship-MDs for significantly more, doing Fitness for Duty evals for a lot more, etc. You're right, though, I didn't state it well. Key point is for around 32 hours per week, you should make at least $200k.
There isn't one, it's difficult. One of the problems is that, even in independent states that don't restrict patient choice, insurance companies do it anyway. They may not panel NPs and they may pay as low as half as they would to physicians, despite not passing on the savings to patients. These things are changing, but slowly. You can negotiate after a year or so, if you see a lot of insurance patients. I got mine raised to about $70 per patient, but they started at $35 .
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1,698 Posts
Why do we need that? Master prepared NP's are functional.