The average salary for a Registered Nurse in Spokane is 86,512 $ per year on a 40-hour full-time equivalent, or 7,209 $ gross per month and 41.59 $ gross per hour. The reported full-time salary range is 57,778 $ to 125,000 $. The analysis is based on 37 salary reports from workers and employers in Spokane. Part-time salaries are proportionally converted to 40 weekly hours so the values are comparable.
| Date | Job title | Weekly hours | Reported gross/year | Normalized to 40h/year | Gross/month 40h | Gross/hour 40h | Note |
|---|---|---|---|---|---|---|---|
| 06/20/2026 | Registered Nurse - Staff RN | 36.0 h | 98,000 $ | 108,889 $ | 9,074 $ | 52.35 $ | I work as a staff RN on a specialty floor and maintain a 36-hour workweek; pay improved substantially in recent years and this reflects the current annual gross for my schedule. |
| 05/30/2026 | Registered Nurse - Senior Staff RN | 40.0 h | 125,000 $ | 125,000 $ | 10,417 $ | 60.10 $ | I'm a senior staff RN with advanced certifications and critical care experience; this is my reported full-time gross salary for early 2026 reflecting market-driven increases. |
| 02/14/2026 | Registered Nurse - Per Diem / PRN | 20.0 h | 56,000 $ | 112,000 $ | 9,333 $ | 53.85 $ | I moved to PRN/per diem work and average about 20 hours weekly. This is my annual gross given the intermittent schedule; the hourly rate is higher but total hours are lower. |
| 11/11/2025 | Registered Nurse - ICU Lead | 42.0 h | 120,000 $ | 114,286 $ | 9,524 $ | 54.95 $ | I serve as an ICU lead with both clinical and administrative duties and averaged about 42 hours/week. Compensation in 2025 reflected the high responsibility level. |
| 08/23/2025 | Registered Nurse - Clinical Educator | 40.0 h | 112,000 $ | 112,000 $ | 9,333 $ | 53.85 $ | I work as a clinical educator for nursing staff and maintain some clinical hours. My role is full-time and includes training, which is compensated at a higher level. |
| 04/07/2025 | Registered Nurse - ER Senior RN | 40.0 h | 105,000 $ | 105,000 $ | 8,750 $ | 50.48 $ | I am a senior ER RN with many years of experience; in 2025 I worked full time and took extra shifts during staffing shortages which raised my gross annual pay. |
| 12/18/2024 | Registered Nurse - Charge RN | 40.0 h | 98,000 $ | 98,000 $ | 8,167 $ | 47.12 $ | I was a senior charge RN on a high-acuity unit, working full time with leadership responsibilities; this reflects pay increases in recent years for experienced staff. |
| 09/02/2024 | Registered Nurse - Home Health Owner/Contract RN | 40.0 h | 92,000 $ | 92,000 $ | 7,667 $ | 44.23 $ | I run a small private home health contract practice and also perform visits; I report my gross earnings as an RN contractor for the year while averaging full-time hours. |
| 06/05/2024 | Registered Nurse - Pediatric RN | 38.0 h | 85,000 $ | 89,474 $ | 7,456 $ | 43.02 $ | I'm a pediatric RN working 38 hours/week. My experience and certifications contributed to a higher-than-average staff RN salary in 2024. |
| 03/15/2024 | Registered Nurse - Travel RN | 40.0 h | 118,000 $ | 118,000 $ | 9,833 $ | 56.73 $ | I accepted multiple travel contracts in 2024 and worked full-time; cumulative pay for the year was higher than local staff rates due to contract premiums. |
| 11/29/2023 | Registered Nurse - Nurse Manager | 44.0 h | 115,000 $ | 104,545 $ | 8,712 $ | 50.26 $ | I work as a nurse manager overseeing a medium-sized unit. My weekly hours averaged higher due to administrative responsibilities and meetings; this is my gross annual pay. |
| 09/10/2023 | Registered Nurse - Float/Step-Down | 36.0 h | 79,000 $ | 87,778 $ | 7,315 $ | 42.20 $ | I float to step-down and other units and work 36 hours/week. I have senior-level clinical experience but no formal management duties. |
| 06/21/2023 | Registered Nurse - Operating Room | 40.0 h | 93,000 $ | 93,000 $ | 7,750 $ | 44.71 $ | I'm an OR RN with specialized skills and participate in complex cases; this is my full-time annual gross for 2023 after shift differentials. |
| 02/08/2023 | Registered Nurse - Case Manager | 40.0 h | 85,000 $ | 85,000 $ | 7,083 $ | 40.87 $ | I transitioned into case management and work full-time coordinating care transitions; this salary reflects my increased responsibilities and experience. |
| 12/16/2022 | Registered Nurse - Staff RN | 38.0 h | 82,000 $ | 86,316 $ | 7,193 $ | 41.50 $ | I work as a staff RN with some charge responsibilities, typically 38 hours/week. Pay increased notably in 2022 compared to previous years due to market pressures. |
| 10/05/2022 | Registered Nurse - Per Diem | 16.0 h | 46,000 $ | 115,000 $ | 9,583 $ | 55.29 $ | I work per diem and average about 16 hours/week; this is my annual gross based on intermittent shifts. I have several years of experience but prefer limited hours. |
| 08/11/2022 | Registered Nurse - ICU | 40.0 h | 98,000 $ | 98,000 $ | 8,167 $ | 47.12 $ | I was an ICU RN during a high-demand period and accepted additional shifts and critical care differentials; this is the gross I reported for the year. |
| 04/27/2022 | Registered Nurse - ER | 40.0 h | 88,000 $ | 88,000 $ | 7,333 $ | 42.31 $ | I am an experienced ER RN and did a mix of full-time shifts plus extra overtime and per diem in 2022, reflected in this annual gross total. |
| 11/19/2021 | Registered Nurse - Home Health Supervisor | 42.0 h | 90,000 $ | 85,714 $ | 7,143 $ | 41.21 $ | I supervise a small home health team and carry a reduced case load while doing administrative work. I reported this as my full annual salary while working about 42 hours/week. |
| 09/30/2021 | Registered Nurse - School Nurse | 30.0 h | 57,000 $ | 76,000 $ | 6,333 $ | 36.54 $ | I work part-time as a school nurse (about 30 hours/week) and manage immunization records and daily care plans; this is my annual gross for that schedule. |
| 07/14/2021 | Registered Nurse - Charge Nurse | 40.0 h | 82,000 $ | 82,000 $ | 6,833 $ | 39.42 $ | I was promoted to charge nurse in 2021 and work full time with leadership responsibilities on my unit. The salary reflects the added responsibilities. |
| 03/02/2021 | Registered Nurse - Case Manager | 40.0 h | 76,000 $ | 76,000 $ | 6,333 $ | 36.54 $ | I work full-time as a case manager RN with several years of experience coordinating discharge planning. This is my gross for the reporting year. |
| 12/22/2020 | Registered Nurse - Med/Surg | 36.0 h | 66,000 $ | 73,333 $ | 6,111 $ | 35.26 $ | I'm a mid-level med-surg RN working 36 hours/week. The 2020 pay included some COVID premium shifts but overall was consistent with local market rates then. |
| 11/06/2020 | Registered Nurse - Travel RN (Contract) | 40.0 h | 98,000 $ | 98,000 $ | 8,167 $ | 47.12 $ | I took travel contracts during the pandemic and worked a full-time equivalent schedule. This contract year had higher pay due to acute staffing shortages. |
| 06/18/2020 | Registered Nurse - ICU | 40.0 h | 79,000 $ | 79,000 $ | 6,583 $ | 37.98 $ | I reported this during 2020 when ICU needs surged. I was full-time with extra hazard pay and overtime contributing to the annual gross. |
| 12/03/2019 | Registered Nurse - Float Pool | 36.0 h | 61,000 $ | 67,778 $ | 5,648 $ | 32.59 $ | I'm part of a float pool rotating through units, working 36 hours weekly. The job requires adaptability but does not include management duties. |
| 09/28/2019 | Registered Nurse - ER | 40.0 h | 72,000 $ | 72,000 $ | 6,000 $ | 34.62 $ | I work full time in the ER; this reflects my gross annual salary before taxes. I had about seven years of experience and covered many night shifts. |
| 04/09/2019 | Registered Nurse - Charge Nurse | 38.0 h | 67,000 $ | 70,526 $ | 5,877 $ | 33.91 $ | I was a charge nurse on a medical floor with supervisory duties and worked 38 hours per week. I had roughly five years' experience at the time. |
| 12/14/2018 | Registered Nurse - OR | 40.0 h | 75,000 $ | 75,000 $ | 6,250 $ | 36.06 $ | I worked as an OR RN with about 8 years experience and a mix of day and evening shifts; this is my full-time gross salary reported for that year. |
| 10/03/2018 | Registered Nurse - Home Health | 34.0 h | 60,000 $ | 70,588 $ | 5,882 $ | 33.94 $ | I work part-time (34 hours) in home health with growing caseload and clinical responsibility; the role includes significant travel within the county. |
| 05/22/2018 | Registered Nurse - Med/Surg | 36.0 h | 58,000 $ | 64,444 $ | 5,370 $ | 30.98 $ | I'm a mid-level med/surg nurse working 36 hours per week. I had about three years of experience and occasional charge shifts. |
| 11/10/2017 | Registered Nurse - ICU | 40.0 h | 70,000 $ | 70,000 $ | 5,833 $ | 33.65 $ | I was an ICU RN with around 6 years' experience at this time, working a standard 40-hour full-time schedule. I had additional night shift differential included. |
| 08/01/2017 | Registered Nurse - School Nurse | 32.0 h | 50,000 $ | 62,500 $ | 5,208 $ | 30.05 $ | I work as a school nurse part-time during the academic year. My position is limited hours (about 32/week during school months), and this annual salary reflects that schedule. |
| 03/19/2017 | Registered Nurse | 36.0 h | 54,000 $ | 60,000 $ | 5,000 $ | 28.85 $ | I'm a recent grad working on med-surg floors, full-time at 36 hours per week. This is my first RN salary after orientation. |
| 12/29/2016 | Registered Nurse - ER | 40.0 h | 64,000 $ | 64,000 $ | 5,333 $ | 30.77 $ | I work full-time in the emergency department with about four years of experience at the time of this report. I do frequent overtime but this annual number reflects the gross I received for the full-time schedule. |
| 10/12/2016 | Registered Nurse | 36.0 h | 52,000 $ | 57,778 $ | 4,815 $ | 27.78 $ | I am an entry-level med-surg RN; I started here straight out of nursing school and work full time. My shift is typically 36 hours per week and I do not have supervisory duties. |
| 07/05/2016 | Registered Nurse - Home Health | 30.0 h | 48,000 $ | 64,000 $ | 5,333 $ | 30.77 $ | I'm working part-time in home health (roughly three days a week) and have basic caseload responsibilities. I started in 2015 and this report reflects my annual gross pay for the part-time schedule. |
Spokane serves as the health care hub for the Inland Northwest, drawing patients from Eastern Washington, North Idaho, and parts of Montana. For Registered Nurses, the city typically offers steady opportunities across hospital, outpatient, and community settings. Health care is one of the area’s largest employment sectors, and local systems continue to invest in acute care capacity, ambulatory clinics, and care-at-home services. This mix creates ongoing demand for RNs with a range of backgrounds—from new graduates entering residency programs to experienced nurses seeking specialty roles.
Training pipelines from regional schools, including the Washington State University College of Nursing and Gonzaga University, help supply talent, but employers in Spokane often recruit beyond the metro to meet needs in critical care, perioperative, emergency, behavioral health, and home health. Many teams emphasize evidence-based practice, care coordination across rural referrals, and familiarity with widely used electronic health records.
Hiring demand for Registered Nurses in Spokane generally remains consistent, with periodic surges tied to seasonal volumes, respiratory illness trends, and elective-procedure schedules. Hospitals frequently post openings in medical-surgical, telemetry, ICU, emergency, operating room, PACU, mother-baby, and float pool roles. Ambulatory networks and FQHCs across Spokane and Spokane Valley also add positions in primary care, cardiology, oncology, orthopedics, GI/endoscopy, infusion, and urgent care. Home health, hospice, and public health programs regularly seek RNs for case management and community outreach.
Washington requires licensure through the Washington State Board of Nursing, and employers typically look for current BLS certification; ACLS, PALS, NRP, TNCC, OCN, or other specialty credentials may be preferred depending on the unit. Many Spokane hospitals prefer a BSN or ask ADN-prepared nurses to complete a BSN within a set timeframe. Nurse residency programs are commonly offered for new graduates by the major health systems. Washington has enacted participation in the Nurse Licensure Compact and is working toward implementation, which could eventually ease interstate mobility; until then, RNs commuting from Idaho or other states should verify current licensing requirements.
Work schedules in hospital settings commonly include 12-hour shifts with nights, weekends, and holidays as needed, while clinics tend to offer more traditional weekday hours. Employers increasingly emphasize experience with care coordination and patient education because Spokane’s role as a regional referral center requires smooth transitions between tertiary hospitals, community facilities, and rural providers.
Spokane’s RN employers range from large tertiary hospitals to specialty centers and community clinics. Notable organizations that regularly hire Registered Nurses include:
Registered Nurses in Spokane can develop careers in a variety of directions. Hospital-based specializations commonly include critical care, emergency, step-down/telemetry, perioperative services (OR, pre-op/PACU, sterile processing adjacency), cardiac cath/EP labs, mother-baby, NICU, and pediatrics. Oncology, infusion therapy, and ambulatory procedure centers offer roles for nurses seeking predictable schedules with highly coordinated care.
The region’s behavioral health needs create openings in inpatient psychiatry, outpatient programs, and crisis response. Community and population health work is available through FQHCs, the regional health district, school health services, and home-based care. Case management, care coordination, and utilization review roles are growing as systems emphasize value-based care and smooth transitions for rural referrals. RNs with interest in technology can explore informatics and quality improvement; major Spokane systems commonly use Epic, while federal facilities may operate on different EHR platforms.
Professional growth typically includes clinical ladder programs, preceptor and charge roles, educator positions, and pathways into advanced practice with additional education. With Spokane’s mix of tertiary, community, and outpatient environments—plus proximity to North Idaho—RNs often find a broad range of opportunities without leaving the metro. For candidates who value team-based care and exposure to complex cases, Spokane, Washington, offers a balanced setting to build skills and advance within the region’s interconnected health care network.
The average salary for a Registered Nurse in Spokane is 86,512 $ per year on a 40-hour basis, or 7,209 $ gross per month.
Part-time and full-time reports are normalized to a 40-hour workweek so salary reports can be compared fairly.
You can find more comparisons on the profession overview for Registered Nurse and the city overview for Spokane. They show reported cities or jobs with their difference from the average.
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