Sacramento vs San Jose: Registered Nurse Salary (2026)
Compare registered nurse salaries between Sacramento, CA and San Jose, CA. All figures are 2026 estimates projected from BLS 2025 data.
Side-by-Side Comparison
| Metric | Sacramento, CA | San Jose, CA |
|---|---|---|
| Median Salary | $180,565 | $228,249▲ |
| Hourly Rate | $86.81 | $109.73▲ |
| Entry Level (P10) | $105,973 | $130,732▲ |
| 25th Percentile | $138,830 | $173,814▲ |
| 75th Percentile | $209,125 | $235,378▲ |
| Top Earner (P90) | $230,397 | $247,679▲ |
| Total Employed | 23,590▲ | 22,930 |
Verdict
San Jose, CA offers better overall compensation for registered nurses, winning 3 out of 4 metrics compared to Sacramento.
The salary gap between Sacramento and San Jose is $47,684 (26.41%). San Jose's median is +122.18% compared to the US national median of $102,730.
Salary Range Comparison
The full salary range (10th to 90th percentile) in Sacramento spans $124,424,San Jose spans $116,947. Sacramento has a wider pay range, meaning more potential for high earners but also more variation.
Cost-of-Living Adjusted Comparison
After cost-of-living adjustment, San Jose ($206,704 effective) pays 22.11% more than Sacramento ($169,274 effective).
Cost-of-living adjustment: salary × (100 / CoL index). Index of 100 = national average.
Which City Is Right for You?
Choose Sacramento if…
- ✓Larger job market (23,590 employed)
- ✓You prefer the California area and lifestyle
Choose San Jose if…
- ✓Higher median salary ($228,249/year)
- ✓Better top-earner potential ($247,679)
- ✓Better purchasing power (CoL-adjusted: $206,704)
- ✓You prefer the California area and lifestyle
Historical Salary Growth Comparison
Based on BLS OEWS metropolitan area data, registered nurse salaries in Sacramento grew 31.3% from 2019 to 2025, compared to 48.1% growth in San Jose over the same period.
Sacramento, CA
$130,580 (2019) → $171,460 (2025)
San Jose, CA
$146,380 (2019) → $216,740 (2025)
View Full Salary Data
Sacramento, CA
San Jose, CA
Frequently Asked Questions
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Written by Jordan Lee, RN, BSN
Career Analyst
Jordan Lee has 10 years of experience as a registered nurse. Their specialty is pediatric nursing in a community hospital. They analyze nursing workforce trends and salary data.
Methodology & Data Source
All salary figures are 2026 projections based on BLS OEWS May 2025 data. A 5.31% CAGR (derived from 6-year national BLS trends) was applied to estimate current compensation. Cost-of-living adjustments use BEA Regional Price Parity data. Actual salaries vary by employer, certifications, and experience.
Data Sources & Methodology
Source: BLS, OEWS , released .
Compiled and verified by Jordan Lee, RN, BSN, a licensed registered nurse with 10+ years of clinical experience. · View source data at BLS.gov