HealthcareUpdated Q1 2026

Registered Nurse Salary
in Bethesda, MD

Provide and coordinate patient care, educate patients, and provide emotional support. Median salary in Bethesda: $135K/year. Data from BLS, O*NET, and H-1B disclosures.

Median salary
$135K
per year
Take-home: $87K

Salary range in Bethesda

Entry level (25th)$107,000
Median (50th)$135,000
Senior (75th)$172,000
Top earner (90th)$215,000
Data freshness

Figures represent annual base salary in Bethesda, Maryland. Reviewed by SalaryOptics Editorial Β· How we calculate this β†’

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What the numbers say for Bethesda

Analysis derived from the salary, COL, tax, and labor-market figures above β€” specific to this role and city.

65% premium vs national median

Registered Nurses in Bethesda earn approximately 65% higher than the US national median for this role β€” a $53,000 premium on annual base salary. This reflects Bethesda's position as a higher-cost labor market where employers must match local wage norms.

Rent eats 39% of take-home

Average 1-bedroom rent in Bethesda ($2,800/mo) consumes approximately 39% of an after-tax median Registered Nurse salary. Financial planners typically recommend keeping housing under 30% of take-home β€” a salary at the 75th percentile ($172K) brings that ratio into a more comfortable range here.

Primarily on-site role

Only 8% of Registered Nurse positions offer remote flexibility, meaning the Bethesda salary above represents what local employers actually pay β€” not a remote-anywhere rate. Geographic constraints reinforce the local market, so the salary range above is more directly applicable than for remote-friendly roles.

Key facts for Bethesda

Median salary
$135K
annual
Take-home pay
$87K
after fed/state tax
COL index
165
100 = US avg
State income tax
5.75%
effective rate
Avg 1BR rent
$2,800
per month
YoY growth
+3.5%
salary trend

Salary forecast: Bethesda Registered Nurse to 2030

Based on BLS 2022–2032 Employment Projections and WEF Future of Jobs Report 2026. At current growth rates, median salary reaches $159K by 2030.

Salary trend & forecast β€” Bethesda

Historical (2019–2025) + projected to 2030 based on BLS growth rates

HistoricalProjected
Registered Nurse salary trend 2019–2030PROJECTED β†’$113K$126K$140K$153K$166K201920212023202520272029
2026
$141K
projected
2027
$147K
projected
2028
$153K
projected
2029
$159K
projected
2030
$166K
projected

Projections based on BLS Employment Projections 2022–2032 CAGR and WEF Jobs Report 2025. Not financial advice.

YearProjected median salaryvs today
2027 projected$141,000+$6,000
2028 projected$147,000+$12,000
2029 projected$153,000+$18,000
2030 projected$159,000+$24,000

Projections use compound annual growth rate (CAGR) from BLS occupational outlook data. Actual salaries may vary.

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Registered Nurse Salary in Bethesda, Maryland: Complete Guide (2026)

The median Registered Nurse salary in Bethesda, MD is $135,000 per year as of Q1 2026. This figure represents the midpoint of all reported compensation for this role in the Bethesda–MD metropolitan area, based on data from the Bureau of Labor Statistics Occupational Employment Statistics, H-1B visa disclosures from the Department of Labor, and O*NET occupational data.

Salary range for Registered Nurse in Bethesda

Entry-level Registered Nurses in Bethesda with 0–2 years of experience typically earn between $107,000 and $135,000 annually. Mid-career professionals with 3–7 years command $135,000 to $172,000, while senior-level practitioners with 8+ years of experience regularly earn $172,000 to $215,000 or more.

Cost of living in Bethesda for Registered Nurses

Bethesda has a cost of living index of 165 compared to the US national average of 100. Bethesda's cost of living is above the US average, so the salary figures above reflect local market rates. Maryland has a 5.75% state income tax rate.

Education requirements for Registered Nurse

BSN or ADN; RN licensure required. 8% of these roles offer some remote flexibility.

Registered Nurse salary in nearby cities

CityMedian salaryCOL index
Bethesda (current)$135K165
Baltimore$97K115
Frederick$94K115
Rockville$121K148