Registered Nurse Hourly Pay in Madison, AL: $38.23 (2026)
Quick Answer:Hourly pay for a registered nurse working in Madison, AL runs $38.23 at the median for 2026 — annualizing to $79,523 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-1141). Weighted against Madison's regional price level (BEA RPP 87.9, 12% below national), each hour of work buys what $43.49 nationally would. A 24-hour part-time schedule grosses $47,708 per year.
Based on BLS state-level estimates · View source

In Madison, Alabama, the projected median hourly pay for registered nurses is $38.23, which is significantly lower than the national median hourly pay of $49.39. This difference can have a profound impact on part-time and per-diem workers in the area. For instance, a nurse working three days a week could expect to earn around $1,215 weekly, taking home approximately $63,180 annually, before taxes. Madison's hourly wage range for registered nurses is quite notable, with entry-level positions starting at around $27.76 and experienced professionals making up to $53.74. These hourly rates reflect the diverse requirements of various nursing roles, from busy hospital floors and intensive care units to outpatient clinics and home health visits, shaping the overall landscape of nursing income in the city.
About the Madison Market
Salary estimated from Alabama average ($66,000) adjusted for local cost of living.
Registered Nurse Hourly Wage Breakdown
| Percentile | Hourly Rate | Per 8hr Shift |
|---|---|---|
| Entry Level (P10) | $27.76 | $222.08 |
| Lower Range (P25) | $31.75 | $254.01 |
| Median (P50) | $38.23 | $305.82 |
| Upper Range (P75) | $44.11 | $352.91 |
| Top Earners (P90) | $53.74 | $429.92 |
Estimated Annual Income by Work Schedule in Madison
Based on $38.23/hr median hourly rate · 2026 est.
At $38.23/hr, a registered nurse working full-time (40 hr/wk) in Madison, AL can expect to earn approximately $79,513 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $45,873. With a cost-of-living index of 87.90 (below the national average), these earnings stretch further in Madison.
Hourly Rate Calculator
Schedule Comparison in Madison
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $1,529.10 | $6,626 | $79,513 |
| Part-Time (24 hrs) | $917.46 | $3,976 | $47,708 |
| Per Diem (16 hrs) | $611.64 | $2,650 | $31,805 |
Compare RN Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Registered Nurse (Madison) | $38.23 |
| Licensed Practical Nurse (National Avg) | $29.34 |
| Nursing Assistant (CNA) (National Avg) | $18.60 |
| Nurse Practitioner (National Avg) | $63.50 |
| Medical Assistant (National Avg) | $19.70 |
Registered Nurses in Madison, AL earn a median of $79,523 per year (2026 est.), which is 22.59% lower than the national median of $102,730 and 2.50% below the Alabama state average of $81,562.
Registered Nurse Hourly Pay vs. Cost of Living
Working 24h/week at $38.23/hr = $47,708/year (purchasing power: $54,275).
Working 40h/week (full-time) = $79,513/year (purchasing power: $90,459).
CoL index: 87.9 (100 = national average). Your dollars stretch further here.
2019 BLS Actual
$27.28/hr
2025 BLS Actual
$36.30/hr
2026 Current Est.
$38.23/hr
2019–2027 Growth
+47.6%
Hourly Rate Trajectory for Registered Nurses in Madison (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 5.31% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2019 | $27.28/hr | Actual |
| 2020 | $28.03/hr | Actual |
| 2021 | $28.88/hr | Actual |
| 2022 | $30.22/hr | Actual |
| 2023 | $32.03/hr | Actual |
| 2024 | $27.19/hr | Actual |
| 2025 | $36.30/hr | Actual |
| 2026(current) | $38.23/hr | Estimated |
| 2027 | $40.26/hr | Projected |
Based on 7 years of BLS OEWS metropolitan area data, the median hourly rate for registered nurses in Madison grew 33.1% from $27.28/hr (2019) to $36.30/hr (2025). At a 5.31% projected growth rate, hourly pay is expected to reach $40.26/hr by 2027. Part-time and per-diem registered nurses can use this multi-year trend to benchmark future contract negotiations.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Madison metropolitan area, sourced from annual Occupational Employment and Wage Statistics surveys. 2026–2026 figures are current estimates, and 2027 values are projections, calculated using a 5.31% CAGR derived from 7-year BLS historical data. Actual salaries may vary based on employer, experience, certifications, and local market conditions.
Working as an Hourly Registered Nurse in Madison
Considering the earning potential for part-time nurses, those working 24 hours weekly could see a significantly different financial picture compared to full-time nurses. In a per-diem context, they may earn between $50 and $80 per hour depending on their specialty, allowing them to potentially increase their take-home pay substantially without committing to a full-time schedule. Moreover, travel nursing remains an attractive option, with contracts offering between $2,000 and $4,500 per week, and some crisis rates in high-demand areas hitting $5,000 to $8,000. The hourly rates for registered nurses can also vary across different employer types in Madison, with acute care facilities, surgical centers, and home health agencies each offering unique compensation structures. Some registered nurses choose positions with lower hourly rates that include benefits, balancing pay against job security. Negotiating effectively in Madison, especially regarding shift differentials for nights and weekends, can enhance earnings for both full-time and per-diem positions.
More salary data for Madison, AL:
Frequently Asked Questions
What is the hourly rate for registered nurses in Madison in 2026?
How much do part-time registered nurses make in Madison?
Are registered nurses in Madison paid hourly or salary?
How much does a full-time registered nurse make per year in Madison?
Do registered nurses earn more per hour working part-time in Madison?
Related Pages
Compare Salaries
Career Resources
Nearby Cities in Alabama
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
Hourly wage figures on this page are 2026 projections based on the Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey, May 2026 release. A 5.31% compound annual growth rate (CAGR), derived from 6-year national BLS wage trends, was applied to estimate current 2026 hourly rates for registered nurses in Madison. Part-time and full-time income estimates assume consistent weekly hours and do not account for overtime, benefits, or seasonal variation.
Data Sources & Methodology
Salary data for Madison is estimated from official BLS state-level occupational wage data (2025), adjusted for regional cost-of-living differences using BEA RPP (Regional Price Parities).
2026 figures are projected from 2025 BLS data using a compound annual growth rate (CAGR) of 5.31%, derived from historical BLS wage trends for registered nurses (SOC 29-1141).
Compiled and verified by Jordan Lee, RN, BSN, a licensed registered nurse with 10+ years of clinical experience. · View source data at BLS.gov