Nurse Practitioner Salary in Sacramento, CA
Nurse Practitioners in the Sacramento-Roseville-Folsom, CA metro area earn a median $172,010 a year — 30% more than the national median. After 2026 taxes, that is $114,831 take-home, or $9,569 a month.
Take-home pay calculator
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- Federal income tax$30,016
- Social Security (6.2%)$10,665
- Medicare (1.45%)$2,494
- California income tax$11,767
- CA State Disability Insurance (SDI)$2,236
- Take-home pay$114,831
Marginal rate: 24% federal + 9.30% state
Nurse Practitioner pay by experience in Sacramento, CA
| Percentile | Salary | Hourly | Take-home / yr | Per month |
|---|---|---|---|---|
| 10th percentile (entry level) | $105,540 | $50.74 | $76,120 | $6,343 |
| 25th percentile | $149,350 | $71.80 | $101,745 | $8,479 |
| Median (50th) | $172,010 | $82.70 | $114,831 | $9,569 |
| 75th percentile | $221,990 | $106.73 | $145,492 | $12,124 |
| 90th percentile (top earners) | $240,100+ | $115.43 | $155,462 | $12,955 |
Wages: BLS Occupational Employment and Wage Statistics, May 2025. Take-home: single filer, California resident, 2026 tax rules.
What $172,010 buys in Sacramento, CA
Prices in Sacramento, CA are 6.7% higher than the U.S. average (housing costs are 1.30× the national average). Adjusted for local prices, a median nurse practitioner's $114,831 take-home pay has the buying power of $107,651 in a typical American city.
Rents: HUD Fair Market Rents, FY2026 (40th-percentile gross rent incl. utilities). Price levels: BEA Regional Price Parities, 2024.
Nurse Practitioner jobs are less concentrated in Sacramento, CA than nationally (location quotient 0.52), so openings may be scarcer.
Best-paying cities for nurse practitioners, adjusted for cost of living
Sacramento, CA ranks #12 of 117 metro areas once taxes and local prices are taken into account.
| # | Metro area | Median salary | Take-home | Real value* |
|---|---|---|---|---|
| 1 | San Jose, CA | $231,560 | $150,760 | $136,530 |
| 2 | San Francisco, CA | $219,080 | $143,890 | $124,458 |
| 3 | Killeen, TX | $138,670 | $106,047 | $116,366 |
| 4 | Tulsa, OK | $139,460 | $100,857 | $113,050 |
| 5 | Sioux Falls, SD | $130,390 | $100,388 | $110,765 |
| 6 | McAllen, TX | $122,550 | $95,029 | $110,634 |
| 7 | Las Vegas, NV | $144,060 | $109,731 | $109,496 |
| 8 | Fresno, CA | $166,570 | $111,690 | $109,330 |
| 12 | Sacramento, CA | $172,010 | $114,831 | $107,651 |
*Take-home pay divided by the BEA price level, so every city is measured in U.S.-average dollars. See all 117 metros →
Nurse Practitioner salaries elsewhere in California
- San Jose, CA — $231,560
- San Francisco, CA — $219,080
- Fresno, CA — $166,570
- Riverside, CA — $169,920
- San Diego, CA — $163,860
- Los Angeles, CA — $161,470
Frequently asked questions
How much does a nurse practitioner make in Sacramento, CA?
The median nurse practitioner salary in the Sacramento-Roseville-Folsom, CA metro area is $172,010 a year, or about $82.70 an hour, according to the Bureau of Labor Statistics (May 2025). The middle half earn between $149,350 and $221,990.
What is a nurse practitioner’s take-home pay in Sacramento, CA?
On the median $172,010 salary, a single filer living in California takes home about $114,831 a year ($9,569 a month) after federal tax, Social Security, Medicare and $14,003 in California taxes in 2026.
Is Sacramento, CA a good place to work as a nurse practitioner?
Pay here is 30% above the national median of $132,300. Local prices are 6.7% above the U.S. average, so the take-home pay buys what $107,651 would in a typical U.S. city. Sacramento, CA ranks #12 of 117 metro areas for cost-of-living-adjusted pay in this job.
Can a nurse practitioner afford rent in Sacramento, CA?
HUD’s fair market rent for a one-bedroom in Sacramento, CA is $1,812 a month ($2,241 for two bedrooms) — 19% of a median nurse practitioner’s monthly take-home pay. Financial planners usually suggest keeping rent under about 30%.
Related jobs in Sacramento, CA
- Family Medicine Physician — $239,200+
- Physicians, All Other — $239,200+
- Pharmacist — $172,680
- Registered Nurse — $171,460
- Dentists, General — $170,500
- Veterinarian — $165,260
- Diagnostic Medical Sonographer — $163,220
- Physician Assistant — $161,470
- Optometrist — $139,020
- Radiologic Technologist and Technician — $135,880
- Respiratory Therapist — $134,430
- Physical Therapist — $131,430