Salaries & JobsUpdated March 2026

Registered Nurse Salary in Pierre, SD

Average annual salary for registered nurses. Data sourced from BLS, U.S. Census Bureau, and industry surveys.

Avg Salary
$56,869
24% below avg
Cost Range
$41,704 – $72,034
National Avg
$75,000
State Avg
$62,808
Cost Index
90/100
YoY Trend
-0.3%
Stable
Reviewed by Katherine Park, Labor Market Researcher|Last verified: March 2026|Sources: BLS, Census Bureau, HUD
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Average Registered Nurse Salary in Pierre

The numbers tell the story: registered nurse salary in Pierre costs considerably less here than in most US cities, with prices 24% below the benchmark. In dollar terms, that means a typical range of $41,704 to $72,034 $/yr. This midwestern smaller city has an economy running on agricultural processing, regional healthcare, and a quiet but growing remote-work population, which shapes everything from labor availability to material costs in this category.

Average Annual Salary Range
$41,704$72,034
-24% vs national average
$41,704$56,869$72,034
LowNational avg: $75,000High

What Affects Registered Nurse Salary Pay in Pierre?

What makes Pierre's market for registered nurse salary distinct? Start with the labor market: a price-competitive market where local businesses work harder for each customer. Add in a housing market where the American Dream of owning a home is still financially realistic, and you begin to see why prices land where they do. Lake-effect snow and ice create plumbing emergencies that don't happen in warmer markets. Budget accordingly.

What Matters Most

Nursing specialty, shift differential, and facility type create a wider range than most people expect. ICU and OR nurses earn 15-25% more than general floor nurses; night shift adds another 10-15%.

Pro Tip

Travel nursing contracts still offer $10,000-20,000 more per 13-week assignment than permanent positions. Even one or two travel stints per year can significantly boost annual income.

Common Mistake

Comparing salaries without factoring in benefits. Hospital-employed nurses typically receive health insurance, pension contributions, and tuition reimbursement worth $10,000-20,000/year beyond base pay.

Best Time to Buy

Flu season (October-March) and summer vacation coverage create the highest demand for per diem and travel nurses. Rates during these windows are 20-40% above baseline.

Registered Nurse Salary Pay: Pierre vs State & National Average

CategoryPierreSouth Dakota AvgNational Avg
Average salary$56,869$62,808$75,000
Low estimate$41,704$47,106$56,250
High estimate$72,034$81,650$97,500

Take Action on This Data

Registered Nurse Salary in Pierre: $41,704 – $72,034 (national avg: $75,000)

💼 Compare Salaries💰 Can I Afford It?

Benefits Beyond Salary

In Pierre, benefits packages often include better work-life balance, generous PTO, and lower insurance copays. Don't evaluate offers on salary alone — model the full package.

Negotiation Leverage

Registered Nurse professionals in Pierre face the 'costs are low here' challenge. Counter with: remote alternatives, skills scarcity, and total compensation. The most effective tactic: have a competing offer.

Year-over-Year Trend

-0.3%
StableRegistered Nurse Salary pay in Pierre

Registered Nurse Salary costs in Pierre have remained largely stable over the past year.

Registered Nurse Salary by Experience Level in Pierre

Registered Nurse Salary in Pierre

Adjusted for Pierre
13 compensation levels — hover rows for details
Level / RoleLowHighNote
CNA (Certified Nursing Assistant)
$21,231$30,330
LPN / LVN (Licensed Practical Nurse)
$30,330$41,704
RN — Staff Nurse (hospital)
$41,704$64,451
RN — Specialty (ICU, ER, OR)
$49,286$72,034
RN — Outpatient / clinic
$37,913$56,869
Travel nurse (13-week contract)
$53,078$90,990annualized + housing
Nurse Practitioner (NP)
$68,243$98,573
CRNA (Nurse Anesthetist)
$113,738$166,815highest-paid nursing
Clinical Nurse Specialist
$56,869$83,408
Nurse Manager / Director
$60,660$90,990
Per diem / PRN rate
$30$60per hour
Overtime rate (time and a half)
$40$75per hour
Sign-on bonus (high-demand areas)
$3,791$15,165one-time
13 items listed · Annual figuresData verified March 2026

Is Pierre Cheap or Expensive for Registered Nurse Salary?

Compensation for registered nurses in Pierre is shaped by local employer demand, cost of living (index: 90), and the midwestern labor market. Moderate costs mean employers face less pressure to inflate salaries, but they also don't need to — your dollars go further.

Practical Advice for Pierre

💡 In Pierre, employer loyalty and community reputation carry extra weight. Longer tenure often unlocks benefits and raises that offset the smaller initial salary — the total compensation picture improves over time.

Smart Career Moves

  • Factor in SD's state income tax rate when comparing offers
  • Network with locals in your field to learn about unadvertised opportunities
  • Research salary ranges on Glassdoor, Levels.fyi, and BLS for your specific role
  • Calculate total compensation, not just base salary (benefits, equity, bonuses)
  • Ask about remote/hybrid flexibility — it may affect compensation
  • Use a cost-of-living calculator to compare purchasing power in Pierre vs other markets

How to Maximize Registered Nurse Earnings in Pierre

1

Factor in SD state income tax when comparing offers across states — the difference can shift your effective pay by $3,000-9,000 per year.

2

Use cost-of-living calculators to present your case when negotiating remote compensation. Showing your employer the data strengthens requests for location-adjusted pay.

3

Remote work lets you earn higher-market salaries while enjoying Pierre's cost of living. Target companies headquartered in high-cost metros.

4

Pierre's job market rewards mobility. Employees who switch employers every 2-3 years typically see 10-20% salary increases versus 3-4% for those who stay put.

Hidden Costs of Registered Nurse Salary in Pierre That Most People Miss

The salary figure for registered nurse salary in Pierre is just the starting point of your compensation story. After SD state income tax (which ${city.stateCode} doesn't levy — a significant advantage), federal tax, FICA, and benefit deductions, your take-home pay is typically 65-75% of your gross salary. In Pierre, that translates to roughly $39,808 to $42,652 annually in actual spendable income.

Beyond raw pay, total compensation in Pierre varies dramatically by employer. Health insurance contributions alone differ by $3,000-$8,000 per year between employers. A 401(k) match of 4-6% on a $57K salary adds $3K in free money annually. Remote work stipends, professional development budgets, and equity compensation can add another 10-25% to your effective pay — but only if you know to negotiate for them.

The hidden cost of career advancement in Pierre: commute expenses ($270-$630/month including gas, parking, or transit), professional wardrobe, networking events, continuing education, and the stress premium of high-cost-of-living markets. When evaluating registered nurse salary offers in Pierre, model the full picture — not just the number on the offer letter.

How Pierre Compares Regionally for Registered Nurse Salary

How does Pierre stack up against nearby cities for registered nurse salary? Rapid City and Bismarck and Sioux Falls run at similar or higher price points. Among midwestern metros of comparable size, Pierre's cost index of 90 places it on the affordable end of the spectrum. This positioning matters because it affects not just what you pay, but the pool of professionals and providers available — higher-cost markets tend to attract more specialized talent, while lower-cost markets often mean fewer options but stronger community relationships. When comparing options, remember that a 10-point difference in cost index translates to roughly a meaningful shift in your annual spending on registered nurse salary.

Registered Nurse Salary by Career Stage in Pierre

Early Career (0-3 years)

$35,448 – $51,182/year

Entry-level registered nurse in Pierre

Focus on skill development over salary optimization. Your purchasing power here is strong — invest the savings difference.

Mid-Career (4-8 years)

$54,026 – $64,831/year

Experienced registered nurse with specialized skills

This is your highest-leverage negotiation window. Multiple offers and demonstrated impact justify 15-25% above market midpoint in Pierre.

Senior (8+ years)

$62,556 – $82,839/year

Senior registered nurse or team lead

At this level, base salary matters less than total compensation. Equity, bonuses, and leadership opportunities in Pierre's market can add 30-50% to your effective pay.

Registered Nurse Salary Cost Trends in Pierre

Registered Nurse Salary costs in Pierre have been relatively stable over the past 12-24 months. Wage growth for registered nurses in the midwest region has been driven by a balanced supply-demand equilibrium, with modest annual increases of 2-4%. Looking ahead, Pierre's demographic stability should keep costs predictable, though national factors like interest rates and regulatory changes could shift the picture.

The Bottom Line

The bottom line on registered nurse salary in Pierre: you're looking at $41,704 to $72,034 $/yr, which is 24% below the national average — your money goes further here, and quality doesn't necessarily suffer. When evaluating offers, look beyond base pay: total compensation (benefits, equity, bonuses) and purchasing power (cost-adjusted salary) are what actually determine your standard of living. This page is updated quarterly with the latest available data from federal sources.

Compare Pierre with Other Cities

See how registered nurse salary costs compare in nearby markets.

vs Rapid Cityvs Bismarckvs Sioux FallsAll cities for Registered Nurse Salary

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Frequently Asked Questions

How can I save money on registered nurse salary in Pierre?

Factor in SD state income tax when comparing offers across states — the difference can shift your effective pay by $3,000-9,000 per year. Use cost-of-living calculators to present your case when negotiating remote compensation. Showing your employer the data strengthens requests for location-adjusted pay. Additionally, timing matters: flu season (October-March) and summer vacation coverage create the highest demand for per diem and travel nurses. Rates during these windows are 20-40% above baseline.

How does Pierre compare to other midwest cities?

Among midwestern cities in our database, Pierre ranks as one of the more affordable options for registered nurse salary. Nearby alternatives include Rapid City and Bismarck. Use our comparison tool to see exact category-by-category differences.

When is the best time to look for a job in Pierre?

Flu season (October-March) and summer vacation coverage create the highest demand for per diem and travel nurses. Rates during these windows are 20-40% above baseline. In Pierre specifically, local demand patterns follow midwestern climate and economic cycles.

Is Pierre expensive for registered nurse salary?

No — Pierre is actually one of the more affordable markets for registered nurse salary, coming in 24% below the national average. The South Dakota state average is $62,808 for comparison.

Is the South Dakota state average different from Pierre's?

South Dakota's state average for registered nurse salary is $62,808, which is actually higher than Pierre's $56,869. Pierre is one of the more affordable cities within South Dakota for this category.

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