Nurse Practitioner Pay

Cincinnati vs Middletown: Nurse Practitioner Salary (2026)

Compare nurse practitioner salaries between Cincinnati, OH and Middletown, OH. All figures are 2026 estimates projected from BLS 2025 data.

Cincinnati, OH
$133,140
$64.01/hr
Middletown, OH
$124,912
$60.05/hr

Side-by-Side Comparison

MetricCincinnati, OHMiddletown, OH
Median Salary$133,140$124,912
Hourly Rate$64.01$60.05
Entry Level (P10)$92,805$98,450
25th Percentile$115,161$112,021
75th Percentile$141,406$146,758
Top Earner (P90)$168,117$160,563
Total Employed2,8209
Side-by-side bar chart comparing Cincinnati ($133,140) and Middletown ($124,912) nurse practitioner salaries.CincinnatiMiddletownMedian Salary$133,140$124,912Entry Level (P10)$92,805$98,450Top Earner (P90)$168,117$160,563US Median $136,864

Verdict

Cincinnati, OH offers better overall compensation for nurse practitioners, winning 4 out of 4 metrics compared to Middletown.

The salary gap between Cincinnati and Middletown is $8,228 (6.59%). Cincinnati's median is -2.72% compared to the US national median of $136,864.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Cincinnati spans $75,312,Middletown spans $62,113. Cincinnati has a wider pay range, meaning more potential for high earners but also more variation.

Cincinnati
P10 (Entry)$92,805
P25$115,161
Median$133,140
P75$141,406
P90 (Top)$168,117
Middletown
P10 (Entry)$98,450
P25$112,021
Median$124,912
P75$146,758
P90 (Top)$160,563

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Cincinnati ($139,604 effective) pays 1.37% more than Middletown ($137,720 effective).

Cincinnati
Nominal: $133,140
CoL Index: 95.37
Adjusted: $139,604
Middletown
Nominal: $124,912
CoL Index: 90.7
Adjusted: $137,720

Cost-of-living adjustment: salary × (100 / CoL index). Index of 100 = national average.

Which City Is Right for You?

Choose Cincinnati if…

  • Higher median salary ($133,140/year)
  • Better top-earner potential ($168,117)
  • Larger job market (2,820 employed)
  • Better purchasing power (CoL-adjusted: $139,604)
  • You prefer the Ohio area and lifestyle

Choose Middletown if…

  • You prefer the Ohio area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, nurse practitioner salaries in Cincinnati grew 28.6% from 2019 to 2025, compared to 9.2% growth in Middletown over the same period.

Cincinnati, OH

+28.6%

$100,110 (2019) → $128,700 (2025)

Middletown, OH

+9.2%

$110,573 (2024) → $120,746 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays nurse practitioners more: Cincinnati or Middletown?

Cincinnati has a higher median nurse practitioner salary at $133,140/year, compared to Middletown at $124,912/year — a difference of $8,228 (6.59%).

What is the hourly rate difference between Cincinnati and Middletown?

Cincinnati nurse practitioners earn $64.01/hr while Middletown hygienists earn $60.05/hr (2026 est.).

Should I relocate from Cincinnati to Middletown as a nurse practitioner?

Consider more than just salary when comparing Cincinnati and Middletown. Factor in cost of living (CoL-adjusted: Cincinnati = $139,604, Middletown = $137,720), job availability (2,820 vs 9 employed), commute, and career growth potential.

What do entry-level nurse practitioners earn in Cincinnati vs Middletown?

Entry-level (10th percentile) nurse practitioners earn $92,805 in Cincinnati and $98,450 in Middletown. The Middletown area offers higher starting salaries.

Related Comparisons

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Written by Maria Gonzalez, MSN, NP-C

Career Analyst

Maria has 10 years of experience in adult healthcare. She works in a community health clinic. Her specialty is chronic disease management.

Clinically reviewed by James Patel, DNP, APRNData verified by Aisha Khan, MSN, FNP-BC

Methodology & Data Source

All salary figures are 2026 projections based on BLS OEWS May 2025 data. A 3.45% 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 Maria Gonzalez, MSN, NP-C, a licensed nurse practitioner with 10+ years of clinical experience. · View source data at BLS.gov