Nurse Practitioner Pay

San Francisco vs Santa Clara: Nurse Practitioner Salary (2026)

Compare nurse practitioner salaries between San Francisco, CA and Santa Clara, CA. All figures are 2026 estimates projected from BLS 2025 data.

San Francisco, CA
$226,638
$108.96/hr
Santa Clara, CA
$243,564
$117.10/hr

Side-by-Side Comparison

MetricSan Francisco, CASanta Clara, CA
Median Salary$226,638$243,564
Hourly Rate$108.96$117.10
Entry Level (P10)$158,568$180,631
25th Percentile$182,579$220,740
75th Percentile$250,256$286,573
Top Earner (P90)$283,412$317,650
Total Employed3,11032
Side-by-side bar chart comparing San Francisco ($226,638) and Santa Clara ($243,564) nurse practitioner salaries.San FranciscoSanta ClaraMedian Salary$226,638$243,564Entry Level (P10)$158,568$180,631Top Earner (P90)$283,412$317,650US Median $136,864

Verdict

Santa Clara, CA offers better overall compensation for nurse practitioners, winning 3 out of 4 metrics compared to San Francisco.

The salary gap between San Francisco and Santa Clara is $16,926 (7.47%). Santa Clara's median is +77.96% compared to the US national median of $136,864.

Salary Range Comparison

The full salary range (10th to 90th percentile) in San Francisco spans $124,844,Santa Clara spans $137,019. Santa Clara has a wider pay range, suggesting more variation in pay between entry-level and experienced nurse practitioners.

San Francisco
P10 (Entry)$158,568
P25$182,579
Median$226,638
P75$250,256
P90 (Top)$283,412
Santa Clara
P10 (Entry)$180,631
P25$220,740
Median$243,564
P75$286,573
P90 (Top)$317,650

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Santa Clara ($215,353 effective) pays 9.86% more than San Francisco ($196,032 effective).

San Francisco
Nominal: $226,638
CoL Index: 115.613
Adjusted: $196,032
Santa Clara
Nominal: $243,564
CoL Index: 113.1
Adjusted: $215,353

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

Which City Is Right for You?

Choose San Francisco if…

  • Larger job market (3,110 employed)
  • You prefer the California area and lifestyle

Choose Santa Clara if…

  • Higher median salary ($243,564/year)
  • Better top-earner potential ($317,650)
  • Better purchasing power (CoL-adjusted: $215,353)
  • You prefer the California area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, nurse practitioner salaries in San Francisco grew 58.6% from 2019 to 2025, compared to 23.6% growth in Santa Clara over the same period.

San Francisco, CA

+58.6%

$138,100 (2019) → $219,080 (2025)

Santa Clara, CA

+23.6%

$190,479 (2024) → $235,441 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays nurse practitioners more: San Francisco or Santa Clara?

Santa Clara has a higher median nurse practitioner salary at $243,564/year, compared to San Francisco at $226,638/year — a difference of $16,926 (7.47%).

What is the hourly rate difference between San Francisco and Santa Clara?

San Francisco nurse practitioners earn $108.96/hr while Santa Clara hygienists earn $117.10/hr (2026 est.).

Should I relocate from San Francisco to Santa Clara as a nurse practitioner?

Consider more than just salary when comparing San Francisco and Santa Clara. Factor in cost of living (CoL-adjusted: San Francisco = $196,032, Santa Clara = $215,353), job availability (3,110 vs 32 employed), commute, and career growth potential.

What do entry-level nurse practitioners earn in San Francisco vs Santa Clara?

Entry-level (10th percentile) nurse practitioners earn $158,568 in San Francisco and $180,631 in Santa Clara. The Santa Clara area offers higher starting salaries.

Related Comparisons

MG

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