Nurse Practitioner Pay

San Francisco vs Simi Valley: Nurse Practitioner Salary (2026)

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

San Francisco, CA
$226,638
$108.96/hr
Simi Valley, CA
$177,516
$85.35/hr

Side-by-Side Comparison

MetricSan Francisco, CASimi Valley, CA
Median Salary$226,638$177,516
Hourly Rate$108.96$85.35
Entry Level (P10)$158,568$133,187
25th Percentile$182,579$155,481
75th Percentile$250,256$214,249
Top Earner (P90)$283,412$239,885
Total Employed3,11023
Side-by-side bar chart comparing San Francisco ($226,638) and Simi Valley ($177,516) nurse practitioner salaries.San FranciscoSimi ValleyMedian Salary$226,638$177,516Entry Level (P10)$158,568$133,187Top Earner (P90)$283,412$239,885US Median $136,864

Verdict

San Francisco, CA offers better overall compensation for nurse practitioners, winning 4 out of 4 metrics compared to Simi Valley.

The salary gap between San Francisco and Simi Valley is $49,122 (27.67%). San Francisco's median is +65.59% 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,Simi Valley spans $106,698. San Francisco has a wider pay range, meaning more potential for high earners but also more variation.

San Francisco
P10 (Entry)$158,568
P25$182,579
Median$226,638
P75$250,256
P90 (Top)$283,412
Simi Valley
P10 (Entry)$133,187
P25$155,481
Median$177,516
P75$214,249
P90 (Top)$239,885

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, San Francisco ($196,032 effective) pays 24.90% more than Simi Valley ($156,955 effective).

San Francisco
Nominal: $226,638
CoL Index: 115.613
Adjusted: $196,032
Simi Valley
Nominal: $177,516
CoL Index: 113.1
Adjusted: $156,955

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

Which City Is Right for You?

Choose San Francisco if…

  • Higher median salary ($226,638/year)
  • Better top-earner potential ($283,412)
  • Larger job market (3,110 employed)
  • Better purchasing power (CoL-adjusted: $196,032)
  • You prefer the California area and lifestyle

Choose Simi Valley if…

  • 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 -10.5% growth in Simi Valley over the same period.

San Francisco, CA

+58.6%

$138,100 (2019) → $219,080 (2025)

Simi Valley, CA

+-10.5%

$191,633 (2024) → $171,596 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays nurse practitioners more: San Francisco or Simi Valley?

San Francisco has a higher median nurse practitioner salary at $226,638/year, compared to Simi Valley at $177,516/year — a difference of $49,122 (27.67%).

What is the hourly rate difference between San Francisco and Simi Valley?

San Francisco nurse practitioners earn $108.96/hr while Simi Valley hygienists earn $85.35/hr (2026 est.).

Should I relocate from San Francisco to Simi Valley as a nurse practitioner?

Consider more than just salary when comparing San Francisco and Simi Valley. Factor in cost of living (CoL-adjusted: San Francisco = $196,032, Simi Valley = $156,955), job availability (3,110 vs 23 employed), commute, and career growth potential.

What do entry-level nurse practitioners earn in San Francisco vs Simi Valley?

Entry-level (10th percentile) nurse practitioners earn $158,568 in San Francisco and $133,187 in Simi Valley. The San Francisco 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