Nurse Practitioner Salary in Hagerstown, MD: $130,595 (2026)
Quick Answer:A full-time nurse practitioner in Hagerstown, MD earns a median $130,595/year (≈ $62.78/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-1171). Once you factor in Hagerstown's price level (6% below national, BEA RPP 94.2), that paycheck buys what $138,679 would nationally. Nominal pay sits 12.7% below the Maryland state average.
Official BLS data · View source

In Hagerstown, MD, the 2026 median annual nurse practitioner salary stands at $130,595, reflecting local market conditions and the unique regulatory environment in Maryland, where nurse practitioners require physician collaboration agreements to practice. The compensation range for these professionals in the area spans from $100,440 at the 10th percentile to $162,272 at the 90th percentile, showcasing significant earning potential based on experience and specialty. Data for these salary projections is derived from official Bureau of Labor Statistics (BLS) OEWS surveys and indicative of salary trends in sectors like primary care, urgent care, and specialty clinics. The demand for qualified nurse practitioners in Hagerstown is poised to grow, offering a promising outlook for employment opportunities.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $100,440 | $48.29 |
| Lower Range (P25) | $100,440 | $48.29 |
| Median (P50)(typical) | $130,595 | $62.78 |
| Upper Range (P75) | $143,092 | $68.79 |
| Top Earners (P90) | $162,272 | $78.01 |
Median Salary Position
4.58% below the national average
2026 Salary Percentile Distribution in Hagerstown
In Hagerstown, MD, the nurse practitioner salary spread from the 10th to 90th percentile is $61,832 (2026 est.). At $130,595, the local median is 4.58% below the national median of $136,864.
Salary Calculator
At 40 hours/week in Hagerstown: You'd be in the lower-middle range
How Hagerstown Nurse Practitioner Pay Compares
Hagerstown median: $130,595/year (2026)
| Compared To | Median Salary | Hagerstown Pays |
|---|---|---|
| Maryland Average | $149,594 | -12.70% less |
| National Average | $136,864 | -4.58% less |
Nurse Practitioners in Hagerstown, MD earn a median of $130,595 per year (2026 est.), which is 4.58% lower than the national median of $136,864 and 12.70% below the Maryland state average of $149,594.
Cost-of-Living Adjusted Salary
Hagerstown has a cost of living 5.83% below the national average, meaning your salary goes further here.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Hagerstown, MD has a cost-of-living index of 94.171 (below the national average of 100). A nurse practitioner earning $130,595 nominally has purchasing power equivalent to $138,679 in an average-cost city — an effective 6.19% boost.
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2019 BLS Actual
$105,390
2025 BLS Actual
$126,240
2026 Current Est.
$130,595
2019–2027 Growth
+28.2%
Salary Trajectory for Nurse Practitioners in Hagerstown (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 3.45% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $105,390 | Actual |
| 2020 | $106,530 | Actual |
| 2021 | $102,060 | Actual |
| 2022 | $115,020 | Actual |
| 2023 | $118,650 | Actual |
| 2024 | $115,210 | Actual |
| 2025 | $126,240 | Actual |
| 2026(current) | $130,595 | Estimated |
| 2027 | $135,101 | Projected |
Based on 7 years of BLS OEWS data for the Hagerstown metropolitan area, the median nurse practitioner salary grew 19.8% from $105,390 (2019) to $126,240 (2025). At a 3.45% compound annual growth rate, salaries are projected to reach $135,101 by 2027 — a total increase of $29,711 (28.19%) from 2019.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Hagerstown metropolitan area, sourced from annual Occupational Employment and Wage Statistics surveys. 2026–2026 figures are current estimates, and 2027 values are projections, calculated using a 3.45% CAGR derived from 7-year BLS historical data. Actual salaries may vary based on employer, experience, certifications, and local market conditions.
Salary by Experience Level
| Experience | Estimated Salary Range |
|---|---|
| 0-2 years (New Graduate) | $100,440 – $100,440 |
| 3-5 years (Mid Career) | $100,440 – $130,595 |
| 5+ years (Experienced) | $130,595 – $143,092 |
| 10+ years (Top Earner) | $143,092 – $162,272 |
NP salary ranges estimated from BLS percentile data. Individual nurse practitioner compensation varies by employer, certifications, and specialization.
Nurse Practitioner Job Market in Hagerstown
Looking deeper at the local job market, approximately 360 nurse practitioners are actively employed in Hagerstown, contributing to a robust healthcare system. Given the cost of living index of 94.171, which is below the national average, nurse practitioners find that their salaries afford them greater purchasing power compared to other regions. Among various employers, hospital outpatient clinics and specialty clinics tend to offer the highest compensation, whereas retail clinics and telehealth platforms may provide more flexible schedules or side income opportunities. The disparity in earnings often reflects specialty focus, such as psychiatric mental health versus primary care, as well as the implications of full-practice authority on job roles and responsibilities. To maximize pay in this specific Hagerstown market, professionals should consider securing additional certifications, pursuing higher education, and exploring productive partnerships that leverage potential productivity bonuses.
More salary data for Hagerstown, MD:
Frequently Asked Questions
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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.
Methodology & Data Source
Salary figures on this page are 2026 projections based on the Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey, May 2026 release. The BLS reported a median annual salary of $126,240 for nurse practitionersin the Hagerstown metropolitan area. A 3.45% compound annual growth rate (CAGR), calculated from 6-year national BLS wage trends, was applied to project current 2026 compensation. Percentile ranges (P10–P90) represent the full salary distribution across experience levels and practice settings in this market.
Data Sources & Methodology
Source: BLS, OEWS, 7-year dataset (–). Per-city data from annual BLS metropolitan area surveys.
2026 figures are projected from 2025 BLS data using a compound annual growth rate (CAGR) of 3.45%, derived from historical BLS wage trends for nurse practitioners (SOC 29-1171).
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