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Pediatric Nurse Salary 2026: Pay by State, Setting & Certification

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Ava Health Editorial
··7 min read

Pediatric Nurse Salary 2026: Pay by State, Setting & Certification

The average pediatric nurse salary in 2026 is $75,000/year ($36.06/hour) nationally. Pediatric nursing — caring for neonates through adolescents — spans the entire acuity spectrum, from routine well-child visits in outpatient clinics to life-sustaining interventions in the PICU. Pay varies widely by setting and acuity, with PICU and pediatric cardiac surgery nurses commanding salaries closer to adult ICU rates.

Pediatric Nurse Salary by State (2026)

StateAvg Annual SalaryNotes
California$99,000Children's Hospital LA, UCSF Benioff, Stanford Children's Health
New York$91,000Cohen Children's, NYU Hassenfeld, NYC Health + Hospitals peds units
Washington$89,000Seattle Children's Hospital; strong union contracts
Massachusetts$87,000Boston Children's Hospital; academic premium
Oregon$83,000OHSU Doernbecher; Randall Children's at Legacy Emanuel
Connecticut$84,000Connecticut Children's; Yale New Haven peds
Minnesota$79,000Children's Minnesota; Mayo pediatrics
Colorado$78,000Children's Hospital Colorado (Aurora); strong nursing market
Texas$73,000Texas Children's (Houston), Cook Children's (FW), Dell Children's (Austin)
Florida$72,000Nicklaus Children's, Johns Hopkins All Children's, AdventHealth for Children
Georgia$71,000Children's Healthcare of Atlanta (CHOA); large employer, multiple campuses
North Carolina$70,000UNC Children's, Levine Children's at Atrium Health

Pediatric Nurse Salary by Setting (2026)

SettingAvg Annual SalaryNotes
PICU (Pediatric Intensive Care)$88,000–$105,000Top-paying peds setting; CCRN-Peds required; shift differentials standard
Pediatric Cardiac Surgery / Cardiac ICU$92,000–$110,000Highest-acuity; CSC or CMC cert valued; limited to children's heart centers
NICU (Neonatal ICU)$82,000–$98,000Often separate from peds; RNC-NIC cert; Level III/IV trauma centers pay most
Pediatric ED / Emergency$80,000–$95,000CPEN cert valued; overnight/weekend differentials; fast-paced environment
Pediatric Oncology$78,000–$92,000CPHON cert; high emotional demand; academic cancer centers pay premium
General Inpatient Peds (Med-Surg)$72,000–$83,000Most common peds floor; CPN cert standard; step-down pays slightly more
Pediatric Outpatient / Clinic$60,000–$72,000Pediatrician offices, specialty clinics; day shift, no weekends
School Nursing (Peds-focused)$55,000–$68,000School-year schedule; NCSN cert; summers off in most districts

Pediatric Nursing Certifications & Pay Impact

  • CPN (Certified Pediatric Nurse): Administered by PNCB. For nurses in general pediatric settings. Adds 3–5% base salary premium at most children's hospitals. Required for Magnet-designated facilities in peds roles.
  • CPEN (Certified Pediatric Emergency Nurse): For pediatric ED nurses. Administered by BCEN. Adds 2–4% premium; strong market recognition in standalone children's ED departments.
  • CCRN-Peds: AACN critical care certification for pediatric ICU nurses. Premium of 4–7%; often required for PICU charge or senior roles.
  • RNC-NIC: NICU specialty cert (NCC). Adds 3–5%; expected at Level III/IV NICUs after 2 years of experience.
  • CPHON (Certified Pediatric Hematology Oncology Nurse): For peds oncology. Adds 3–6% at cancer centers.

Travel Pediatric Nurse Pay (2026)

Travel peds RN contracts average $1,600–$2,200/week all-in (taxable base + non-taxable stipends), depending on acuity and assignment location. PICU and peds cardiac travel nurses earn at the high end; general peds floor and clinic assignments are at the lower range. Children's hospitals post travel contracts year-round — seasonal census spikes occur November–March (respiratory virus season) when RSV and flu fill peds floors and PICUs.

What Makes Pediatric Nursing Unique

Pediatric nurses work with patients who cannot fully articulate symptoms — assessment skills, developmental knowledge, and the ability to build trust quickly with anxious families are core competencies. Pay reflects complexity (high acuity in PICU/cardiac) and emotion (oncology, palliative peds). Burnout prevention is a documented focus at major children's hospitals, with many offering robust PTO policies and mental health support programs that adult-care facilities rarely match.

Related: NICU Nurse Salary 2026, ICU Nurse Salary 2026, School Nurse Salary 2026.

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