State guide

Travel Nurse Pay in West Virginia (2026)

West Virginia is a low-wage, low-cost market where the travel premium over staff pay runs wide — and the state just cut its income tax again for 2026. Here is what the numbers say.

By the NursePayLab editorial team · Updated $1

Key numbers at a glance

Pay measureWest VirginiaU.S. overall
Staff RN median hourly wage (BLS OEWS, May 2025)$38.52$46.90
Staff RN median annual wage (BLS OEWS, May 2025)$80,130$97,550
Staff RN mean annual wage (BLS OEWS, May 2025)$86,970$101,420
Registered nurses employed (BLS OEWS, May 2025)23,4303,379,720

West Virginia state silhouette with stethoscope and coins

Travel nurse pay in West Virginia: the numbers

The staff baseline sits low. Per the U.S. Bureau of Labor Statistics' Occupational Employment and Wage Statistics survey (May 2025), West Virginia employs 23,430 registered nurses at a median wage of $38.52 an hour — $80,130 a year — with a mean of $86,970. The national median is $46.90 an hour ($97,550), so West Virginia staff RNs trail it by roughly 18%. That is precisely the setup where travel pay outperforms: rural hospitals across the southern coalfields and the Alleghenies cannot recruit specialty nurses at local wage scales, so agencies get called, and bill rates rise with the shortage rather than the local payroll.

Pay measureWest VirginiaU.S. overall
Staff RN median hourly wage (BLS OEWS, May 2025)$38.52$46.90
Staff RN median annual wage (BLS OEWS, May 2025)$80,130$97,550
Staff RN mean annual wage (BLS OEWS, May 2025)$86,970$101,420
Registered nurses employed (BLS OEWS, May 2025)23,4303,379,720
Typical travel gross package (hedged — varies by specialty, facility, season)roughly $1,500–$2,200/weekroughly $1,800–$3,200/week
State income tax on wages, 20262.11%–4.58% graduatedvaries by state

Read the travel band as hedged context — a small-town med-surg opening can quote below it while ICU, L&D or cath lab needs in Morgantown or Charleston clear above it. The tax row is the 2026 story: West Virginia cut its personal income tax again, dropping the top marginal rate from 4.82% to 4.58% retroactive to January 1, 2026, with every bracket reduced proportionally (the bottom rate is now 2.11%), per the West Virginia Tax Division. For a traveler on a 13-week contract, that is a modest but real improvement to net pay — and the direction of travel for the state's rates has been steadily down.

The map is three anchors plus rural everything else. Morgantown is the academic center — WVU Medicine's J.W. Ruby Hospital is the state's largest and posts the most specialty needs. Charleston (the CAMC system) and Huntington (Marshall Health) carry the population centers. The rural hospitals sprinkled through the southern coalfields and the I-79 corridor post the best premiums precisely because fewer travelers want them. West Virginia is a Nurse Licensure Compact member (43 jurisdictions as of late 2026, per NurseCompact), and its northern panhandle touches Ohio and Pennsylvania while its western edge touches Ohio and Kentucky — all compact-or-nearby territory worth comparing on the travel nurse pay by state hub.

Related scene: hospital city

How stipends change the math in West Virginia

West Virginia is a state where stipends quietly do more work than the headline suggests. Housing and meal stipends are tax-free only while you maintain a valid tax home and duplicated living expenses, capped by the GSA per diem tables for the assignment city. The GSA lodging ceilings in West Virginia cities are modest — but so are the actual rents, which is the rare market where a compliant stipend can cover most of a real apartment and still leave margin. That dynamic beats a Seattle-sized stipend that dies entirely in a Seattle-sized lease. Price the stipend versus agency housing tradeoff with local numbers before you sign.

An illustrative Morgantown contract: $23 an hour taxable times 36 guaranteed hours is $828 of weekly taxable gross. Federal income tax runs about $60 a week for a single filer after the standard deduction, FICA about $63, and West Virginia income tax roughly $38 at the new 4.58% top rate. That leaves about $667 net from the taxable side. Add $1,500 housing plus $400 meals and incidentals — untaxed with a valid tax home — and weekly take-home is about $2,570, a blended rate near $71 an hour. A 13-week contract lands around $33,400, and unusually for this series, most of the $1,900 stipend is genuinely spendable in-state. Run your own offer through the take-home pay calculator; this is an estimate, not tax advice.

Two filing notes. Nonresidents generally owe West Virginia tax on West Virginia-earned wages, with a credit typically available in the home state — if your home state is one of the no-tax states, you still file the nonresident return here. And because the 2026 rate cut was retroactive, make sure your agency's withholding tables reflect 4.58%, not last year's figures, or you will lend the state money until spring. Compare any two offers after-tax with the contract comparison calculator, score counters with the blended rate calculator, and new travelers should walk the first assignment checklist first.

Illustration: hospital hall

FAQ

How much do travel nurses make in West Virginia?

West Virginia staff RNs earn a median of $80,130 a year ($38.52 an hour) per BLS OEWS May 2025 data, well below the $97,550 national median. Travel packages typically run roughly $1,500–$2,200 a week gross depending on specialty and facility, with Morgantown's academic medical center on the higher end.

Did West Virginia cut its income tax for 2026?

Yes. The top marginal rate fell from 4.82% to 4.58% retroactive to January 1, 2026, with all brackets cut proportionally — the bottom rate is now 2.11% — per the West Virginia Tax Division. It continues a multi-year series of reductions; verify the current tables before modeling a full-year contract.

Is West Virginia part of the Nurse Licensure Compact?

Yes. West Virginia is a Nurse Licensure Compact member, so a multistate RN license issued by your compact home state covers assignments from Charleston to Morgantown with no separate application. The compact counted 43 jurisdictions as of late 2026.

Which West Virginia markets have the most travel contracts?

Morgantown (WVU Medicine's academic medical center) is the anchor; Charleston (CAMC's multi-hospital system) and Huntington (Marshall Health) follow. Rural southern coalfield hospitals post the sharpest premiums because staffing is thinnest there.

Are travel nurse stipends tax-free in West Virginia?

Yes, under federal rules: housing and meal stipends are tax-free while you maintain a valid tax home and duplicated living expenses, capped by GSA per diem rates for the assignment city. West Virginia's modest GSA lodging rates keep compliant stipend ceilings lower than in big-city markets — but so do local rents.

Is West Virginia a good travel nursing market?

For take-home efficiency, yes: staff wages near the bottom of this ten-state series mean wide travel premiums, the 2026 top tax rate of 4.58% is moderate and falling, housing is genuinely cheap, and the compact license works. The trade-off is lower gross ceilings than major metros and a thinner volume of specialty openings.