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Tennessee / Health / Registered Nurse 4

Job-title file

Registered Nurse 4

Provide direct patient care — assess conditions, administer treatment and medication, and coordinate with physicians.

91 employees hold this title in Health. Median total compensation for the role is $115,149, above the department median of $70,395.

Employees
91
Total payroll
$10.6M
Role median
$115,149
Agency median
$70,395
Comparison
Above

What the records show

Role pay distribution

Pay distribution for this role

$94,416$132,227+

Hover a bar for its range; click to filter the list below.

How total compensation varies among the 91 people in this role. Even for one job title, pay differs with seniority, step, overtime, and tenure. Each bar is a pay range; the far-right bar collects the highest earners.

Compared with the local labor market

Registered Nurse 4 pay vs. Tennessee

Across all employers in Tennessee, the median wage for Registered Nurses — about 72,200 people — is $81,500. Health pays a median base salary of $87,936 for this role, 8% above that figureabout the 62nd percentile of local pay for the occupation.

Where Health sits in the local pay range

10th
25th
Median
75th
90th
$63,970
$75,460
$81,500
$95,250
$104,920
Health median · $87,936

The bar is the range of annual wages for Registered Nurses across every employer in Tennessee, from the 10th to the 90th percentile, with the middle 50% highlighted. The marker shows Health’s median base salary for this role. Both figures are base pay only.

And across the country

Nationwide, the median wage for Registered Nurses — about 3,379,720 people — is $97,550. Health’s median base salary is 10% below that national figure, about the 36th percentile of pay for the occupation nationally.

10th
25th
Median
75th
90th
$68,940
$80,330
$97,550
$112,350
$137,470
Health median · $87,936

Local and national wages differ for reasons beyond how well a job pays — cost of living, the mix of employers, and local demand for the occupation all move the Tennessee range relative to the national one.

Median total compensation for this role at Health is $89,400, which includes overtime and employer-paid benefits. The benchmark above excludes both, so total compensation is deliberately not compared against it.

Benchmark: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (May 2025). BLS Occupational Employment and Wage Statistics (OEWS) covers all employers in the area — private, non-profit, and government alike — so this is a comparison against the whole local labor market for the occupation, not against private-sector pay. OEWS wages are straight-time pay and exclude overtime, shift differentials, and employer-paid benefits, so the government figure shown here is base pay on the same basis. Total compensation is not comparable to it. Job titles are matched to the closest standard occupation, so the comparison is between similar work rather than an identical job classification.

Compare departments

This role across Tennessee

Registered Nurse 4 is held in 5 Tennessee departments. In Health, the median of $115,149 ranks #4 of 5.

Highest-paying departments for this role

Mental Health
$124,494 · 16
Human Services
$120,462 · 1
Correction
$112,428 · 4

Median total compensation for the Registered Nurse 4 role in other Tennesseedepartments (highest first). Each bar links to that department’s page for this role.

Compare jurisdictions

Registered Nurse beyond Tennessee

This role is reported in 15 jurisdictions. In Tennessee, the median of $92,515 ranks #6 of 15. See Registered Nurse across all of Tennessee

Highest-paying jurisdictions for this role

Los Angeles County
$182,642 · 4,768
Massachusetts
$150,727 · 15
California
$122,503 · 2,781
Illinois
$115,950 · 906
Minnesota
$90,863 · 1,024
Arkansas
$75,245 · 437
South Carolina
$71,400 · 39

Median total compensation for comparable Registered Nurseroles in other jurisdictions. Titles are matched by normalized name across sources, not identical job classification, and pay is not cost-of-living adjusted. Each bar links to that jurisdiction’s page for the role.

Record list

Employees with this title

Page 1

Twylla Pratt

Registered Nurse 4/Health

2026 total comp
$118,702
Sub-department
East Region
Base pay
$115,836
Overtime
$0
Other pay
$2,866
Benefits
$0
Total compensation
$118,702
Employment type
Full-Time
Pay basis
Monthly
Middle name
Ann

Source-specific fields

Compensation Rate
$9,653
Employee ID
449348

Twylla Pratt holds the role of Registered Nurse 4 at Health within East Region. Their status is full-time. In 2026, their total compensation was $118,702.

Buffie Nelms

Registered Nurse 4/Health

2026 total comp
$118,688
Sub-department
Tipton County
Base pay
$115,836
Overtime
$0
Other pay
$2,852
Benefits
$0
Total compensation
$118,688
Employment type
Full-Time
Pay basis
Monthly
Middle name
D

Source-specific fields

Compensation Rate
$9,653
Employee ID
144362

Buffie Nelms holds the role of Registered Nurse 4 at Health within Tipton County. Their status is full-time. In 2026, their total compensation was $118,688.

Leslie Looper

Registered Nurse 4/Health

2026 total comp
$118,553
Sub-department
Upper Cumberland Region
Base pay
$113,568
Overtime
$0
Other pay
$4,985
Benefits
$0
Total compensation
$118,553
Employment type
Full-Time
Pay basis
Monthly
Middle name
Farrell

Source-specific fields

Compensation Rate
$9,464
Employee ID
487422

Leslie Looper is a Registered Nurse 4 at Health within Upper Cumberland Region. They work full-time. 2026 total compensation came to $118,553.

Beth Fancher

Registered Nurse 4/Health

2026 total comp
$118,547
Sub-department
Sevier County
Base pay
$113,568
Overtime
$0
Other pay
$4,979
Benefits
$0
Total compensation
$118,547
Employment type
Full-Time
Pay basis
Monthly
Middle name
K

Source-specific fields

Compensation Rate
$9,464
Employee ID
445648

Beth Fancher holds the role of Registered Nurse 4 at Health within Sevier County. Their status is full-time. In 2026, their total compensation was $118,547.

Lauren Marcum

Registered Nurse 4/Health

2026 total comp
$118,543
Sub-department
Henry County
Base pay
$113,568
Overtime
$0
Other pay
$4,975
Benefits
$0
Total compensation
$118,543
Employment type
Full-Time
Pay basis
Monthly
Middle name
Neale

Source-specific fields

Compensation Rate
$9,464
Employee ID
597175

Lauren Marcum works as a Registered Nurse 4 for Health within Henry County. Their status is full-time. Lauren earned $118,543 in 2026.

Danielle Stipes

Registered Nurse 4/Health

2026 total comp
$118,539
Sub-department
Northeast Region
Base pay
$113,568
Overtime
$0
Other pay
$4,971
Benefits
$0
Total compensation
$118,539
Employment type
Full-Time
Pay basis
Monthly
Middle name
Jeanine

Source-specific fields

Compensation Rate
$9,464
Employee ID
402940

At Health, Danielle Stipes serves as a Registered Nurse 4 within Northeast Region. They work full-time. Their 2026 pay totaled $118,539.

Samantha Patrick

Registered Nurse 4/Health

2026 total comp
$117,908
Sub-department
Northeast Region
Base pay
$113,568
Overtime
$0
Other pay
$4,340
Benefits
$0
Total compensation
$117,908
Employment type
Full-Time
Pay basis
Monthly
Middle name
Lyn

Source-specific fields

Compensation Rate
$9,464
Employee ID
425806

At Health, Samantha Patrick serves as a Registered Nurse 4 within Northeast Region. They work full-time. Their 2026 pay totaled $117,908.