How much does a step down nurse make hourly?

As of June 01, 2026, the average hourly pay of step down nurse in the United States is $41. While Salary.com is seeing that step down nurse salary in the US can go up to $48 or down to $37, but most earn between $39 and $45. Salary.com shows the average base salary (core compensation), as well as the average total cash compensation for the job of step down nurse in the United States.

Based on HR-reported data: a national average with a geographic differential
step down nurse Salaries by Percentile
Percentile Hourly Pay Rate Location Last Updated
10th Percentile step down nurse Salary $37 US June 01, 2026
25th Percentile step down nurse Salary $39 US June 01, 2026
50th Percentile step down nurse Salary $41 US June 01, 2026
75th Percentile step down nurse Salary $45 US June 01, 2026
90th Percentile step down nurse Salary $48 US June 01, 2026
25% $39 10% $37 90% $48 75% $45 $41 50%(Median) Didn’t find job title? Click
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Check out step down nurse jobs in Columbus, Ohio

New Grad RN- Step Down - Neuro Expansion

Cleveland Clinic - Cleveland, OH

RN/STEP DOWN

Wise Medical - Westlake, OH

LPN Step Down

University Hospitals - Westlake, OH

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What is a step down nurse ?

A step-down nurse, also known as a progressive care nurse, provides specialized care for patients who require closer monitoring than those in a general medical-surgical unit but do not need intensive care. Responsibilities include assessing patient conditions, administering medications, managing intravenous lines, and collaborating with healthcare teams to develop and implement care plans. Step-down nurses often monitor vital signs, perform diagnostic tests, and educate patients and families about health management. The salary for step-down nurses varies based on factors such as experience, lo...

Source: (as of 06/04/2025). Read more from

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Average Hourly Wage

Core compensation

 
 
 
39
45
41

Average Total Hourly Cash Compensation

Includes base and short-term incentives

 
 
 
42
51
46
These charts show the average hourly wage (core compensation), as well as the average total hourly cash compensation for the job of step down nurse in the United States. The average hourly rate for step down nurse ranges from $39 to $45 with the average hourly pay of $41. The total hourly cash compensation, which includes base and short-term incentives, can vary anywhere from $42 to $51 with the average total hourly cash compensation of $46.

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39
45

 

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