California pays RNs $148K nominally. After cost-of-living adjustment it drops to third. Oregon wins. Minnesota is second. Hawaii, nominally second, falls dead last.
Adjusted NP pay: Oklahoma is first at roughly $148K annualized. Iowa second. Kansas third. California does not crack the top ten. The coastal sweep inverts completely.
Indiana has the highest cost-adjusted PA wage of any state for any role in the BLS May 2024 dataset. $76.61 per hour adjusted. California PAs, nominally highest, land at $53.78 adjusted.
That gap between Indiana and California PAs is about $23 per hour. Annualized, it is a $48K swing in real purchasing power. That is a structural arbitrage, not noise.
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