Nurse Anesthetist Salary in Gadsden, AL: $195,629 (2026)
Quick Answer:A full-time nurse anesthetist in Gadsden, AL earns a median $195,629/year (≈ $94.05/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-1151). Once you factor in Gadsden's price level (12% below national, BEA RPP 87.9), that paycheck buys what $222,559 would nationally. Nominal pay sits 3.3% below the Alabama state average.
Based on BLS state-level estimates · View source

With a median annual salary for nurse anesthetists in Gadsden, Alabama, projected at $195,629 in 2026, practitioners in this region experience compensation that is noticeably lower than the national average of $248,893. The salary range for this role spans from $140,305 at the 10th percentile to $276,384 at the 90th percentile, reflecting a significant spread influenced by various factors such as call coverage rotations and hours worked. Those working in Gadsden can anticipate differentials based on their employment model, whether W-2 employed through hospital systems or self-employed via 1099 contracts. Understanding how these dynamics play out in the local job market is essential for CRNAs seeking to maximize their earnings potential in this area.
About the Gadsden Market
Salary estimated from Alabama average ($198,000) adjusted for local cost of living.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $140,305 | $67.45 |
| Lower Range (P25) | $177,957 | $85.56 |
| Median (P50)(typical) | $195,629 | $94.05 |
| Upper Range (P75) | $243,049 | $116.85 |
| Top Earners (P90) | $276,384 | $132.88 |
Median Salary Position
21.4% below the national average
2026 Salary Percentile Distribution in Gadsden
In Gadsden, AL, the nurse anesthetist salary spread from the 10th to 90th percentile is $136,079 (2026 est.). At $195,629, the local median is 21.4% below the national median of $248,893.
Salary Calculator
At 40 hours/week in Gadsden: You'd be in the lower-middle range
How Gadsden Nurse Anesthetist Pay Compares
Gadsden median: $195,629/year (2026)
| Compared To | Median Salary | Gadsden Pays |
|---|---|---|
| Alabama Average | $202,305 | -3.30% less |
| National Average | $248,893 | -21.40% less |
Nurse Anesthetists in Gadsden, AL earn a median of $195,629 per year (2026 est.), which is 21.40% lower than the national median of $248,893 and 3.30% below the Alabama state average of $202,305.
Cost-of-Living Adjusted Salary
Gadsden has a cost of living 12.10% below the national average, meaning your salary goes further here.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Gadsden, AL has a cost-of-living index of 87.9 (below the national average of 100). A nurse anesthetist earning $195,629 nominally has purchasing power equivalent to $222,559 in an average-cost city — an effective 13.77% boost.
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2019 BLS Actual
$137,384
2025 BLS Actual
$185,959
2026 Current Est.
$195,629
2019–2027 Growth
+49.8%
Salary Trajectory for Nurse Anesthetists in Gadsden (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 5.20% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $137,384 | Actual |
| 2020 | $144,293 | Actual |
| 2021 | $153,749 | Actual |
| 2022 | $159,628 | Actual |
| 2023 | $167,142 | Actual |
| 2024 | $168,382 | Actual |
| 2025 | $185,959 | Actual |
| 2026(current) | $195,629 | Estimated |
| 2027 | $205,802 | Projected |
Based on 7 years of BLS OEWS data for the Gadsden metropolitan area, the median nurse anesthetist salary grew 35.4% from $137,384 (2019) to $185,959 (2025). At a 5.20% compound annual growth rate, salaries are projected to reach $205,802 by 2027 — a total increase of $68,418 (49.80%) from 2019.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Gadsden metropolitan area, sourced from annual Occupational Employment and Wage Statistics surveys. 2026–2026 figures are current estimates, and 2027 values are projections, calculated using a 5.20% CAGR derived from 7-year BLS historical data. Actual salaries may vary based on employer, experience, certifications, and local market conditions.
Salary by Experience Level
| Experience | Estimated Salary Range |
|---|---|
| 0-2 years (New Graduate) | $140,305 – $177,957 |
| 3-5 years (Mid Career) | $177,957 – $195,629 |
| 5+ years (Experienced) | $195,629 – $243,049 |
| 10+ years (Top Earner) | $243,049 – $276,384 |
CRNA salary ranges estimated from BLS percentile data. Individual nurse anesthetist compensation varies by employer, certifications, and specialization.
Nurse Anesthetist Job Market in Gadsden
The job market for nurse anesthetists in Gadsden, with around 7 professionals currently practicing, faces challenges and opportunities due to the region's cost of living index standing at 87.9, which is below the national average. This lower cost of living translates to enhanced purchasing power, allowing CRNAs to stretch their earnings further. Employers in Gadsden include hospital systems and ambulatory surgery centers, with some of the highest local salaries often found in larger institutions. The disparities in pay are driven by factors such as call coverage schedules, weekend and holiday differentials, and administrative bonuses linked to operational efficiency. Furthermore, those involved in partnerships within group practices can receive a profit distribution that significantly augments their income. For those considering employment in Gadsden, negotiating terms that favor reduced call hours or higher weekend differentials could be key strategies for financial growth in the local environment.
More salary data for Gadsden, AL:
Frequently Asked Questions
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Written by Alexandra Johnson, MSN, CRNA
Career Analyst
Alexandra Johnson has 10 years of experience as a nurse anesthetist. She specializes in anesthesia for orthopedic surgeries. She works in a regional medical center.
Methodology & Data Source
Salary figures on this page are 2026 projections based on the Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey, May 2026 release. The BLS reported a median annual salary of $185,959 for nurse anesthetistsin the Gadsden metropolitan area. A 5.20% compound annual growth rate (CAGR), calculated from 6-year national BLS wage trends, was applied to project current 2026 compensation. Percentile ranges (P10–P90) represent the full salary distribution across experience levels and practice settings in this market.
Data Sources & Methodology
Salary data for Gadsden is estimated from official BLS state-level occupational wage data (2025), adjusted for regional cost-of-living differences using BEA RPP (Regional Price Parities).
2026 figures are projected from 2025 BLS data using a compound annual growth rate (CAGR) of 5.20%, derived from historical BLS wage trends for nurse anesthetists (SOC 29-1151).
Compiled and verified by Alexandra Johnson, MSN, CRNA, a licensed nurse anesthetist with 10+ years of clinical experience. · View source data at BLS.gov