Nurse Anesthetist Salary in Middletown, NY: $278,817 (2026)
Quick Answer:A full-time nurse anesthetist in Middletown, NY earns a median $278,817/year (≈ $134.05/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-1151). Once you factor in Middletown's price level (16% above national, BEA RPP 115.9), that paycheck buys what $240,567 would nationally. Nominal pay sits 3.3% below the New York state average.
Based on BLS state-level estimates · View source
Earning a median annual income of $278,817, the nurse anesthetist salary in Middletown, NY, reflects a competitive environment influenced by local demand and specific lifestyle trade-offs that affect call-coverage responsibilities. The salary range for this profession spans from $199,527 at the 10th percentile to $393,392 at the 90th percentile, indicating substantial variation based on factors including experience, employer type, and workload. These figures, derived from 2025 BLS OEWS data, projected to 2026, reveal that the compensation for nurse anesthetists in Middletown exceeds the national median of $248,893 by approximately 12.02%. As the local healthcare landscape evolves, those pursuing careers in this field should consider the implications of work-life balance alongside earnings potential.
About the Middletown Market
Salary estimated from New York average ($235,000) adjusted for local cost of living.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $199,527 | $95.92 |
| Lower Range (P25) | $247,107 | $118.80 |
| Median (P50)(typical) | $278,817 | $134.05 |
| Upper Range (P75) | $346,085 | $166.38 |
| Top Earners (P90) | $393,392 | $189.13 |
Median Salary Position
12.02% above the national average
2026 Salary Percentile Distribution in Middletown
In Middletown, NY, the nurse anesthetist salary spread from the 10th to 90th percentile is $193,865 (2026 est.). At $278,817, the local median is 12.02% above the national median of $248,893.
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At 40 hours/week in Middletown: You'd be in the lower-middle range
How Middletown Nurse Anesthetist Pay Compares
Middletown median: $278,817/year (2026)
| Compared To | Median Salary | Middletown Pays |
|---|---|---|
| New York Average | $288,332 | -3.30% less |
| National Average | $248,893 | +12.02% more |
Nurse Anesthetists in Middletown, NY earn a median of $278,817 per year (2026 est.), which is 12.02% higher than the national median of $248,893 and 3.30% below the New York state average of $288,332.
Cost-of-Living Adjusted Salary
Middletown has a cost of living 15.90% above the national average.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Middletown, NY has a cost-of-living index of 115.9 (above the national average of 100). While the nominal salary of $278,817 is competitive, the higher cost of living reduces purchasing power to an effective $240,567 — a 13.72% reduction.
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2019 BLS Actual
$195,805
2025 BLS Actual
$265,035
2026 Current Est.
$278,817
2019–2027 Growth
+49.8%
Salary Trajectory for Nurse Anesthetists in Middletown (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 5.20% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $195,805 | Actual |
| 2020 | $205,652 | Actual |
| 2021 | $219,128 | Actual |
| 2022 | $227,507 | Actual |
| 2023 | $238,217 | Actual |
| 2024 | $263,254 | Actual |
| 2025 | $265,035 | Actual |
| 2026(current) | $278,817 | Estimated |
| 2027 | $293,315 | Projected |
Based on 7 years of BLS OEWS data for the Middletown metropolitan area, the median nurse anesthetist salary grew 35.4% from $195,805 (2019) to $265,035 (2025). At a 5.20% compound annual growth rate, salaries are projected to reach $293,315 by 2027 — a total increase of $97,510 (49.80%) from 2019.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Middletown 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) | $199,527 – $247,107 |
| 3-5 years (Mid Career) | $247,107 – $278,817 |
| 5+ years (Experienced) | $278,817 – $346,085 |
| 10+ years (Top Earner) | $346,085 – $393,392 |
CRNA salary ranges estimated from BLS percentile data. Individual nurse anesthetist compensation varies by employer, certifications, and specialization.
Nurse Anesthetist Job Market in Middletown
In Middletown, the job market currently comprises seven employed nurse anesthetists, who face a cost-of-living index of 115.9, which suggests that while salaries are comparatively higher, expenses are also elevated relative to the national average. Various employers shape the local pay structure, which includes prominent hospital systems, ambulatory surgery centers, and CRNA-owned practices. Those earning the highest in this region typically capitalize on a mix of factors such as call coverage rotations, which can vary from 1-in-8 to 1-in-5, and potential weekend or holiday differentials. Strategies for maximizing nurse anesthetist pay in Middletown include negotiating for partnership opportunities in group practices, being mindful of productivity bonuses, and considering roles at VA facilities or trauma centers that may offer additional stipends. Understanding these elements can significantly enhance earnings for nurse anesthetists navigating this unique market.
More salary data for Middletown, NY:
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 $265,035 for nurse anesthetistsin the Middletown 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 Middletown 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