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Systems with the Most Rate-Reduction PotentialNational view of parent health systems compared to their own local-market benchmarks. Each system's hospitals are measured against their own city or state market, so a CA hospital at $130/hr isn't flagged if its neighbors pay similarly. Ranking reflects the average gap above local benchmarks — i.e., the headroom available to bring rates back in line.
Health systems with the most opportunity to bring current pay rates closer to their local markets
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More market intelligence
Deeper cuts on demand, pay, and spend
Pay Forecast
Forward-looking weekly-pay projection by core RN specialty
Seasonal Demand
When each specialty peaks and dips across the year
Travel vs. Perm Pay Gap
Retention pressure by specialty — travel premium over perm
Agency Spend Projection
Projected 2026 contingent labor spend by state
Find Top-Paying Roles
Search top-paying open assignments by hospital, city, or specialty
Check Your Weekly Pay
See if your rate is above, at, or below market for nearby postings
