Surgeon Salary in Nashville, TN (2026)
Median Surgeon salary in Nashville is approximately $277,200/year — 1.0% below the US national average.
Salary breakdown — Nashville
After-tax estimate
| City | Cost mult. | Estimated annual | vs Nashville |
|---|---|---|---|
| Dallas, TX | 0.99× | $277,200 | +$0 |
| Colorado Springs, CO | 0.99× | $277,200 | +$0 |
| Bakersfield, CA | 0.99× | $277,200 | +$0 |
| St. Petersburg, FL | 0.99× | $277,200 | +$0 |
| Madison, WI | 0.99× | $277,200 | +$0 |
Surgeon salaries in Nashville, TN
The estimated median Surgeon salary in Nashville, Tennessee is $277,200/year, working out to approximately $133/hour at full-time, $10,662 per biweekly paycheck, or $23,100/month before taxes. Nashville's cost-of-living multiplier of 0.99× national reflects local prices, housing costs, and employer concentration in this metro area.
Compared to the Tennessee state average for this role ($257,600), Nashville pays about $19,600 more. This typically reflects how the metro area's cost of living and employer density differ from the state as a whole.
Take-home pay in Nashville
Of the gross $277,200, you take home roughly $217,186 after:
- Federal income tax (~14% effective at this income)
- FICA — Social Security 6.2% + Medicare 1.45% = 7.65%
- Tennessee state income tax (none)
- Nashville has no local income tax
That works out to about $18,099/month after-tax — useful for budgeting rent (typically 25–35% of net income), savings (15–20% target), and other expenses. For an exact calculation including 401(k), HSA, and your filing status, use our Nashville Paycheck Calculator.
What affects your actual pay
- Experience: entry-level often 25–35% below median; senior roles 40–60%+ above.
- Specific employer: top-tier employers in Nashville pay 10–25% above market for the same role.
- Industry: a Software Engineer at a tech company in Nashville typically out-earns one at a non-tech employer.
- Negotiation: simply negotiating an offer can shift comp by 5–15%.
- Education and credentials: degrees and licenses (especially for healthcare, legal, engineering) can move comp by 15–30%.
- Remote vs in-office: many Nashville employers now base pay on cost of living, with remote workers in cheaper metros paid less.
Related calculators
Surgeon Salary in Tennessee — state-level average. Salary Calculator — convert hourly ↔ annual. Nashville Paycheck Calculator — exact take-home. Income Tax Calculator — federal tax with brackets. Investment Calculator — long-term portfolio growth.