Surgical Technologist.
Richmond.
$59,000
median salary, 4% above the national average
$49,000 to $72,000. Last updated April 2026.
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Data points to own the conversation.
Richmond is 1% more expensive than the national average. For Surgical Technologists, that shakes out to a median of $59,000, with the full range spanning $49,000 to $72,000. Surgical specialty drives compensation, with cardiovascular, neuro, and robotic surgery techs earning the most. Know the range before you walk in.
Salary range
Where do you fall?
Salary by experience
The gap between entry and lead level is typically $53,000. Where you land depends on years of experience and what you bring to the table.
Entry (0-2 yrs)
$38,000
to $47,000
Mid (3-5 yrs)
$50,000
to $62,000
Senior (6-9 yrs)
$65,000
to $77,000
Lead (10+ yrs)
$74,000
to $91,000
Salary trend
+5% YoYTotal compensation
Base salary is not the full picture. Equity, bonus, and signing can add $16,000 to the total package.
Base
$59,000
Equity
$9,000
Bonus
$6,000
Signing
$1,000
Estimated total: $75,000
How Richmond compares
Richmond, VA
$59,000
Cost of living: 1% above average
National Average
$57,000
Richmond is $2,000 above
Surgical Technologist salary by city
Salary by role in Richmond
What you should know
The Surgical Technologist landscape in Richmond is not what most salary sites will tell you. Richmond combines a strong government and defense sector with growing technology and financial services industries. Capital One's headquarters drives significant fintech employment. The city's proximity to Washington DC creates spillover demand for federal contractors and tech workers seeking lower living costs. Surgical specialty drives compensation, with cardiovascular, neuro, and robotic surgery techs earning the most. Certification through NBSTSA is increasingly required and commands higher pay. Level I trauma centers and academic medical centers pay above community hospitals, and call pay for after-hours coverage adds meaningful income.
New surgical techs start at $45,000 to $50,000 with certification. Experienced techs in specialty ORs earn $58,000 to $68,000 after five years. Lead surgical techs or first assistants can reach $70,000 to $82,000, with surgical first assist certification opening the highest pay tier. In Richmond, cost of living sits near the national average, so the numbers you see are roughly what you keep.
Base salary is not the full picture. Surgical techs receive call pay of $3 to $6 per hour when on standby, plus overtime for emergency cases. Benefits include health insurance, scrub allowances, and certification renewal reimbursement. Some hospitals offer retention bonuses in tight labor markets. And on the tax side: virginia's top income tax rate is 5.75%. Richmond has no city income tax. The moderate rate and reasonable cost of living create solid net compensation. When someone quotes you $59,000, ask what the total package looks like. The gap between base and total comp is where real money hides.
On negotiation: Leverage DC corridor salary benchmarks. Richmond employers compete with Northern Virginia and DC for talent, especially in fintech and government contracting. The range for Surgical Technologists in Richmond runs from $49,000 to $72,000. That is not a narrow window. Where you land inside it depends almost entirely on whether you negotiate and how well you prepare.
Sources: SEC filings, H-1B LCA (DOL), BLS OES, 50+ job posting platforms. COL: BEA Regional Price Parities (2025). Data verified by Justin Bartak, Founder & Chief AI Officer. Last verified April 8, 2026. Full methodology
Considering a related role?
- A HVAC Technician in Richmond earns $58,000 (2% less)
- The highest-paying role in Richmond is Chief AI Officer at $316,000
Common questions.
Surgical Technologist salary in other cities
Other salaries in Richmond
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