CNA Salary

Cleveland vs Middletown: Certified Nursing Assistant Salary (2026)

Compare certified nursing assistant salaries between Cleveland, OH and Middletown, OH. All figures are 2026 estimates projected from BLS 2025 data.

Cleveland, OH
$41,546
$19.98/hr
Middletown, OH
$41,305
$19.86/hr

Side-by-Side Comparison

MetricCleveland, OHMiddletown, OH
Median Salary$41,546$41,305
Hourly Rate$19.98$19.86
Entry Level (P10)$37,786$34,136
25th Percentile$40,310$36,617
75th Percentile$47,925$45,801
Top Earner (P90)$49,746$49,553
Total Employed13,0609
Side-by-side bar chart comparing Cleveland ($41,546) and Middletown ($41,305) certified nursing assistant salaries.ClevelandMiddletownMedian Salary$41,546$41,305Entry Level (P10)$37,786$34,136Top Earner (P90)$49,746$49,553US Median $45,007

Verdict

Cleveland, OH offers better overall compensation for certified nursing assistants, winning 4 out of 4 metrics compared to Middletown.

The salary gap between Cleveland and Middletown is $241 (0.58%). Cleveland's median is -7.69% compared to the US national median of $45,007.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Cleveland spans $11,960,Middletown spans $15,417. Middletown has a wider pay range, suggesting more variation in pay between entry-level and experienced certified nursing assistants.

Cleveland
P10 (Entry)$37,786
P25$40,310
Median$41,546
P75$47,925
P90 (Top)$49,746
Middletown
P10 (Entry)$34,136
P25$36,617
Median$41,305
P75$45,801
P90 (Top)$49,553

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Middletown ($45,540 effective) pays 2.95% more than Cleveland ($44,234 effective).

Cleveland
Nominal: $41,546
CoL Index: 93.923
Adjusted: $44,234
Middletown
Nominal: $41,305
CoL Index: 90.7
Adjusted: $45,540

Cost-of-living adjustment: salary × (100 / CoL index). Index of 100 = national average.

Which City Is Right for You?

Choose Cleveland if…

  • Higher median salary ($41,546/year)
  • Better top-earner potential ($49,746)
  • Larger job market (13,060 employed)
  • You prefer the Ohio area and lifestyle

Choose Middletown if…

  • Better purchasing power (CoL-adjusted: $45,540)
  • You prefer the Ohio area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, certified nursing assistant salaries in Cleveland grew 33.8% from 2019 to 2025, compared to 19.8% growth in Middletown over the same period.

Cleveland, OH

+33.8%

$29,150 (2019) → $39,010 (2025)

Middletown, OH

+19.8%

$32,363 (2024) → $38,784 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays certified nursing assistants more: Cleveland or Middletown?

Cleveland has a higher median certified nursing assistant salary at $41,546/year, compared to Middletown at $41,305/year — a difference of $241 (0.58%).

What is the hourly rate difference between Cleveland and Middletown?

Cleveland certified nursing assistants earn $19.98/hr while Middletown hygienists earn $19.86/hr (2026 est.).

Should I relocate from Cleveland to Middletown as a certified nursing assistant?

Consider more than just salary when comparing Cleveland and Middletown. Factor in cost of living (CoL-adjusted: Cleveland = $44,234, Middletown = $45,540), job availability (13,060 vs 9 employed), commute, and career growth potential.

What do entry-level certified nursing assistants earn in Cleveland vs Middletown?

Entry-level (10th percentile) certified nursing assistants earn $37,786 in Cleveland and $34,136 in Middletown. The Cleveland area offers higher starting salaries.

Related Comparisons

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Written by Emily Chen, BSN, RN

Career Analyst

Emily has over 10 years of experience in nursing. She focuses on workforce trends in nursing. Emily has worked in various healthcare settings, including hospitals and long-term care facilities.

Clinically reviewed by Michael Rodriguez, CNAData verified by Sara Patel, RN

Methodology & Data Source

All salary figures are 2026 projections based on BLS OEWS May 2025 data. A 6.50% CAGR (derived from 6-year national BLS trends) was applied to estimate current compensation. Cost-of-living adjustments use BEA Regional Price Parity data. Actual salaries vary by employer, certifications, and experience.

Data Sources & Methodology

Source: BLS, OEWS , released .

Compiled and verified by Emily Chen, BSN, RN, a licensed certified nursing assistant with 10+ years of clinical experience. · View source data at BLS.gov