Certified Nursing Assistant Salary in Middletown, NY: $44,520 (2026)
Quick Answer:A full-time certified nursing assistant in Middletown, NY earns a median $44,520/year (≈ $21.41/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 31-1131). Once you factor in Middletown's price level (16% above national, BEA RPP 115.9), that paycheck buys what $38,412 would nationally. Nominal pay sits 3.3% below the New York state average.
Based on BLS state-level estimates · View source
In 2026, the certified nursing assistant salary in Middletown, NY, has reached a median of $44,520, which positions it slightly below the national median of $45,007 for the same year. The salary range for this role varies widely, with the lowest earners making about $38,603 and the higher end topping out at $53,964. These figures are derived from state-level data and regional cost adjustments as reported by BLS. This post-COVID wage reset reflects an evolving job market where the nursing workforce has faced significant changes in compensation dynamics, particularly in the wake of the pandemic.
About the Middletown Market
Salary estimated from New York average ($44,000) adjusted for local cost of living.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $38,603 | $18.56 |
| Lower Range (P25) | $39,814 | $19.14 |
| Median (P50)(typical) | $44,520 | $21.41 |
| Upper Range (P75) | $49,702 | $23.90 |
| Top Earners (P90) | $53,964 | $25.94 |
Median Salary Position
1.08% below the national average
2026 Salary Percentile Distribution in Middletown
In Middletown, NY, the certified nursing assistant salary spread from the 10th to 90th percentile is $15,361 (2026 est.). At $44,520, the local median is 1.08% below the national median of $45,007.
Salary Calculator
At 40 hours/week in Middletown: You'd be in the lower-middle range
How Middletown Certified Nursing Assistant Pay Compares
Middletown median: $44,520/year (2026)
| Compared To | Median Salary | Middletown Pays |
|---|---|---|
| New York Average | $46,039 | -3.30% less |
| National Average | $45,007 | -1.08% less |
Certified Nursing Assistants in Middletown, NY earn a median of $44,520 per year (2026 est.), which is 1.08% lower than the national median of $45,007 and 3.30% below the New York state average of $46,039.
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 $44,520 is competitive, the higher cost of living reduces purchasing power to an effective $38,412 — a 13.72% reduction.
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2019 BLS Actual
$29,339
2025 BLS Actual
$41,803
2026 Current Est.
$44,520
2019–2027 Growth
+61.6%
Salary Trajectory for Certified Nursing Assistants in Middletown (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 6.50% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $29,339 | Actual |
| 2020 | $30,516 | Actual |
| 2021 | $29,982 | Actual |
| 2022 | $35,373 | Actual |
| 2023 | $37,787 | Actual |
| 2024 | $49,290 | Actual |
| 2025 | $41,803 | Actual |
| 2026(current) | $44,520 | Estimated |
| 2027 | $47,414 | Projected |
Based on 7 years of BLS OEWS data for the Middletown metropolitan area, the median certified nursing assistant salary grew 42.5% from $29,339 (2019) to $41,803 (2025). At a 6.50% compound annual growth rate, salaries are projected to reach $47,414 by 2027 — a total increase of $18,075 (61.61%) 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 6.50% 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) | $38,603 – $39,814 |
| 3-5 years (Mid Career) | $39,814 – $44,520 |
| 5+ years (Experienced) | $44,520 – $49,702 |
| 10+ years (Top Earner) | $49,702 – $53,964 |
CNA salary ranges estimated from BLS percentile data. Individual certified nursing assistant compensation varies by employer, certifications, and specialization.
Certified Nursing Assistant Job Market in Middletown
Middletown's job market for certified nursing assistants currently employs only seven individuals, which suggests a niche environment and limited opportunity for competition. The local cost of living, with an index of 115.9, indicates that take-home pay may be impacted; thus, maximizing earnings is essential. Those seeking the highest salaries may find that skilled nursing facilities or hospitals offer the best compensation, often supplemented by shift differentials that can add $2-4 per hour for nights, and $1-3 for weekends. Additionally, exploring private duty roles through home health agencies, hospice care, or rehabilitation facilities can yield competitive pay rates, especially designed for higher-acuity patients. Certified nursing assistants in Middletown should consider various factors, including certifications like CMA, and be open to flexible scheduling that includes weekend-only positions to enhance overall salary potential.
More salary data for Middletown, NY:
Frequently Asked Questions
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Can certified nursing assistants make $100K in Middletown?
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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.
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 $41,803 for certified nursing assistantsin the Middletown metropolitan area. A 6.50% 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 6.50%, derived from historical BLS wage trends for certified nursing assistants (SOC 31-1131).
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