Nursing in Massachusetts

Massachusetts has a strong nursing education network, but schools cluster mainly in metropolitan areas. Most programs reside in Greater Boston, Worcester, and Springfield, leaving western and rural parts of the state with fewer local training options. If you live outside these urban centers, accessing ADN or BSN programs may require commuting or relocating, especially since LPN programs are more limited and usually found at community colleges in key cities.

The state’s average NCLEX pass rate stands at 87.8%, slightly above the national average, and has been improving steadily. Top university-affiliated nursing schools often exceed 90% pass rates. However, some smaller or for-profit programs report pass rates below 82%, which signals varying quality levels in nursing education. Clinical experience access and program support are important factors behind these differences. Careful program selection can influence outcomes and licensure success.

Massachusetts is not part of the Nurse Licensure Compact, meaning nurses licensed here must apply separately for licenses to work in other states. This can affect mobility, especially if you plan to practice across state lines in compact member states such as New Hampshire or Connecticut.

The state offers competitive salaries for nurses with registered nurses earning around $109,000 on average, but wages vary widely by region and specialty. Boston-area nurses often earn more but also face higher living costs, especially in housing. Licensed practical nurses earn roughly $73,400 but face fewer job openings compared to RNs. Advanced practice nurses earn significantly more, with nurse anesthetists leading the field nationally.

Tuition for nursing programs varies considerably. Community colleges offer more affordable ADN and LPN options between $10,000 and $20,000 for full programs, while BSN and ABSN programs at public and private universities can range from $15,000 to over $50,000 per year. This cost reflects Massachusetts’s higher education expenses and general cost of living. Considering both tuition and living costs is essential when planning your nursing education path.

The healthcare job market is stable but varies by location and credential level. Major health systems such as Mass General Brigham, Beth Israel Deaconess, and UMass Memorial remain significant employers with strong preferences toward BSN-prepared nurses. Rural nursing shortages exist but training opportunities are limited outside cities. Understanding these factors can help students navigate nursing education and employment in Massachusetts thoughtfully.