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Pay & Contracts

How travel pay works, what to ask your recruiter, and what to watch out for, explained in plain words.

Not tax or legal advice. This is general info to help you ask better questions. Tax rules depend on your situation, so talk to a tax pro who works with travelers before you count on tax-free stipends.

How a travel pay package works

Two kinds of money

Taxed Base hourly rate. Your actual wage. It shows up on your paystub and W-2 and gets taxed like any paycheck.

Usually not taxed* Stipends. Weekly money for housing and for meals & incidentals (M&IE), sometimes plus travel reimbursement. These pay you back for the extra cost of living away from home.

Add those together and you get the "weekly gross" recruiters quote. *Stipends are only tax-free if you have a real tax home you're traveling away from (see below).

Why the base rate matters more than it looks

  • Overtime is time and a half your regular pay for hours over 40 in a workweek (federal law). With a low base, extra shifts pay less.
  • Sick pay, 401(k) match and unemployment usually go off your taxable wages, not your stipends.
  • If you get canceled or miss shifts, stipends often get cut back too. Your base is the part you can count on.
  • Loans and mortgages: lenders usually look at your taxable income.

Two packages with the same weekly gross can be very different. Always ask for the taxable hourly rate by itself.

GSA per diem rates, explained

The government sets per diem (daily) rates for lodging and for meals & incidentals in every part of the country. Agencies often use them as the ceiling for how high your stipends go.

  • For Oct 1, 2026 to Sept 30, 2027 (FY2027), the standard rate is $113 a night for lodging and $68 a day for M&IE.
  • About 295 higher-cost areas get a higher rate. M&IE in those areas runs from $68 to $92 a day.
  • The rates change every October 1.

👉 Look up the city you're headed to: GSA per diem rate lookup. Check it against what your recruiter offers. If a stipend is well under the GSA rate, you may be able to negotiate. Keep in mind the pay package as a whole still has to work.

The "tax home" rule (the basics)

Per IRS Publication 463, travel money can only be tax-free if you're traveling away from your tax home. In plain words:

  • If you don't have a main place of work, your tax home can be the home where you regularly live. The IRS looks at 3 things: (1) you do some work in the area of that home and stay there when you do, (2) you keep paying for that home while you're away, so you're paying for two places, and (3) you haven't abandoned the area, or family lives there, or you often stay there.
  • Meet all 3 and you have a tax home. Meet only 1 and you're considered "itinerant." Your tax home is then wherever you work, and travel money isn't tax-free.
  • An assignment in one place generally counts as temporary if it's expected to last a year or less (and actually does). Expected to go longer than a year? It's "indefinite," that place becomes your tax home, and the living-expense money becomes taxable.
  • Back-to-back contracts at the same place can add up to an indefinite assignment.

Not tax advice. Tax-home questions get complicated fast (RV living, staying with family, selling your house). Talk to a tax pro who knows travel healthcare before you take tax-free stipends.

Before you sign

📞 Questions to ask your recruiter
  • Taxable hourly rate by itself, and how the stipends are split out (housing, M&IE, travel).
  • Guaranteed hours: how many hours a week are guaranteed? What happens to pay and stipends if they cancel me for low census?
  • Cancellation policy: how many shifts can they cancel per contract? How much notice do I get? What happens if the whole contract gets canceled early, or if I need to leave?
  • Shift and schedule: days, nights or rotating? 8s or 12s? Is it self-scheduling? Are weekends and holidays required?
  • Call and floating: any on-call? Which units or campuses could I float to?
  • Overtime: when does it start, what's the rate, and are extra shifts allowed?
  • Time off: can I get my requested days off written into the contract?
  • Extension: is there a chance to extend, and does the rate stay the same?
  • Licensing and travel reimbursement: will they pay for a new state license and compliance items? What about travel to and from the job? How much, and when is it paid?
  • Health insurance: when does it start (day 1 or later)? What does it cost? What happens to it between contracts?
  • Completion bonus: how much, exactly what do I have to do to get it, when is it paid, and what makes me lose it?
  • Start date and orientation: how many orientation hours, and are they paid at the full rate?
  • Can I see all of this in the written contract before I sign?
🚩 Contract red flags
  • Really low base, really high stipends. Your overtime and benefits shrink, and you lose more if you get canceled.
  • Vague cancellation language like "hours subject to census," with no number of guaranteed hours.
  • No guaranteed hours at all, or stipends that disappear if you drop under a set number of hours.
  • Pressure to sign fast before you've seen the written contract.
  • Fees that are mentioned but never listed: early-leave penalties, paying back housing or bonuses.
  • What they told you on the phone isn't in the contract: time off, shift, unit or rate.
  • Stipends way over the GSA rate with no explanation, or a recruiter who brushes off tax-home questions.

Comparing offers

Quick worksheet

Fill this in for each offer, using the written numbers, not the ones from the phone call.

Offer AOffer B
Taxable hourly rate
Guaranteed hours/week
Housing stipend/week
M&IE stipend/week
Overtime rate
Shifts they can cancel
Travel / license pay
Completion bonus + terms
Insurance start date
Shift / call / float
Your real housing cost

🧮 Weekly gross calculator

Enter your numbers to see the weekly gross.

This is just simple math: hourly × hours + weekly stipends. It doesn't count taxes, overtime, or anything your agency takes out.

💬 Got a tip or a park to add? Message @cdc2320 on X

Sources: GSA per diem rates; GSA Per Diem Bulletin FTR 27-01 (FY2027 rates); IRS Publication 463: Travel, Gift, and Car Expenses (tax home, temporary vs. indefinite assignments); U.S. Dept. of Labor: Overtime Pay; TravelNurseTax: How to read a pay package; Cynet Health: How travel pay works; TravelNurse911: Reading a contract. Last checked Oct 2026.

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