From what I have found the smaller area's seem to pay less. It also seems that the further south you go in Florida the pay seems to go up. I have friends in south Florida that make a few dollars more than me and a few in Jacksonville that make a few dollars less. (just an observation not really scientific) The beaches hospitals usually pay less too. Our clinical ladder is similar to yours, but any nurse can do it. We also have points for being a resource nurse in different subjects like Diabetes or pain or customer service. At our hospital they are so focused on customer service... it is crazy. I had to code a newborn in a labor room with 15 people (family in the room. We aren't allowed to limit the number of people that are in the room for deliveries for better customer service. You wouldn't believe some of the things they are doing in the name of customer service, it is just crazy.