EDIT: Adding taxes to the calculation adds an additional dimension. Online calculators show that the total tax on 23,000 pounds with a 9% NHS pension contribution amount to 25%, leaving 17,500 pounds or about $22,300. In Maryland the total tax rate is the same for someone making $65,000, leaving $48,000. That’s after paying for social security, which will pay out about as much as an NHS pension would pay. A US nurse typically will receive health benefits on top of the salary. Even if the employer doesn’t cover 100% of premiums, the out-of-pocket premium payments (which are per-tax) are unlikely to be more than $5,000.