Nursing Program Rankings

Best CRNA Programs for 2026: 25 Top-Ranked Doctoral Programs

36Programs analyzed
$3,996–$66,325Tuition range
73%Avg graduation rate
$236,590Median certified registered nurse anesthetist salary

The best CRNA programs sit at the intersection of rigorous science, high-stakes clinical training, and a career outcome that most nursing specialties cannot match. You are already a working RN. You have your BSN, your license, and at least a year of ICU experience behind you. The question now is which doctoral program gets you to the other side fastest, most affordably, and with the strongest outcomes. Across the 36 COA-accredited programs analyzed for this ranking, in-state tuition runs from $3,996 at the University of North Florida to $66,325 at Duke University. The career you are training for pays a national BLS median of $236,590 per year, compared to $97,550 for a staff RN. That $139,040 annual difference is what makes this credential one of the most financially consequential moves in nursing.

This page ranks the best CRNA programs by Hakia Score, a composite built from graduation rates, selectivity, and cost data drawn from IPEDS. The goal is practical: help a working RN identify which programs deliver the best outcomes at the most defensible cost. Every figure cited here ties to a published source. If a number is not available for a program, we say so rather than guess.

CRNA training leads to the Doctor of Nursing Practice (DNP) or the Doctor of Nurse Anesthesia Practice (DNAP), both doctoral degrees and both required for new CRNA graduates under the current COA mandate. The path is long and the admission bar is genuinely high, but the career on the other end is one of the most autonomous, highest-paid, and fastest-growing roles in all of healthcare.

Key Takeaways on the Best CRNA Programs

  • CRNAs earn a national BLS median of $236,590 per year, versus $97,550 for a staff RN, a difference of $139,040 annually.
  • Admission to any COA-accredited CRNA program requires a BSN, an active RN license, and at least one year of critical-care ICU experience.
  • In-state tuition across the 36 programs analyzed ranges from $3,996 (University of North Florida) to $66,325 (Duke University); public programs offer the widest cost advantage.
  • All new CRNA graduates must hold a doctoral degree: a DNP or DNAP. Programs typically run 28 to 36 months of full-time study.
  • COA accreditation from the Council on Accreditation of Nurse Anesthesia Educational Programs is non-negotiable: without it, graduates cannot sit for the NBCRNA National Certification Examination.
  • Over a 20-year career, the earnings difference between a CRNA and a staff RN is approximately $2,780,800, making even the highest-cost programs a straightforward financial decision.

Programs are ranked by Hakia Score, a composite index built from graduation rates, selectivity, and in-state tuition cost, using data sourced from IPEDS. Scores are scaled 0 to 100 relative to the full pool of 36 COA-accredited programs analyzed. Where IPEDS does not report a given metric for a program, the score is calculated on available dimensions. See the full methodology below the rankings table for what this ranking measures and what it does not.

The 25 Best CRNA Programs, Ranked for 2026

The 25 best CRNA Programs, ranked by outcomes
#ProgramTypeIn-state tuitionGrad rateAdmit rateHakia Score
1Northeastern UniversityBoston, MAnonprofit$64,99091%5%93.6
2Duke UniversityDurham, NCnonprofit$66,32597%6%92.5
3Florida State UniversityTallahassee, FLPublic$4,64086%24%92.4
4Case Western Reserve UniversityCleveland, OHnonprofit$66,02087%37%89.3
5University of Pittsburgh-Pittsburgh CampusPittsburgh, PA · online optionPublic$20,55685%58%89.1
6Texas Christian UniversityFort Worth, TX · online optionnonprofit$61,65086%44%85.2
7Baylor UniversityWaco, TXnonprofit$58,10080%51%84.7
8Fairfield UniversityFairfield, CTnonprofit$57,45084%33%84.4
9University at BuffaloBuffalo, NYPublic$7,07075%74%81.4
10University of North FloridaJacksonville, FLPublic$3,99669%53%79.4
11University of Cincinnati-Main CampusCincinnati, OHPublic$11,68575%85%77.2
12Rosalind Franklin University of Medicine and ScienceNorth Chicago, ILnonprofit77.1
13University of ScrantonScranton, PAnonprofit$53,20880%81%74.7
14Mount Marty UniversityYankton, SDnonprofit$31,50052%43%73.2
15University of KansasLawrence, KSPublic$10,96869%93%73.1
16Samford UniversityBirmingham, ALnonprofit$39,00077%82%73.0
17Saint Vincent CollegeLatrobe, PAnonprofit$41,18069%62%72.9
18University of Detroit MercyDetroit, MInonprofit$32,94667%75%71.0
19Wayne State UniversityDetroit, MIPublic$14,27458%81%70.8
20University of EvansvilleEvansville, INnonprofit$42,80064%78%69.2
21Oregon Health & Science UniversityPortland, ORPublic$15,62468.6
22Missouri State University-SpringfieldSpringfield, MO · online optionPublic$8,12058%91%68.5
23Webster UniversitySaint Louis, MOnonprofit$31,45064%86%68.4
24Otterbein UniversityWesterville, OH · online optionnonprofit$35,02468%85%68.0
25University of Michigan-FlintFlint, MIPublic$13,55440%70%67.0

How the Top CRNA Programs Compare

Each program scores 0 to 100 on the Hakia Score, a composite of graduation rate, cost, selectivity, and outcomes. Longer bars rank higher.

The Top CRNA Programs, Reviewed in Depth

#1

Northeastern University

Boston, MA · nonprofit

93.6Score
$64,990In-state
$64,990Out-of-state
Grad rate91%
Admit rate5%

Only 5% of applicants are admitted to this 3-year, fully on-campus DNP program in Boston, with dual accreditation from both COA and IFNA.

  • 5% admit rate: most selective CRNA program in this ranking
  • COA + IFNA dual accreditation
  • 91% graduation rate
  • $139,040/yr salary jump over staff RN median at BLS national CRNA median

Northeastern's DNP-Nurse Anesthesia is a full-time, on-campus, three-year program based in Boston. Graduates earn a Doctor of Nursing Practice and are prepared to sit for the National Certification Examination administered by the Council on Certification of Nurse Anesthetists. The curriculum pairs doctoral-level coursework with clinical rotations across a wide range of Boston-area and regional sites, including private hospitals, public systems, community mental health centers, and outpatient clinics, giving students exposure to diverse patient populations and practice environments. Admissions require a BSN, a minimum 3.2 undergraduate GPA, a current unrestricted RN license, at least one year of critical-care experience, and a minimum 20 hours of documented CRNA shadowing.

Tuition runs $64,990 per year regardless of residency. At that rate, three years of tuition totals roughly $194,970 before fees and living costs. A newly certified CRNA earning the BLS national median of $236,590 earns approximately $139,040 more per year than a staff RN at the BLS median of $97,550. That salary gap alone recovers the tuition cost in under two years of CRNA practice. The program holds a 91% graduation rate and a 5% admit rate, making it among the most selective nurse anesthesia programs in the country. Accreditation comes from both the Council on Accreditation of Nurse Anesthesia Educational Programs (COA) and the International Federation of Nurse Anesthetists (IFNA), the latter being rare and relevant for nurses considering international practice. Northeastern's Hakia Score of 93.6 ranks it first among the programs evaluated here.

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#2

Duke University

Durham, NC · nonprofit

92.5Score
$66,325In-state
$66,325Out-of-state
Grad rate97%
Admit rate6%

Duke's CRNA DNP posts a 97% graduation rate and places students in VA hospitals, active-duty military sites, rural hospitals, and academic medical centers for unmatched case diversity.

  • 97% graduation rate: highest in this group
  • COA-accredited
  • VA, military, and rural clinical placement sites
  • Full-semester cadaver lab with 24/7 sim OR access

Duke University School of Nursing's Nurse Anesthesia DNP is a full-time, on-campus program in Durham, NC. The curriculum covers anesthesia delivery across the full lifespan and includes a faculty-led, full-semester cadaver course taught alongside two PhD-prepared anthropologists. Students have 24/7 access to simulated operating rooms and Duke's Center for Nursing Discovery, a simulation facility accredited by two international simulation organizations. Clinical placements span active-duty military hospitals, VA facilities, rural hospitals, academic medical centers, and ambulatory surgery centers, providing broad case exposure. The program emphasizes leadership, health equity, and evidence-based practice, and graduates are prepared for the national certification examination. U.S. News and World Report ranked it No. 7 among nursing-anesthesia programs for 2025.

Annual tuition is $66,325 regardless of residency; three years totals roughly $198,975 before fees. Against a BLS median CRNA salary of $236,590, the $139,040 annual pay premium over a staff RN ($97,550 median) covers that tuition outlay in under two years of CRNA earnings. Duke's 97% graduation rate is the highest among this group, and the 6% admit rate signals strong selectivity. The program is accredited by the COA, a requirement for graduates to sit for national certification. A Hakia Score of 92.5 places it second in this ranking, just behind Northeastern. The cadaver lab, simulation center, and VA and military clinical placements set it apart for nurses seeking maximum clinical variety before graduation.

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#3

Florida State University

Tallahassee, FL · Public

92.4Score
$4,640In-state
$19,084Out-of-state
Grad rate86%
Admit rate24%

Florida State's 36-month DNAP charges the same $4,640 in-state tuition to every admitted student, in-state or out-of-state, and the program reports a 100% first-time board pass rate and 100% employment within six months.

  • ~$13,920 total tuition (same rate for all students, in-state and out)
  • COA-accredited; maximum 10-year accreditation awarded 2021
  • 100% first-time board pass rate and 100% employment within 6 months (per FSU program page)
  • 40+ clinical sites across FL and the Southeast

Florida State University Panama City's Doctor of Nurse Anesthesia Practice is a 36-month, full-time doctoral program that admits one cohort of 36 students per year. The program follows a 365-day clinical calendar, not a standard semester schedule, meaning clinical practicum runs continuously through term breaks. Students access more than 40 clinical sites across Florida and the Southeast, ranging from major academic medical centers to rural hospitals, providing exposure to all patient populations and anesthesia techniques. The curriculum includes a Scholarly Inquiry Project, with students presenting findings at local or national professional meetings. The program earned maximum 10-year COA accreditation in May 2021, with the next review scheduled for Spring 2031.

FSU Panama City charges $4,640 per year in tuition to all students, in-state and out-of-state alike, making the total tuition cost for the three-year program approximately $13,920. That is a striking contrast to private-program alternatives at $66,000-plus per year. Against the BLS CRNA median of $236,590, the $139,040 annual pay premium over a staff RN covers FSU's total tuition in roughly six weeks of CRNA practice. The program's scraped page states a 100% first-time board pass rate and 100% employment within six months of graduation; these figures come directly from FSU's published program statistics. The 86% graduation rate and 24% admit rate reflect a more accessible application process than the top two programs in this ranking. For a working RN weighing cost against program quality, the combination of COA accreditation, board pass rate, and a sub-$14,000 total tuition is difficult to match. Hakia Score: 92.4.

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#4

Case Western Reserve University

Cleveland, OH · nonprofit

89.3Score
$66,020In-state
$66,020Out-of-state
Grad rate87%
Admit rate37%

Case Western's Frances Payne Bolton School of Nursing ranks No. 19 overall in DNP programs (U.S. News 2025) and reports 100% graduate employment across its DNP Anesthesia program.

  • 100% graduate employment rate (per CWRU program page)
  • U.S. News No. 19 overall DNP program, No. 27 nursing-anesthesia
  • 37% admit rate: most accessible program in this ranking
  • Clinical specialties include obstetrics, pediatrics, and neurosurgery

Case Western Reserve University's Doctor of Nursing Practice in Nurse Anesthesia is administered by the Frances Payne Bolton School of Nursing in Cleveland, OH. The program is full-time and on-campus, with a curriculum covering advanced anesthesia practice, patient safety, and healthcare policy. Clinical experience includes emergency operations, obstetrics, pediatrics, and neurosurgery, and students work one-on-one with a clinical preceptor for both general and regional anesthesia cases. Students have access to the Center for Nursing Education, Simulation and Innovation and other modern laboratory facilities. Graduates are eligible to sit for the examination administered by the National Board of Certification and Recertification for Nurse Anesthetists. Admission requires a BSN or equivalent, at least one year of recent critical-care experience with specialty certification, three letters of recommendation (one from a current nurse manager), and an essay; the application deadline is June 1 for the following year's entry.

Tuition is $66,020 per year for all students, putting the three-year tuition total at approximately $198,060. At the BLS CRNA median of $236,590, the $139,040 annual earnings premium over a staff RN ($97,550) covers that outlay in roughly 19 months of CRNA earnings. U.S. News ranks the school No. 27 among nursing-anesthesia programs and No. 19 overall for DNP programs for 2025. The program reports 100% graduate employment across the DNP Anesthesia track. The 87% graduation rate and 37% admit rate make this the most accessible program in this ranking by selectivity, which can favor qualified RNs who have been passed over at single-digit-admit programs. Hakia Score of 89.3 places it fourth here, reflecting the higher tuition and lower selectivity relative to the top three.

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#5

University of Pittsburgh-Pittsburgh Campus

Pittsburgh, PA · Public · online option

89.1Score
$20,556In-state
$40,060Out-of-state
Grad rate85%
Admit rate58%

Pitt requires 800 anesthetics and averages 2,500+ clinical hours per student, both exceeding the COA minimums of 650 cases and 2,000 hours.

  • 800 anesthetics required (vs. COA minimum of 650)
  • 2,500+ avg clinical hours (vs. COA minimum of 2,000)
  • COA-accredited through 2030, three consecutive 10-year terms
  • In-state tuition ~$62K total for 3-year BSN-to-DNP

Pitt's DNP Nurse Anesthesia program offers two entry points: a BSN-to-DNP track (85.5 credits, full-time on-campus, nine terms over three years) and a fully online MSN-to-DNP completion track (36 credits). The on-campus track moves students through a rigorous curriculum covering anesthesia chemistry and physics, advanced pharmacology, physiology, and pathophysiology, plus simulation workshops for airway management, regional techniques, and pediatric and obstetric emergencies. Clinical placement draws on more than 30 affiliated sites, including Level 1 trauma centers, cardiothoracic, transplant, pediatrics, and obstetrics programs; collectively, those sites expose the cohort to over 300,000 anesthetics per year. Each student must administer 800 anesthetics and log an average of more than 2,500 clinical hours. The program has held COA accreditation continuously and received its third consecutive 10-year term (through 2030) without a single citation in 2020.

In-state tuition runs $20,556 per year; out-of-state students pay $40,060. At in-state rates, the three-year total lands near $62,000 in tuition, compared with a BLS median CRNA salary of $236,590 versus $97,550 for a staff RN. That $139,040 annual pay gap wipes out the in-state tuition cost in under seven months of CRNA practice. Pitt carries a 58% admit rate and an 85% graduation rate, and it earned a Hakia Score of 89.1, placing it fifth in this ranking. US News ranked it fifth tied in the nation for 2026. This program fits the RN who wants a top-10 research-university credential, exceptional clinical volume, and a leadership-focused DNP scholarly project requirement built into the final eight terms.

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#6

Texas Christian University

Fort Worth, TX · nonprofit · online option

85.2Score
$61,650In-state
$61,650Out-of-state
Grad rate86%
Admit rate44%

TCU students average more than 900 anesthesia cases and consistently score 11 to 47 points above the national average on the National Certifying Examination.

  • NCE scores 11-47 points above national average
  • 900+ anesthesia cases per student
  • 44% admit rate; most selective in this cohort
  • 60+ national clinical sites; blended online/on-campus format

TCU's School of Nurse Anesthesia offers a Doctor of Nurse Anesthesia Practice (DNAP) built on a blended model: online and classroom didactics combined with simulation experiences and a clinical residency at more than 60 affiliated sites across the United States. The program prepares graduates to manage complex anesthetic care by integrating scientific knowledge with technical and clinical skills under its teacher-scholar-practitioner model. A post-graduate certificate track is also available for practicing CRNAs. Clinical exposure averages more than 900 anesthesia cases per student, well above the COA minimum of 650.

Tuition is $61,650 per year for all students; TCU does not differentiate in-state and out-of-state rates. For a three-year program, that projects to roughly $185,000 in tuition. At the BLS median CRNA salary of $236,590, the $139,040 annual pay gap over a staff RN ($97,550) recovers the tuition investment in approximately 18 months of CRNA practice. The 44% admit rate is the most selective of this group of programs, and the 86% graduation rate is the highest. TCU carries a Hakia Score of 85.2 (rank 6). The NCE score advantage of 11 to 47 points above the national average is a concrete differentiator for RNs who want measurable evidence of board preparation, not just a credential.

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#7

Baylor University

Waco, TX · nonprofit

84.7Score
$58,100In-state
$58,100Out-of-state
Grad rate80%
Admit rate51%

The Baylor-USAGPAN partnership is a 36-month, 112-credit Army-affiliated DNP that deploys students across military trauma centers on four continents, averaging 28 graduates per year.

  • 112-credit, 36-month Army-affiliated BSN-to-DNP
  • Clinical sites span military trauma centers and VA facilities
  • COA-accredited; US News ranked 4th among 140 programs
  • 5-year active-duty service obligation in exchange for elite training

Baylor University's DNP in Nurse Anesthesia is offered through the U.S. Army Graduate Program in Anesthesia Nursing (USAGPAN), an Army-university partnership running since 1981. The program is fully on-campus and structured in two phases over 36 months: Phase 1 is 52 weeks of didactic instruction at Fort Sam Houston, Texas; Phase 2 is 97 weeks of combined didactic and clinical work at military, VA, Department of Defense, and private-sector facilities including Brooke Army Medical Center, Madigan Army Medical Center, and Tripler Army Medical Center. The 112-credit curriculum is taught by 37 faculty and emphasizes independent decision-making under high-stress conditions, reflecting the Army's requirement for CRNAs to function as sole anesthesia providers in austere settings. Graduation incurs a five-year active-duty service obligation. The program is COA-accredited and is also included in Baylor's CCNE accreditation.

Tuition is $58,100 per year for all students. US News ranked USAGPAN 4th out of 140 accredited programs. The 51% admit rate sits in mid-range for top programs, and the 80% graduation rate reflects the program's intensity. Baylor carries a Hakia Score of 84.7 (rank 7). This program is purpose-built for active-duty Army nurses, National Guard and Reserve RNs, and civilian applicants willing to accept the service obligation in exchange for elite military-trauma clinical exposure that civilian programs simply cannot replicate. Applicants need at least one year of critical-care RN experience; CCRN certification and GRE scores are optional but strengthen competitiveness.

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#8

Fairfield University

Fairfield, CT · nonprofit

84.4Score
$57,450In-state
$57,450Out-of-state
Grad rate84%
Admit rate33%

Fairfield's 2025 cohort posted a 92% first-time NCE pass rate, zero attrition, and 100% employment within six months of graduating.

  • 92% first-time NCE pass rate, 0% attrition, 100% 6-month employment (Class of 2025)
  • COA-accredited through May 2031 on both CT and TX campuses
  • 24+ months clinical; 32-40 OR hours per week
  • 33% admit rate; most selective program in this ranking group

Fairfield University's Egan School of Nursing offers a full-time, 36-month, 100-credit DNP in Nurse Anesthesia at two on-campus locations: Fairfield, Connecticut and Austin, Texas. The program covers every anesthetic technique, from general and neuraxial to peripheral nerve blocks and monitored anesthesia care, and addresses routine surgical cases through to trauma and major burn situations. Residents spend more than 24 months in clinical learning and average 32 to 40 hours of operating room time per week. The program exceeds the COA minimums of 2,000 clinical hours and 650 cases for graduation. Both campuses are fully COA-accredited through May 2031, and the Egan School holds CCNE accreditation through 2027.

Tuition is $15,500 per semester (2026-27 rate, not including fees) across a 100-credit program. At that rate, a six-semester structure would project to roughly $93,000 in tuition before fees; prospective students should verify the exact semester count and fee schedule directly. The BLS median CRNA salary of $236,590 versus $97,550 for a staff RN produces a $139,040 annual pay differential; at roughly $93,000 total tuition, payback falls under nine months of CRNA earnings. The 33% admit rate makes Fairfield the most selective program in this ranking group. The 2025 class achieved 92% first-time NCE pass rate, 0% attrition, and 100% employment within six months, making it the only program in this cohort with all three outcome figures publicly disclosed. Fairfield carries a Hakia Score of 84.4 (rank 8) and suits RNs who want documented outcomes and clinical affiliations across multiple states.

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#9

University at Buffalo

Buffalo, NY · Public

81.4Score
$7,070In-state
$27,670Out-of-state
Grad rate75%
Admit rate74%

124-credit hybrid DNP completed in 3 years at roughly $7,070 per year in-state tuition, putting total tuition near $21,210 for New York residents.

  • Hybrid format: part online, part in-person clinical
  • ~$21,210 in-state tuition over 3 years
  • All instruction by practicing CRNAs and nurse specialists
  • Hakia Score 81.4; 75% graduation rate

Buffalo's Nurse Anesthesia DNP is a hybrid program: some coursework is completed online while clinical and practicum requirements are fulfilled in person. The 124-credit curriculum runs three years full time and is delivered exclusively by nurse specialists and practicing CRNAs, keeping course content directly applicable to clinical anesthesia practice. The program prepares graduates for clinical, educational, research, and leadership roles as CRNAs and is registered with the New York State Education Department.

In-state tuition runs approximately $7,070 per year; over three years that is roughly $21,210 in tuition before fees, against an annual pay gain of $139,040 once you move from a staff RN median of $97,550 to the BLS median CRNA wage of $236,590. At that spread, in-state residents recover tuition costs in under three months of CRNA-level pay. UB's Hakia Score of 81.4 reflects a 75% graduation rate and an admission rate of 74%, meaning the program is accessible to competitive applicants without being a revolving door. The hybrid format suits nurses who need scheduling flexibility for the didactic phase while meeting the hands-on clinical requirements in person.

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#10

University of North Florida

Jacksonville, FL · Public

79.4Score
$3,996In-state
$16,799Out-of-state
Grad rate69%
Admit rate53%

COA-accredited DNP in Anesthesiology Nursing at roughly $3,996 per year in-state tuition, the lowest public rate among these four programs.

  • COA-accredited; NCE-eligible upon graduation
  • ~$11,988 in-state tuition over 36 months
  • High-fidelity simulation plus diverse clinical anesthesia specialties
  • 53% admit rate; rigorous selective cohort

UNF's Doctor of Nursing Practice in Anesthesiology Nursing is a fully in-person, full-time program running nine semesters (36 months) for 111 credit hours through the Brooks College of Health. The curriculum pairs rigorous academic coursework with high-fidelity simulation and hands-on clinical rotations across a wide range of anesthesia specialties. Graduates are eligible to sit for the National Certification Examination (NCE) and receive the Advanced Practice Registered Nurse (APRN) credential from the Florida Board of Nursing. Admission requires a BSN from an accredited institution and a competitive GRE score; the program accepts roughly 53% of applicants, making it the most selective of these four programs by admissions rate.

In-state tuition sits at approximately $3,996 per year. Over 36 months that projects to roughly $11,988 in tuition, making UNF the most affordable public option in this group. Paired against the BLS median CRNA wage of $236,590 versus the staff RN median of $97,550, the $139,040 annual gain means in-state graduates can recoup tuition in under two months of CRNA-level earnings. The program holds COA accreditation, the credential required for NCE eligibility. UNF's Hakia Score of 79.4 is grounded in a 69% graduation rate and that 53% admit rate; the program is selective and demands strong preparation but delivers a concrete, verifiable path to certification.

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#11

University of Cincinnati-Main Campus

Cincinnati, OH · Public

77.2Score
$11,685In-state
$27,019Out-of-state
Grad rate75%
Admit rate85%

The 4th-oldest nurse anesthesia program in the country and the only Ohio/Kentucky/Indiana program in the U.S. News top 10, with clinical sites including a Level I Trauma Center and a nationally ranked pediatric hospital.

  • U.S. News top-10 ranked; 4th-oldest program nationally
  • 80+ clinical faculty; Level I Trauma and pediatric hospital sites
  • ~$35,055 in-state tuition over 36 months
  • 85% admit rate; accessible for competitive BSN-to-DNP applicants

UC's Nurse Anesthesia DNP is a fully on-campus, in-person program combining didactic and simulation instruction with diverse clinical experiences. The BSN-to-DNP track runs 36 months (nine semesters) full time; clinical rotations begin in the third semester and scale up throughout the program. Clinical sites include a Level I Trauma Center, a high-risk obstetric unit, one of the country's top-ranked pediatric hospitals, and multiple outpatient surgery centers, with the majority of sites within 50 miles of campus. UC also accepts nurses with an MSN in Nurse Anesthesia into a Post-MSN DNP pathway and considers advanced standing for nurses with an MSN or DNP in another specialty. The program prepares graduates for the NBCRNA national certification exam. Support comes from 15 CRNA didactic and simulation faculty and more than 80 clinical faculty, and the annual on-campus CRNA Job Fair connects students directly with national recruiters.

In-state tuition is $11,685 per year; the full BSN-to-DNP track projects to roughly $35,055 in tuition over three years. That three-year cost is recovered in under four months once a graduate earns at the BLS median CRNA wage of $236,590, compared with the staff RN median of $97,550. With an 85% admission rate, UC is the most accessible program in this group by that measure, making it a strong target for well-qualified applicants who want institutional depth without a hyper-competitive application process. The Hakia Score of 77.2 reflects a 75% graduation rate and that open admission profile; the program suits nurses who prioritize clinical variety and an established research-and-practice lineage over selectivity as a brand signal.

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#12

Rosalind Franklin University of Medicine and Science

North Chicago, IL · nonprofit

77.1Score
In-state
Out-of-state

A 36-month hybrid DNP with two campus locations (North Chicago and Colorado Springs) and the option to concurrently earn a Post-Graduate Certificate as an Adult-Gerontology Acute Care Nurse Practitioner.

  • Remote-first first 9 months; flexible for working nurses relocating
  • Dual campus: North Chicago and Colorado Springs
  • Optional AGACNP dual certification within the same 36-month program
  • 18-month full-time clinical residency across all acuity levels

Rosalind Franklin University's DNP in Nurse Anesthesia is a 36-month, full-time entry program structured for BSN-prepared RNs. The curriculum is divided into three phases. The first nine months (Quarters 1-3) are delivered primarily through distance education; students can complete this phase from any location and attend only a limited number of in-person sessions at the North Chicago or Colorado Springs campus. The next nine months (Quarters 4-6) require regular in-person attendance at one of those two campuses for intensive anesthesia pharmacology, principles of anesthesia, and weekly or bi-weekly simulation lab sessions. The final 18 months are a full-time clinical residency covering anesthesia care across all acuity levels and procedure types throughout the lifespan. All cohort members come together for five structured multi-day in-person events at the North Chicago campus and Huntley simulation center regardless of which campus they are assigned to. Students who choose the dual-credential track can complete the Post-Graduate Certificate for Adult-Gerontology Acute Care Nurse Practitioner (AGACNP) concurrently within the same 36 months, leaving the program eligible to sit for both the NCE and the AGACNP national certification exam.

RFU is a private nonprofit institution; no in-state tuition rate applies and the program page does not publish a per-credit or program cost figure, so prospective students should contact the College of Nursing directly for current tuition. The program's outcomes are consistent with COA standards for an entry-level practice doctorate. The Hakia Score of 77.1 reflects institutional quality signals from an enrollment of roughly 2,021 students in a health-sciences-focused university. RFU fits nurses who want geographic flexibility in the early didactic phase, a dual-campus option for clinical immersion, or the added credential of AGACNP certification without extending their timeline.

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Who CRNA Programs Are Built For

CRNA programs are not entry-level graduate programs. Every COA-accredited program requires applicants to hold a Bachelor of Science in Nursing, an active and unencumbered RN license, and documented critical-care ICU experience of at least one year. In practice, most competitive applicants bring two or more years of ICU experience, often in cardiac, surgical, or trauma units where they have managed ventilators, vasoactive drips, and arterial lines. If your ICU experience is in a step-down unit or a progressive care unit, expect programs to push back.

The credential you earn is doctoral: a Doctor of Nursing Practice (DNP) or a Doctor of Nurse Anesthesia Practice (DNAP). The COA mandated doctoral-level entry to practice for all programs graduating students after January 2025, so there is no longer a master's-level pathway to CRNA certification for new students. You are committing to a doctoral program from day one.

This is not a credential for nurses who are still figuring out their specialty. The admission process is competitive, the academic load is heavy from the start, and the clinical stakes are real. Programs want applicants who have already demonstrated competence under pressure in a critical-care setting. If that describes you, the case for pursuing this credential is straightforward: no other advanced practice nursing specialty combines this level of clinical autonomy with a comparable earnings outcome.

Online vs On-Campus: What the Format Actually Looks Like

Most CRNA programs now offer hybrid delivery: didactic coursework in pharmacology, physiology, biochemistry, and anesthesia principles is available online or through blended formats, while clinical and practicum hours are completed in person at affiliated hospital sites. The shift to hybrid didactics has made it possible for working nurses to complete coursework without relocating, but it has not made clinical training optional or flexible in any meaningful sense.

Clinical hour requirements vary by program and are set against COA minimums. Programs report requirements in the range of 650 to over 2,000 supervised anesthesia hours, and no COA-accredited program has waived or shortened the in-person clinical requirement. You will be placed at a clinical site, and that site needs to be within a commutable distance. Most programs coordinate placement logistics with students, but you should ask prospective programs explicitly how they handle clinical placement in your geographic area before accepting an offer.

A fully online CRNA program does not exist in an accredited form. If you see a program marketing itself as fully online, verify its COA status at coacrna.org before taking any further steps. The clinical training that makes a CRNA competent cannot be simulated remotely, and no accrediting body has approved a curriculum structured that way.

Program length across accredited programs runs from 28 to 36 months. Longer programs often have more integrated clinical exposure from the start. Shorter programs tend to front-load didactics before clinical immersion. Neither structure is inherently better; what matters is the program's certification pass rate and clinical volume, both of which you should request from admissions before applying.

CRNA Specialty Tracks and Scope of Practice

Most CRNA programs deliver a generalist anesthesia curriculum that prepares graduates to administer all major anesthesia types: general, regional, neuraxial (spinal and epidural), and monitored anesthesia care. That generalist scope is what allows CRNAs to practice across settings ranging from large academic medical centers to rural critical-access hospitals and outpatient surgery centers.

Some programs offer specialty tracks or concentrations beyond the generalist foundation. Common areas include pediatric anesthesia, obstetric anesthesia, cardiac and thoracic anesthesia, and pain management. These tracks do not result in a separate certification but can shape your clinical placement sites and your competitiveness for fellowship or specialized positions post-graduation. If a specialty track matters to your career goals, ask programs directly whether their clinical affiliates provide adequate case volume in that area.

The certified registered nurse anesthetist scope of practice is among the broadest of any advanced practice nursing role. In 23 states, CRNAs practice without any physician supervision requirement, functioning as the sole anesthesia provider. In the remaining states, the supervision requirement varies and is subject to ongoing legislative change. The American Association of Nurse Anesthesiology tracks this state-by-state at its website. Understanding the supervision landscape in the states where you plan to practice matters for your career options, not just your licensing requirements.

What CRNA Programs Cost and the ROI in Dollars

In-state tuition across the 36 programs in this analysis ranges from $3,996 at the University of North Florida to $66,325 at Duke University. Public in-state programs offer the sharpest cost advantage: the University at Buffalo runs $7,070, Missouri State University-Springfield runs $8,120, and the University of Kansas runs $10,968. Private nonprofit programs cluster between $30,000 and $66,325. These are tuition figures only; fees, living expenses, and three years of forgone staff RN income add to the total cost of attendance.

The return on that investment is not ambiguous. CRNAs earn a national BLS median of $236,590 per year, compared to $97,550 for a staff RN, a raise of $139,040 per year, or about 139% more. Over a 20-year career, that difference totals approximately $2,780,800. Even at the highest tuition in this dataset, $66,325, the annual pay increase alone recovers the full program cost in less than seven months of the earnings differential. At a public in-state program costing $10,000, the payback period is under six weeks of the pay jump.

That math holds even when you account for three years of lost staff RN income during training. If you are earning $97,550 as a staff RN, three years of forgone salary is roughly $266,700. Add $66,325 in tuition at the high end and your all-in cost is approximately $333,000. At the $139,040 annual raise, you recover that investment in 2.7 years of CRNA practice. After that, every year of your career is $139,040 ahead of where you would have been as a staff RN. Over 20 years of practice, the net gain after recovering all costs is well over $2,100,000.

Financial aid for CRNA programs follows standard graduate school channels: federal Direct Unsubsidized Loans, Graduate PLUS Loans, and institutional scholarships. The Health Resources and Services Administration (HRSA) also funds nurse anesthesia training grants at some programs, which can offset tuition directly. Ask each program whether it holds an active HRSA training grant before comparing net cost.

COA Accreditation: Why It Gates Your Entire Career as a CRNA

The Council on Accreditation of Nurse Anesthesia Educational Programs, or COA, is the sole programmatic accreditor recognized for nurse anesthesia education in the United States. You can find the full list of accredited programs at coacrna.org. COA accreditation is not a quality signal or a nice-to-have; it is the legal prerequisite for sitting the National Certification Examination administered by the NBCRNA. Without passing that exam, you cannot use the CRNA credential. Without the credential, most states will not issue you a license to practice as an advanced practice registered nurse in the anesthesia specialty.

COA evaluates programs on curriculum standards, clinical volume and case diversity, faculty qualifications, and student outcomes including certification pass rates. Programs undergo initial accreditation review and periodic re-accreditation, with the COA able to place programs on probationary status or withdraw accreditation if standards are not met. Before applying to any program, verify its current accreditation status on the COA website, not just the program's own marketing materials.

CRNA programs are also typically housed within schools of nursing that carry institutional accreditation from either CCNE (Commission on Collegiate Nursing Education) or ACEN (Accreditation Commission for Education in Nursing). Both are recognized by the Department of Education. Institutional accreditation matters for federal financial aid eligibility; programmatic COA accreditation matters for your certification. You need both to be in good standing.

CRNA Careers: Autonomy, Outlook, and What the BLS Data Actually Shows

Certified registered nurse anesthetists are the primary anesthesia providers in many hospitals, all rural critical-access facilities, and the majority of outpatient surgery centers. In the 23 states with full practice authority, CRNAs administer anesthesia independently across all procedure types. In supervised states, they work alongside or under the direction of an anesthesiologist, though the scope of clinical tasks is comparable. The distinction matters most for your job options in a given state, not for what you do in the room.

The BLS projects 9% employment growth for nurse anesthetists, nurse midwives, and nurse practitioners through 2033, faster than average for all occupations. The CRNA-specific demand is driven by the continued expansion of outpatient surgery, a growing shortage of anesthesiologists in rural and underserved areas, and the push to extend surgical access in critical-access hospitals where an anesthesiologist is not economically viable to employ full-time.

The national BLS median for CRNAs is $236,590 per year. That figure reflects all settings and geographies. Hospital-based CRNAs in high-cost metro areas and those working in locum tenens or independent contractor roles frequently earn above $250,000. Entry-level CRNA positions at community hospitals typically start between $150,000 and $175,000 depending on region. The salary floor for this credential is still roughly double the national median for a staff RN.

Beyond salary, the career argument for CRNA training is clinical autonomy. You are the anesthesia provider. You assess the patient, develop the anesthetic plan, administer it, and manage the patient through emergence and recovery. That level of independent clinical decision-making is not available to most nursing specialties at any degree level, and it is one of the primary reasons nurses with the right background pursue this path despite the demanding training requirements.

CRNA Programs: Frequently Asked Questions

How long does a CRNA program take to complete?
Most CRNA programs run 28 to 36 months of full-time study after you're admitted. Longer programs (36+ months) typically include integrated clinical rotations from early on. You will not find a part-time or accelerated shortcut that meets COA standards. Plan for roughly three years between your acceptance letter and your NCBE certification exam.
Do I need a BSN to apply to CRNA programs?
Yes. Every COA-accredited CRNA program requires a Bachelor of Science in Nursing. An associate degree in nursing (ADN) does not satisfy the requirement, even if you are currently licensed and working in an ICU. If you hold an ADN, you will need to complete an RN-to-BSN bridge before applying.
Can I complete a CRNA program online?
Partially. Didactic coursework in pharmacology, physiology, and anesthesia principles is available through hybrid and online delivery at many programs. The clinical and practicum hours, which typically range from 650 to 2,000 hours depending on the program, cannot be done remotely. Every accredited program arranges in-person clinical placements, usually near where you live.
How many clinical hours are required in CRNA programs?
COA standards require a meaningful number of supervised anesthesia cases, and programs report requirements ranging from roughly 650 to over 2,000 clinical hours. The exact count varies by program and degree track. Check each program's published clinical requirements directly; the COA accreditation standards at coacrna.org set the floor.
How much do CRNA programs cost?
Tuition across the 36 programs analyzed ranges from $3,996 (University of North Florida, in-state) to $66,325 (Duke University). Public in-state programs are significantly cheaper: University at Buffalo runs $7,070 in-state, Missouri State $8,120. Private programs typically run $30,000 to $66,000 total. These figures are tuition only; add fees, living costs, and lost income during the program.
How much does a CRNA earn after graduating?
The BLS reports a national median of $236,590 per year for certified registered nurse anesthetists. That compares to $97,550 for a staff RN, a raise of $139,040 per year. The top 10% of CRNAs earn well above $250,000. Actual pay varies by state, practice setting, and whether you work independently or under supervision.
Is a CRNA program worth the cost and time?
The numbers make the case without much argument. The $139,040 annual pay jump over a staff RN means a $66,325 program pays for itself in roughly seven months of the earnings difference alone. Over a 20-year career, the cumulative difference is approximately $2,780,800. The training is demanding and the admission bar is high, but no other nursing credential produces a comparable earnings shift.
What accreditation should I look for in a CRNA program?
Look for COA accreditation: the Council on Accreditation of Nurse Anesthesia Educational Programs at coacrna.org. COA accreditation is not optional. Graduates of non-COA programs are ineligible to sit for the National Certification Examination administered by the NBCRNA, which means no certification and, in most states, no CRNA licensure. Verify COA status on the COA website before applying to any program.

How We Rank CRNA Programs

Every program earns a Hakia Score from 0 to 100, built only from federal data (IPEDS, the U.S. Department of Education, and BLS) and scored against its true peers: programs in the same field at the same degree level. No reputation surveys, no pay-to-play. Here is how the score is weighted:

  • Outcomes44%

    Graduation rate (26%) and real per-school graduate earnings (18%). Does the program get students to the finish line, and where do they land?

  • Selectivity & academics38%

    Admissions selectivity (24%) and the academic profile of admitted students (14%).

  • Scale & value18%

    Enrollment (7%), cost-to-earnings value (6%), and the number of graduates a program produces (5%).

Weights renormalize over the data each program actually reports, so a school missing a metric (many community colleges do not publish entrance scores or earnings) is never penalized for it. Scores are percentiles within the peer group, curved to a 0-to-100 scale. What the score does not measure: clinical placement quality, NCLEX pass rates, or campus culture. Verify those directly with the program.

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Data sources