BLS metro-level wage data places Ophthalmologists, Except Pediatric pay in Las Vegas-Henderson-North Las Vegas, NV at a median of $332,670 per year ($159.94/hr/hour), drawn from the OEWS May 2025 release for this Metropolitan Statistical Area. Compared to the national median of $300,080, Las Vegas-Henderson-North Las Vegas pays +11% above, signaling either concentrated employer demand, a cost-of-living premium, or both.

The Las Vegas-Henderson-North Las Vegas pay distribution spans from $84,990 at the 10th percentile to $345,600 at the 90th — a 4.1× spread that reflects experience tenure, specialization, employer size, and the difference between public-sector, nonprofit, and private-sector compensation inside the metro. The 25th percentile sits at $113,070 and the 75th at $345,600, so half of Las Vegas-Henderson-North Las Vegas-based ophthalmologists, except pediatrics earn within that middle band.

Metro figures capture where you actually work, not just where you live — which matters for commuters. BLS draws metro boundaries from the OMB MSA definitions, so Las Vegas-Henderson-North Las Vegas, NV covers the central city plus outlying counties tied to the metro economically. Remember that OEWS wages reflect base pay only: employer-provided health insurance, retirement matches, stock options, signing bonuses, overtime, and tips are excluded and can add 20-40% to real total compensation. Before using this metro median as a negotiation anchor, triangulate against the same occupation's national profile (linked below), its state-wide NV data, and peer-metro comparisons — a median is a starting point, not a ceiling.