Med-Surg Nurse salary in Texas
A med-surg nurse in Texas earns an estimated $89,860 a year ($43.20/hr) — about 4% below the U.S. average, with most between $72,950 and $96,750. State figures are estimates based on national pay for the role and local cost of living — a starting point, not a guaranteed local wage.
Med-Surg Nurse — Texas
Specialty estimateMedian annual pay
$89,860
-4% vs nationalHourly
$43.20/hr
- Typical range
- $72,950–$96,750
- What most nurses earn
- High end
- $129,910
- Top earners
- Entry level
- $63,390
- Newer nurses
Med-Surg Nurse pay by city in Texas
Estimated pay in the state's largest metro areas.
| City | Est. annual | Est. hourly |
|---|---|---|
| Dallas | $90,790 | $43.65 |
| Houston | $91,730 | $44.10 |
| San Antonio | $88,920 | $42.75 |
| Austin | $91,730 | $44.10 |
Med-Surg Nurse pay in nearby-paying states
How Texas compares to states with similar med-surg nurse pay.
Other nursing roles in Texas
Compare estimated pay for related roles in this state.
What affects med-surg nurse pay in Texas
Pay near the national median; large healthcare demand. For a med-surg nurse specifically, pay is shaped by the metro labor market, hospital vs clinic vs long-term-care setting, union presence, shift differentials, unit acuity, and years of experience. Certifications and a move into charge or advanced-practice roles raise pay further. Use the calculator to estimate your own.
How this estimate was calculated
The Texas figure adjusts the national RN average of $93,600 for local pay levels — a factor of 0.96× (about 4% below the U.S. average). It is a starting point — not an official Texas wage — until verified local figures and nurse submissions are loaded.
Local pay can vary well beyond this by specialty, shift, union status, employer type, overtime, and care setting. When official state wage data is loaded, this number updates to a verified value automatically.
Use this state estimate as a starting point
- It’s a starting point for Texas, based on national pay and local cost of living until official state data is loaded — not a guaranteed local wage.
- Your actual pay shifts with role and specialty, care setting, shift, overtime, union status, and years of experience — so compare a role-specific page and personalize the calculator.
- Reviewed salary submissions from nurses in Texas make this page more precise over time.
Med-Surg Nurse salary in Texas — FAQ
- How much does a med-surg nurse make in Texas?
- A med-surg nurse in Texas earns an estimated $89,860 a year — about $43.20 an hour, with most between $72,950 and $96,750. That's about 4% below the national average. This is an estimate based on national pay for the role and Texas's local pay level, not a guaranteed local wage.
- Is Texas a good state for med-surg nurses?
- For pay, Texas sits about 4% below the national average for med-surg nurses. A higher number often comes with a higher cost of living, so weigh the estimated $89,860 against local housing and expenses rather than the headline figure alone.
- Which city in Texas pays med-surg nurses the most?
- Among Texas metros we track, Houston tends to have the highest estimated pay for med-surg nurses, at roughly $91,730 a year. City figures are estimates based on the role's national pay and local cost of living.
- How does Texas med-surg nurse pay compare to the national average?
- The national estimate for a med-surg nurse is about $93,600 a year, versus an estimated $89,860 in Texas — about 4% below the national average. Use the calculator to factor in your experience, specialty, and shift.
- Why are some figures verified and others estimates?
- National pay for the main nursing roles — registered nurses, LPNs/LVNs, nurse practitioners, CRNAs, nurse midwives, and nursing assistants — comes from verified public wage data. State, city, and specialty figures that aren't reported on their own start from that national pay and are labeled "Estimated" or "Specialty estimate." We never show an estimate as a verified figure.
Source & confidence— An estimate for a specialty that public pay data does not list on its own. A ballpark to start from, not an exact figure.
Modeled estimate (BLS national × state wage index)
Texas figures for SOC 29-1141 are modeled by applying a state wage index of 0.96 to the BLS national median. Import official OEWS state files to replace with verified figures.
Source year 2024. Last reviewed June 1, 2025. Full methodology
Estimated figure — national med-surg nurse pay adjusted for Texas. Last reviewed June 1, 2025.