Registered Nurses salary in San Antonio, Texas

With 23,390 registered nurses employed in the San Antonio metro, this is one of the larger nursing workforces in Texas. The 2024 median annual wage was $87,100, about 3% below the Texas median of $90,010 and roughly 8% below the national median of $94,511. San Antonio pays less than the state average, which is worth knowing if you're comparing offers across Texas cities.

The gap between the lowest and highest earners is substantial. Nurses at the 10th percentile earned $63,260, while those at the 90th earned $115,990. That's nearly an $53,000 difference within the same metro and the same occupation title. Experience, specialty, shift differentials, and the type of facility all contribute to where someone lands in that range.

The mean wage of $89,300 sits just above the median, a narrow gap. That tells us the San Antonio distribution is fairly even, without a small group of very high earners pulling the average far above what most nurses take home. What the median reports is close to what a typical nurse here actually earns.

Texas as a whole sits below the national median for this occupation, and San Antonio sits below the Texas figure. California, Washington, and a handful of other states account for a large share of the occupations at the top of the national range. The San Antonio figures reflect a large regional healthcare market with significant hospital employment, but not the wage premiums seen in higher-cost metros.