What RNs earn in San Antonio
Registered nurses in the San Antonio-New Braunfels, TX metro earn a median of $94,370 a year, 3% below the national RN median of $97,550. The middle half of RNs here earn between $78,100 and $100,760, so experience, specialty and shift differentials can move you a long way inside that range. Among the 60 metro markets The RN Network tracks, San Antonio ranks #30 for median RN pay. Before you compare that number to anywhere else, see what an RN here actually takes home below.
| Role | Median | Typical range |
|---|---|---|
| Registered Nurse | $94,370 | $78,100 – $100,760 |
| Nurse Practitioner | $131,770 | $116,150 – $146,940 |
| Nurse Anesthetist (CRNA) | $279,410 | $206,680 – $301,270 |
Powered by RN Workforce Insights™ · 2025 annual pay. Typical range is the 25th to 75th percentile.
What a San Antonio RN actually takes home
Here is the part most pay comparisons miss. Texas does not tax wages, so the state takes nothing out of your paycheck. Federal income tax, Social Security and Medicare still come out the same way they do in every state, but there is no second income tax stacked on top.
At the San Antonio median of $94,370, every 1% of state income tax you would pay somewhere else is about $944 a year that stays with you here. In a state with a 5% income tax, that adds up to roughly $4,719 a year, or about $393 a month. To match a San Antonio paycheck at the median, a job in that state would need to pay about $99,337.
Compare offers on take-home pay, not on the number at the top of the offer letter.
Cost of living and the San Antonio nursing market
Pay only tells half the story. A two-bedroom apartment at fair market rent runs about $1,426 a month in San Antonio, which is roughly 18% of a median RN salary before taxes. That leaves RNs here more room in the budget than in most big nursing markets.
About 23,660 RNs work in this metro, the #32 largest RN workforce of the markets we track. The RN Network directory lists 215 healthcare employers in San Antonio and New Braunfels, including 64 long-term care facilities, 56 dialysis centers, 39 behavioral health facilities and 36 outpatient surgery centers.
Hospitals hiring nurses in San Antonio
Every hospital below has its own page with pay context, nearby openings and a direct line to its careers site.
Nursing jobs in San Antonio
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Career advice for San Antonio nurses
Watch the latest episode of Nursing Matters, the show that helps nurses find the right job, land the offer and grow their careers.
You Passed the NCLEX. Can You Lose This License? Nursing Matters Episode 102626
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Read the article →Common questions about nursing in San Antonio
How much do registered nurses make in San Antonio?
The median RN salary in the San Antonio-New Braunfels, TX metro is $94,370 a year, and the middle half of RNs earn between $78,100 and $100,760.
What do nurse practitioners earn in San Antonio?
Nurse practitioners in the San Antonio metro earn a median of $131,770 a year.
Can a nurse afford to live in San Antonio?
A two-bedroom apartment at fair market rent costs about $1,426 a month in San Antonio, roughly 18% of a median RN salary before taxes.
Which hospitals hire nurses in San Antonio?
Hospitals in the San Antonio area include Baptist Neighborhood Hospital Thousand Oaks, San Antonio VA Medical Center (va South Texas Healthcare System), Methodist Hospital, Methodist Hospital Stone Oak, Resolute Health Hospital. See the full list in The RN Network facility directory.
Does Texas have a state income tax on nurse pay?
No. Texas does not tax wages, so no state income tax comes out of an RN paycheck in San Antonio. Federal income tax and Social Security and Medicare still apply. At the San Antonio median RN salary, every 1% of state income tax you would pay elsewhere is about $944 a year that stays in your pocket here.
How do I find a nursing job in San Antonio?
Browse current Texas openings on The RN Network job board, claim your free Talent Agent profile so employers hiring in San Antonio can find you, and compare pay using the Texas salary guide.