What to Pay an Emergency Room Registered Nurse in San Antonio, TX (2026)
How to set your ER RN pay range in San Antonio
Three pay positions, modeled against current San Antonio market data. Pick the one that matches your comp philosophy and the role's strategic value.
ER RN salary percentile distribution in San Antonio, TX
Where the San Antonio market actually sits for ER RN base pay.
Most San Antonio employers building a range for this role anchor the midpoint to the market median ($92,000) and set range width at 30–35% — a min of $80,000 and a max of $106,000. This keeps the band wide enough for experience-based progression without concentrating range penetration at the cap.
Texas pay transparency compliance for ER RN job postings
What you must post when hiring a ER RN in Texas.
For a ER RN role in San Antonio, a compliant good-faith range looks like $80,000 to $106,000. No statutory requirement applies, but if you disclose voluntarily, post a good-faith range of $80,000–$106,000 rather than a single number — it screens out misaligned candidates and reduces offer-stage fallout.
Top ER RN employers in San Antonio — who you're competing against
Top healthcare employers hiring ER RNs in the San Antonio metro and what they're posting.
| Employer | Type | Disclosed Range | Sign-on Bonus |
|---|---|---|---|
| Methodist Healthcare (HCA) | Health system | $86K–$109K | Very common ($10K–$18K) |
| University Health System | Public / Level I trauma | $86K–$109K | Very common ($10K–$18K) |
| Baptist Health System (Tenet) | Health system | $86K–$109K | Very common ($10K–$18K) |
| Christus Santa Rosa | Health system | $86K–$109K | Very common ($10K–$18K) |
| Children's Hospital of San Antonio | Pediatric specialty | $86K–$109K | Very common ($10K–$18K) |
ER RN talent supply and hiring difficulty in San Antonio
How hard is it to fill a ER RN role in San Antonio.
San Antonio ER RN market reflects broader RN supply constraints, with emergency specialty demand elevated by post-COVID staffing gaps.
Skill premiums ER RN candidates command in San Antonio, TX
| Skill / Credential | Pay Premium | Demand Signal |
|---|---|---|
| CEN | Required baseline | Standard |
| Cardiac subspecialty | +7–11% | Very high |
| Trauma / Level I experience | +6–10% | Very high |
| BSN (vs ADN) | +5–8% | Standard at Magnet hospitals |
ER RN total compensation in San Antonio — what candidates expect beyond base
Total rewards mix for ER RNs in San Antonio. "Prevalence" reflects share of San Antonio disclosed-range postings including each element.
| Component | Typical Value | Prevalence in San Antonio Postings |
|---|---|---|
| Base salary | $92,000 (median) | 100% |
| Shift differential | +16–24% premium | ~94% |
| Sign-on bonus | $9K–$18K | ~80% |
| CEN certification pay | +8–12% on base | ~72% |
| Overtime opportunity | $10K–$20K annualized | ~94% |
| Estimated total comp benchmark | ~$112K–$132K | — |
Shift differentials and sign-on bonuses are typically table stakes rather than differentiators. Tuition reimbursement for LPN-to-RN bridge programs is increasingly the lever that wins competitive offers, particularly for early-career candidates.
ER RN pay by setting in San Antonio — SNF, hospital, clinic, home health
Where the ER RN range splits by employer type in the San Antonio metro.
| Setting | Median | Competitive Range | Hiring Difficulty |
|---|---|---|---|
| Adult ED (community) | $88,000 | $79K–$101K | Very high |
| Adult ED (academic) | $92,000 | $83K–$105K | Very high |
| Level I trauma | $99,000 | $88K–$112K | Very high |
| Pediatric ED | $96,000 | $86K–$110K | Very high |
| Freestanding ER | $83,000 | $75K–$96K | Tight |
FAQ: hiring a Emergency Room Registered Nurse in San Antonio, TX
Related ER RN pay benchmarks — Texas metros and nearby nursing roles
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Data refreshed May 15, 2026. Next scheduled update: August 15, 2026.
© 2026 BetterComp. Market data informational only — not legal advice.