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What to Pay an ICU Registered Nurse in Houston, TX (2026)

Last updated: May 15, 2026 Built for: Total Rewards, Comp, HR Sample: BLS OEWS + disclosed-range postings
Market Median
$112,000
base, annual
Competitive Range
$98K–$128K
25th–75th percentile
YoY Movement
+4.4%
trailing 12 months
Days to Fill
~28
Houston metro average
To hire a ICU Registered Nurse in Houston at market, plan on a base salary range of $98,000 to $128,000, with $112,000 as the midpoint. To attract candidates in a market where average time-to-fill runs 28 days, expect to lead at $128K–$148K plus a sign-on bonus, common in skilled nursing settings. Texas does not currently require pay range disclosure in job postings.

How to set your ICU RN pay range in Houston

Three pay positions, modeled against current Houston market data. Pick the one that matches your comp philosophy and the role's strategic value.

Lag Market
Pay Below Median
$86K–$98K
Workable in non-acute settings with strong non-cash differentiation. Expect longer fill times and turnover ~1.4× the Houston average.
Match Market — recommended
Pay at Median
$106.4K–$118.4K
Default for most Houston employers. Competitive enough to fill in ~28 days. A range width of ~30% (min $98,000 to max $128,000) keeps compa-ratio movement smooth across a ICU RN's typical 8–12 year tenure.
Lead Market
Pay Above Median
$121.6K–$148K
Use for hard-to-fill specialties (wound care, IV therapy, bilingual), 24/7 SNF roles, or when speed-to-hire trumps budget. Reduces fill time by 35–45% on average.

ICU RN salary percentile distribution in Houston, TX

Where the Houston market actually sits for ICU RN base pay.

10th $86K
25th $98K
Median $112K
75th $128K
90th $148K

Most Houston employers building a range for this role anchor the midpoint to the market median ($112,000) and set range width at 30–35% — a min of $98,000 and a max of $128,000. This keeps the band wide enough for experience-based progression without concentrating range penetration at the cap.

Texas pay transparency compliance for ICU RN job postings

What you must post when hiring a ICU RN in Texas.

Not required statewide. Texas has no statewide pay transparency law. Posting a range is optional — but roughly half of healthcare employers in the market now disclose ranges voluntarily, and candidates increasingly skip postings without one.

For a ICU RN role in Houston, a compliant good-faith range looks like $98,000 to $128,000. No statutory requirement applies, but if you disclose voluntarily, post a good-faith range of $98,000–$128,000 rather than a single number — it screens out misaligned candidates and reduces offer-stage fallout.

Top ICU RN employers in Houston — who you're competing against

Top healthcare employers hiring ICU RNs in the Houston metro and what they're posting.

Employer Type Disclosed Range Sign-on Bonus
Houston Methodist Academic medical center $110K–$140K Very common ($12K–$22K)
Memorial Hermann Health system $105K–$135K Very common ($12K–$20K)
MD Anderson Specialty academic $115K–$145K Common ($8K–$15K)
Texas Children's Hospital (PICU) Pediatric specialty $110K–$140K Common ($8K–$15K)
HCA Houston Healthcare Health system $102K–$132K Very common ($15K–$22K)

ICU RN talent supply and hiring difficulty in Houston

How hard is it to fill a ICU RN role in Houston.

~28
Avg Days to Fill
~1,250
Active Postings
~11,800
Houston ICU RN Workforce
Tight
Supply : Demand

Skill premiums ICU RN candidates command in Houston, TX

Skill / Credential Pay Premium Demand Signal
CCRN Required baseline Standard
Cardiac ICU (Methodist) +7–11% Very high
PICU (Texas Children's) +6–10% Very high
Oncology ICU (MD Anderson) +6–10% High

ICU RN total compensation in Houston — what candidates expect beyond base

Total rewards mix for ICU RNs in Houston. "Prevalence" reflects share of Houston disclosed-range postings including each element.

Component Typical Value Prevalence in Houston Postings
Base salary $112,000 (median) 100%
Shift differential +16–24% premium ~94%
Sign-on bonus $12,000–$22,000 ~82%
CCRN certification pay +8–12% on base ~72%
Overtime opportunity $12K–$22K annualized ~94%
Estimated total comp benchmark ~$148K–$178K

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.

ICU RN pay by setting in Houston — SNF, hospital, clinic, home health

Where the ICU RN range splits by employer type in the Houston metro.

Setting Median Competitive Range Hiring Difficulty
Medical ICU (MICU) $108,000 $96K–$125K Very high
Surgical ICU (SICU) $112,000 $100K–$130K Very high
Cardiac ICU (Methodist) $118,000 $105K–$138K Very high
PICU (Texas Children's) $118,000 $105K–$138K Very high
Oncology ICU (MD Anderson) $120,000 $108K–$140K Very high

ICU RN salary in Houston vs. other Texas and nearby metros

What you'd pay if you hired in a nearby metro instead.

Location Median Base vs. Houston Hiring Difficulty
Houston–The Woodlands–Sugar Land, TX $112,000 Tight
Dallas–Fort Worth–Arlington, TX $108,000 −3.6% Tight
Austin–Round Rock, TX $110,000 −1.8% Tight
San Antonio, TX $102,000 −8.9% Tight
Texas statewide $105,000 −6.3%
U.S. national $108,000

FAQ: hiring a ICU Registered Nurse in Houston, TX

Market median is $112,000 for base pay. To match market, set a range with the midpoint at $112,000 — typically $98,000 to $128,000. To lead the market, plan on $128K–$148K base plus a sign-on bonus.
No statewide law requires a posted range in Texas. Disclosing one voluntarily — a good-faith range such as $98,000–$128,000 — is increasingly the market norm and improves application rates.
$100,000 falls below the Houston market median of $112,000 — roughly at the 25th–50th percentile locally. Acceptable in SNF or physician office settings where the candidate pool is deeper; below-market for hospital or specialty roles.
Roughly 82% of Houston ICU RN postings include a sign-on bonus — the highest prevalence in Texas. HCA, Houston Methodist, and Memorial Hermann lead with $12K–$22K offers. MD Anderson and Texas Children's are slightly less aggressive on sign-ons but pay top-of-market base.
Average fill time is approximately 28 days in the Houston metro. Roles paid above the 75th percentile ($128K+) fill in roughly 18–22 days. Roles below the 25th percentile ($98K) commonly take 45+ days and have elevated turnover within the first 90 days.
By Houston-metro posting volume: Houston Methodist, Memorial Hermann, MD Anderson, Texas Children's Hospital (PICU), HCA Houston Healthcare lead the pack.
A 30–35% range width (min to max) is standard for ICU RN in Houston — for example, $98,000 to $128,000. Narrower than 25% compresses progression and creates compa-ratio pressure within 18 months.
No. Texas has no pay transparency law covering internal or external postings. Note that remote roles open to candidates in states like Colorado or California may still trigger those states' disclosure requirements.

Related ICU 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.