Skip to main content

What to Pay a Medical-Surgical Registered Nurse in Austin, TX (2026)

Last updated: May 15, 2026 Built for: Total Rewards, Comp, HR Sample: BLS OEWS + disclosed-range postings
Market Median
$93,000
base, annual
Competitive Range
$81K–$107K
25th–75th percentile
YoY Movement
+3.7%
trailing 12 months
Days to Fill
~28
Austin metro average
To hire a Medical-Surgical Registered Nurse in Austin at market, plan on a base salary range of $81,000 to $107,000, with $93,000 as the midpoint. To attract candidates in a market where average time-to-fill runs 28 days, expect to lead at $107K–$123K 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 Med-Surg RN pay range in Austin

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

Lag Market
Pay Below Median
$71K–$81K
Workable in non-acute settings with strong non-cash differentiation. Expect longer fill times and turnover ~1.4× the Austin average.
Match Market — recommended
Pay at Median
$88.2K–$98.6K
Default for most Austin employers. Competitive enough to fill in ~28 days. A range width of ~30% (min $81,000 to max $107,000) keeps compa-ratio movement smooth across a Med-Surg RN's typical 8–12 year tenure.
Lead Market
Pay Above Median
$101.4K–$123K
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.

Med-Surg RN salary percentile distribution in Austin, TX

Where the Austin market actually sits for Med-Surg RN base pay.

10th $71K
25th $81K
Median $93K
75th $107K
90th $123K

Most Austin employers building a range for this role anchor the midpoint to the market median ($93,000) and set range width at 30–35% — a min of $81,000 and a max of $107,000. This keeps the band wide enough for experience-based progression without concentrating range penetration at the cap.

Texas pay transparency compliance for Med-Surg RN job postings

What you must post when hiring a Med-Surg 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 Med-Surg RN role in Austin, a compliant good-faith range looks like $81,000 to $107,000. No statutory requirement applies, but if you disclose voluntarily, post a good-faith range of $81,000–$107,000 rather than a single number — it screens out misaligned candidates and reduces offer-stage fallout.

Top Med-Surg RN employers in Austin — who you're competing against

Top healthcare employers hiring Med-Surg RNs in the Austin metro and what they're posting.

Employer Type Disclosed Range Sign-on Bonus
Ascension Seton Health system $87K–$110K Very common ($10K–$18K)
St. David's HealthCare (HCA) Health system $87K–$110K Very common ($10K–$18K)
Baylor Scott & White Medical Center – Austin Health system $87K–$110K Very common ($10K–$18K)
Dell Children's Medical Center Pediatric specialty $87K–$110K Very common ($10K–$18K)
Dell Seton Medical Center at UT Academic / Level I $87K–$110K Very common ($10K–$18K)

Med-Surg RN talent supply and hiring difficulty in Austin

How hard is it to fill a Med-Surg RN role in Austin.

~28
Avg Days to Fill
~2,790
Active Postings
~27,900
Austin Med-Surg RN Workforce
Tight
Supply : Demand

Austin med-surg RN market is the largest RN specialty by headcount. High turnover ratio drives constant recruitment cycles.

Skill premiums Med-Surg RN candidates command in Austin, TX

Skill / Credential Pay Premium Demand Signal
CMSRN (Med-Surg certified) +5–8% Standard progression
Telemetry / step-down experience +4–7% High
Charge nurse experience +5–8% High
BSN (vs ADN) +5–8% Standard at Magnet hospitals

Med-Surg RN total compensation in Austin — what candidates expect beyond base

Total rewards mix for Med-Surg RNs in Austin. "Prevalence" reflects share of Austin disclosed-range postings including each element.

Component Typical Value Prevalence in Austin Postings
Base salary $93,000 (median) 100%
Shift differential +12–20% premium ~90%
Sign-on bonus $7K–$17K ~76%
CMSRN certification pay +5–8% on base ~48%
Overtime opportunity $10K–$20K annualized ~94%
Estimated total comp benchmark ~$112K–$130K —

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.

Med-Surg RN pay by setting in Austin — SNF, hospital, clinic, home health

Where the Med-Surg RN range splits by employer type in the Austin metro.

Setting Median Competitive Range Hiring Difficulty
Adult med-surg (community) $87,000 $78K–$100K Very high
Adult med-surg (academic) $95,000 $84K–$108K Very high
Telemetry / step-down $99,000 $87K–$112K Very high
Progressive care unit (PCU) $100,000 $89K–$113K Very high
Ortho / surgical unit $93,000 $84K–$106K High

FAQ: hiring a Medical-Surgical Registered Nurse in Austin, TX

Market median is $93,000 for base pay. To match market, set a range with the midpoint at $93,000 — typically $81,000 to $107,000. To lead the market, plan on $107K–$123K base plus a sign-on bonus.
No statewide law requires a posted range in Texas. Disclosing one voluntarily — a good-faith range such as $81,000–$107,000 — is increasingly the market norm and improves application rates.
$83,000 falls below the Austin market median of $93,000 — 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 76% of Austin med-surg RN postings include a sign-on bonus ($7K–$17K). Highest values at large hospital systems for tele/step-down roles.
Average fill time is approximately 28 days in the Austin metro. Roles paid above the 75th percentile ($107K+) fill in roughly 18–22 days. Roles below the 25th percentile ($81K) commonly take 45+ days and have elevated turnover within the first 90 days.
By Austin-metro posting volume: Ascension Seton, St. David's HealthCare (HCA), Baylor Scott & White Medical Center – Austin, Dell Children's Medical Center, Dell Seton Medical Center at UT lead the pack.
A 30–35% range width (min to max) is standard for Med-Surg RN in Austin — for example, $81,000 to $107,000. 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 Med-Surg RN pay benchmarks — Texas metros and nearby nursing roles

One page. One job. One city.

If you're modeling pay ranges across hundreds of roles and dozens of locations, doing this manually is the merit-cycle scramble that ate your last quarter. BetterComp keeps your full range structure current against live market data — without the survey lag.

See how it works →

Data refreshed May 15, 2026. Next scheduled update: August 15, 2026.
© 2026 BetterComp. Market data informational only — not legal advice.