What to Pay a Registered Nurse in San Antonio, TX (2026)
How to set your 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.
RN salary percentile distribution in San Antonio, TX
Where the San Antonio market actually sits for RN base pay.
Most San Antonio employers building a range for this role anchor the midpoint to the market median ($82,000) and set range width at 30–35% — a min of $70,000 and a max of $94,000. This keeps the band wide enough for experience-based progression without concentrating range penetration at the cap.
Texas pay transparency compliance for RN job postings
What you must post when hiring a RN in Texas.
For a RN role in San Antonio, a compliant good-faith range looks like $70,000 to $94,000. No statutory requirement applies, but if you disclose voluntarily, post a good-faith range of $70,000–$94,000 rather than a single number — it screens out misaligned candidates and reduces offer-stage fallout.
Top RN employers in San Antonio — who you're competing against
Top healthcare employers hiring RNs in the San Antonio metro and what they're posting.
| Employer | Type | Disclosed Range | Sign-on Bonus |
|---|---|---|---|
| Methodist Healthcare (HCA) | Health system | $80K–$104K | Very common ($12K–$22K) |
| University Health System | Public / Level I trauma | $80K–$104K | Government benefits |
| Baptist Health System (Tenet) | Health system | $78K–$100K | Very common ($10K–$18K) |
| Christus Santa Rosa | Health system | $78K–$100K | Very common ($10K–$18K) |
| Children's Hospital of San Antonio (Christus) | Pediatric specialty | $80K–$104K | Common ($8K–$15K) |
RN talent supply and hiring difficulty in San Antonio
How hard is it to fill a RN role in San Antonio.
San Antonio RN market driven by Methodist Healthcare (HCA), University Health, Baptist Health System, and Christus Santa Rosa.
Skill premiums RN candidates command in San Antonio, TX
| Skill / Credential | Pay Premium | Demand Signal |
|---|---|---|
| CCRN | +8–12% | Very high |
| CEN + trauma (University Level I) | +6–10% | Very high |
| Bilingual Spanish | +5–8% | Very high — required in most postings |
| CNOR | +8–12% | Very high |
RN total compensation in San Antonio — what candidates expect beyond base
Total rewards mix for 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 | $82,000 (median) | 100% |
| Shift differential | +12–20% premium | ~90% |
| Sign-on bonus | $10,000–$22,000 | ~78% |
| Certification pay | +5–12% premium | ~56% |
| Tuition reimbursement | $2,500–$4,500/yr | ~56% |
| Estimated total comp benchmark | ~$105K–$128K | — |
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.
RN pay by setting in San Antonio — SNF, hospital, clinic, home health
Where the RN range splits by employer type in the San Antonio metro.
| Setting | Median | Competitive Range | Hiring Difficulty |
|---|---|---|---|
| Acute-care hospital (med-surg) | $78,000 | $70K–$90K | Moderate |
| ICU / Critical care | $94,000 | $84K–$108K | Very high |
| Emergency department | $92,000 | $82K–$106K | Very high |
| Level I trauma (University) | $96,000 | $86K–$110K | Very high |
| Ambulatory / clinic | $68,000 | $62K–$78K | Moderate |
RN salary in San Antonio vs. other Texas and nearby metros
What you'd pay if you hired in a nearby metro instead.
| Location | Median Base | vs. San Antonio | Hiring Difficulty |
|---|---|---|---|
| San Antonio–New Braunfels, TX | $82,000 | — | Moderate |
| Houston–The Woodlands, TX | $92,000 | +12.2% | Above national avg |
| Dallas–Fort Worth–Arlington, TX | $90,000 | +9.8% | Above national avg |
| Austin–Round Rock, TX | $94,000 | +14.6% | Tight |
| Texas statewide | $86,000 | +4.9% | — |
| U.S. national | $93,600 | — | — |
FAQ: hiring a Registered Nurse in San Antonio, TX
Related 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.