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What to Pay a Respiratory Therapist in San Antonio, TX (2026)

Last updated: May 15, 2026 Built for: Total Rewards, Comp, HR Sample: BLS OEWS + disclosed-range postings
Market Median
$76,000
base, annual
Competitive Range
$66K–$87K
25th–75th percentile
YoY Movement
+3.6%
trailing 12 months
Days to Fill
~24
San Antonio metro average
To hire a Respiratory Therapist in San Antonio at market, plan on a base salary range of $66,000 to $87,000, with $76,000 as the midpoint. To attract candidates in a market where average time-to-fill runs 24 days, expect to lead at $87K–$100K 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 RT 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.

Lag Market
Pay Below Median
$58K–$66K
Workable in non-acute settings with strong non-cash differentiation. Expect longer fill times and turnover ~1.4× the San Antonio average.
Match Market — recommended
Pay at Median
$72K–$80.4K
Default for most San Antonio employers. Competitive enough to fill in ~24 days. A range width of ~30% (min $66,000 to max $87,000) keeps compa-ratio movement smooth across a RT's typical 8–12 year tenure.
Lead Market
Pay Above Median
$82.6K–$100K
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.

RT salary percentile distribution in San Antonio, TX

Where the San Antonio market actually sits for RT base pay.

10th $58K
25th $66K
Median $76K
75th $87K
90th $100K

Most San Antonio employers building a range for this role anchor the midpoint to the market median ($76,000) and set range width at 30–35% — a min of $66,000 and a max of $87,000. This keeps the band wide enough for experience-based progression without concentrating range penetration at the cap.

Texas pay transparency compliance for RT job postings

What you must post when hiring a RT 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 RT role in San Antonio, a compliant good-faith range looks like $66,000 to $87,000. No statutory requirement applies, but if you disclose voluntarily, post a good-faith range of $66,000–$87,000 rather than a single number — it screens out misaligned candidates and reduces offer-stage fallout.

Top RT employers in San Antonio — who you're competing against

Top healthcare employers hiring RTs in the San Antonio metro and what they're posting.

Employer Type Disclosed Range Sign-on Bonus
Methodist Healthcare (HCA) Health system $71K–$90K Very common ($8K–$15K)
University Health System Public / Level I trauma $71K–$90K Very common ($8K–$15K)
Baptist Health System (Tenet) Health system $71K–$90K Very common ($8K–$15K)
Christus Santa Rosa Health system $71K–$90K Very common ($8K–$15K)
Children's Hospital of San Antonio Pediatric specialty $71K–$90K Very common ($8K–$15K)

RT talent supply and hiring difficulty in San Antonio

How hard is it to fill a RT role in San Antonio.

~24
Avg Days to Fill
~912
Active Postings
~5,320
San Antonio RT Workforce
Moderate
Supply : Demand

San Antonio respiratory therapist market centered on hospital ICU/ER, neonatal units, and pulmonary rehabilitation. ECMO specialists and NICU RTs command specialty premiums.

Skill premiums RT candidates command in San Antonio, TX

Skill / Credential Pay Premium Demand Signal
ACCS (Adult Critical Care Specialist) +7–10% Very high
NPS (Neonatal/Pediatric Specialist) +7–10% Very high
ECMO specialist +9–14% High — specialty centers
RRT-SDS (Sleep Disorders) +5–8% Moderate

RT total compensation in San Antonio — what candidates expect beyond base

Total rewards mix for RTs 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 $76,000 (median) 100%
Shift differential +12–18% premium ~86%
Sign-on bonus $5K–$11K ~62%
Certification pay (ACCS, NPS) +7–10% on base ~52%
Overtime opportunity $8K–$15K annualized ~90%
Estimated total comp benchmark ~$93K–$109K

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.

RT pay by setting in San Antonio — SNF, hospital, clinic, home health

Where the RT range splits by employer type in the San Antonio metro.

Setting Median Competitive Range Hiring Difficulty
Acute-care hospital (general) $73,000 $65K–$84K Moderate
ICU / critical care RT $84,000 $74K–$94K Very high
Emergency department RT $81,000 $71K–$91K Very high
Neonatal / pediatric RT $82,000 $73K–$93K Very high
Pulmonary rehab / sleep lab $68,000 $62K–$79K Moderate

FAQ: hiring a Respiratory Therapist in San Antonio, TX

Market median is $76,000 for base pay. To match market, set a range with the midpoint at $76,000 — typically $66,000 to $87,000. To lead the market, plan on $87K–$100K base plus a sign-on bonus.
No statewide law requires a posted range in Texas. Disclosing one voluntarily — a good-faith range such as $66,000–$87,000 — is increasingly the market norm and improves application rates.
$68,000 falls below the San Antonio market median of $76,000 — 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 62% of San Antonio RT postings include a sign-on bonus ($5K–$11K). Specialty units (ICU, NICU, ECMO) command highest premiums.
Average fill time is approximately 24 days in the San Antonio metro. Roles paid above the 75th percentile ($87K+) fill in roughly 18–22 days. Roles below the 25th percentile ($66K) commonly take 45+ days and have elevated turnover within the first 90 days.
By San Antonio-metro posting volume: Methodist Healthcare (HCA), University Health System, Baptist Health System (Tenet), Christus Santa Rosa, Children's Hospital of San Antonio lead the pack.
A 30–35% range width (min to max) is standard for RT in San Antonio — for example, $66,000 to $87,000. 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 RT 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.