Medical Surgical Nurse Salary Guide: Houston, TX
Average Medical Surgical Nurse Salary
$34.92/hour
The average salary for a Medical Surgical Nurse in Houston, TX is $34.92 per hour. This is 44% lower than the Texas average of $50.15.
Estimate based on Payscale data.
Medical Surgical Nurse salaries in Houston, TX compared to State and National Averages
$34.92/hour
Houston, TX
28% lower than the US average.
$50.15/hour
Texas
11% higher than the US average.
$44.71/hour
United States
How Medical Surgical Nurse Salaries in Houston Compare to Other Cities
How Medical Surgical Nurse Salaries in Houston Compare to Other Cities
Round Rock, Texas
$57/hour
This is 6% higher than the Houston average of $54.16.
Austin, Texas
$57/hour
This is 5% higher than the Houston average of $54.16.
Cedar Park, Texas
$35/hour
This is 56% lower than the Houston average of $54.16.
What cities in Texas pay the most for Med Surg Nurses?
Little Elm, Texas, Euless, Texas, and Prosper, Texas pay Medical Surgical Nurses the most, all averaging $60 per hour. Round Rock, Texas has the highest ceiling, with max hourly pay reaching $61. For comparison, the Houston, TX average for Medical Surgical Nurses is $35 per hour — Little Elm, Texas, Euless, Texas, and Prosper, Texas pay 72% more.
| City | Average Hourly Salary | Max Hourly Salary |
|---|---|---|
| Little Elm, Texas | $60 | $60 |
| Euless, Texas | $60 | $60 |
| Prosper, Texas | $60 | $60 |
| Plano, Texas | $58 | $60 |
| Round Rock, Texas | $57 | $61 |
| Austin, Texas | $57 | $61 |
| Houston, Texas | $54 | $61 |
What are the highest paying Agencies for Medical Surgical Nurse jobs in Houston?
Only Perm Staff Jobs reports pay data for Medical Surgical Nurses, averaging $42 per hour. Perm Staff Jobs also has the highest ceiling, with max hourly pay reaching $47. For comparison, the Houston, TX average for Medical Surgical Nurses is $35 per hour — Perm Staff Jobs pays 19% more.
| Average Hourly Salary | Max Hourly Salary | |
|---|---|---|
| Perm Staff Jobs | $42 | $47 |
Last updated on May 21, 2025. Information based on active jobs on Vivian.com and pay data from BLS and around the web.

Medical Surgical Nurse Career Guide
Use our exclusive Career Guides to research the education, qualifications, skills and responsibilities for a variety of healthcare disciplines and specialties employers are hiring now.
Go to the guideTop Medical Surgical Nurse Jobs
Registered Nurse (RN) - Med Surg
- Texas Orthopedic Hospital
- Houston, TX
$28-53/hour
Registered Nurse (RN) - Med Surg
- HCA Houston Healthcare West
- Houston, TX
$28-53/hour
Registered Nurse (RN) - Med Surg
- HCA Houston Healthcare Medical Center
- Houston, TX
$28-53/hour
Registered Nurse (RN) - Rehabilitation Med Surg
- Houston Northwest Medical Center
- Houston, TX
$24-37/hour
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