Medical Surgical Nurse Salary Guide: San Antonio, TX
Average Medical Surgical Nurse Salary
$32.25/hour
The average salary for a Medical Surgical Nurse in San Antonio, TX is $32.25 per hour. This is 7% lower than the Texas average of $34.56.
Last updated on December 5, 2025. Based on active jobs on Vivian.com.
Medical Surgical Nurse salaries in San Antonio, TX compared to State and National Averages
$32.25/hour
San Antonio, TX
23% lower than the US average.
$34.56/hour
Texas
15% lower than the US average.
$39.59/hour
United States
How Medical Surgical Nurse Salaries in San Antonio Compare to Other Cities
How Medical Surgical Nurse Salaries in San Antonio Compare to Other Cities
New Braunfels, Texas
$37/hour
This is 11% higher than the San Antonio average of $32.93.
Kyle, Texas
$35/hour
This is 5% higher than the San Antonio average of $32.93.
Austin, Texas
$32/hour
This is 2% lower than the San Antonio average of $32.93.
What cities in Texas pay the most for Med Surg Nurses?
| City | Average Hourly Salary | Max Hourly Salary |
|---|---|---|
| Texas City, Texas | $48 | $52 |
| Dallas, Texas | $47 | $55 |
| Houston, Texas | $44 | $54 |
| Plano, Texas | $40 | $55 |
| Fort Worth, Texas | $40 | $50 |
| Round Rock, Texas | $40 | $50 |
| Shenandoah, Texas | $39 | $50 |
What are the highest paying Agencies for Medical Surgical Nurse jobs in San Antonio?
| Average Hourly Salary | Max Hourly Salary | |
|---|---|---|
| Baptist Health System - San Antonio TX | $37 | $38 |
| HCA Methodist Healthcare of San Antonio | $31 | $34 |
Last updated on December 5, 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
Supervisor Registered Nurse (RN) - Med Surg
- Westover Hills Baptist Hospital
- San Antonio, TX
- 3x12 hrs
$32-44/hour
Supervisor Registered Nurse (RN) - Med Surg
- Northeast Baptist Hospital
- San Antonio, TX
- 3x12 hrs
$32-44/hour
Registered Nurse (RN) - Med Surg
- Methodist Hospital
- San Antonio, TX
- Days
$34+/hour
Registered Nurse (RN) - Med Surg
- Methodist Hospital
- San Antonio, TX
- Days
$34+/hour
Registered Nurse (RN) - Clinical Coordinator, Med Surg
- Methodist Hospital
- San Antonio, TX
- Days
$33+/hour
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