Medical Surgical Nurse Salary Guide: San Antonio, TX

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Average Medical Surgical Nurse Salary

$44.03/hour

The average salary for a Medical Surgical Nurse in San Antonio, TX is $44.03 per hour. This is 6% lower than the Texas average of $46.57.

Last updated on September 29, 2026. Based on active jobs on Vivian.com.

Medical Surgical Nurse salaries in San Antonio, TX compared to State and National Averages

$44.03/hour

San Antonio, TX

11% lower than the US average.

$46.57/hour

Texas

5% lower than the US average.

$48.76/hour

United States

How Medical Surgical Nurse Salaries in San Antonio Compare to Other Cities

Select up to 3 cities to compare

Mansfield, Texas

$37/hour

This is 17% lower than the San Antonio average of $43.12.

Dallas, Texas

$45/hour

This is 5% higher than the San Antonio average of $43.12.

Richardson, Texas

$37/hour

This is 17% lower than the San Antonio average of $43.12.

What cities in Texas pay the most for Med Surg Nurses?

Little Elm, Texas and Euless, Texas pay Medical Surgical Nurses the most, both averaging $60 per hour, ahead of Prosper, Texas ($53). For comparison, the San Antonio, TX average for Medical Surgical Nurses is $44 per hour — Little Elm, Texas and Euless, Texas pay 36% more.

City	Average Hourly Salary	Max Hourly Salary
Little Elm, Texas	$60	$60
Euless, Texas	$60	$60
Prosper, Texas	$53	$60

What are the highest paying Agencies for Medical Surgical Nurse jobs in San Antonio?

Perm Staff Jobs pays Medical Surgical Nurses the most, averaging $49 per hour, followed by Baptist Health System - San Antonio TX ($36). For comparison, the San Antonio, TX average for Medical Surgical Nurses is $44 per hour — Perm Staff Jobs pays 10% more.

	Average Hourly Salary	Max Hourly Salary
Perm Staff Jobs	$49	$49
Baptist Health System - San Antonio TX	$36	$38

Last updated on September 29, 2026. Information based on active jobs on Vivian.com and pay data from BLS and around the web.

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