Medical Surgical Nurse Salary Guide: Texas
Average Medical Surgical Nurse Salary
$51.84/hour
The average salary for a Medical Surgical Nurse in Texas is $51.84 per hour. This is 16% higher than the US average of $43.42.
Last updated on November 11, 2026. Based on active jobs on Vivian.com.
Medical Surgical Nurse salaries in Texas compared to National Averages
$51.84/hour
Texas
16% higher than the US average.
$43.42/hour
United States
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. For comparison, the Texas average for Medical Surgical Nurses is $52 per hour — Little Elm, Texas, Euless, Texas, and Prosper, Texas pay 16% more.
| City | Average Hourly Salary | Max Hourly Salary |
|---|---|---|
| Little Elm, Texas | $60 | $60 |
| Euless, Texas | $60 | $60 |
| Prosper, Texas | $60 | $60 |
| Humble, Texas | $57 | $60 |
| Plano, Texas | $56 | $60 |
| Round Rock, Texas | $55 | $60 |
| Flower Mound, Texas | $55 | $57 |
How does the pay for Med Surg Nurses in Texas compare to nearby states?
New Mexico pays Medical Surgical Nurses the most, averaging $67 per hour, followed by Colorado ($56) and Kansas ($53). New Mexico also has the highest ceiling, with max hourly pay reaching $72. For comparison, the Texas average for Medical Surgical Nurses is $52 per hour — New Mexico pays 28% more.
| Average Hourly Salary | Max Hourly Salary | |
|---|---|---|
| New Mexico | $67 | $72 |
| Colorado | $56 | $63 |
| Kansas | $53 | $59 |
| Nebraska | $49 | $51 |
| Arizona | $48 | $53 |
| Missouri | $48 | $58 |
| Oklahoma | $45 | $49 |
| Louisiana | $41 | $43 |
| Mississippi | $26 | $28 |
What are the highest paying Employers and Agencies for Medical Surgical Nurse jobs in Texas?
Perm Staff Jobs pays Medical Surgical Nurses the most, averaging $49 per hour, followed by Parkland Health and Hospital System ($45) and TK Health ($42). Perm Staff Jobs also has the highest ceiling, with max hourly pay reaching $72. For comparison, the Texas average for Medical Surgical Nurses is $52 per hour — Perm Staff Jobs pays 6% less.
| Average Hourly Salary | Max Hourly Salary | |
|---|---|---|
| Perm Staff Jobs | $49 | $72 |
| Parkland Health and Hospital System | $45 | $53 |
| TK Health | $42 | $42 |
| The Hospitals of Providence | $37 | $37 |
| Baptist Health System - San Antonio TX | $36 | $38 |
Last updated on November 11, 2026. 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
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Registered Nurse (RN) - Med Surg
- Las Palmas Medical Center
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Registered Nurse (RN) - Med Surg
- Las Palmas Medical Center
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$72+/hour
Registered Nurse (RN) - Med Surg
- Las Palmas Medical Center
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$72+/hour
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