Medical Surgical Nurse Salary Guide: Texas
Average Medical Surgical Nurse Salary
$46.64/hour
The average salary for a Medical Surgical Nurse in Texas is $46.64 per hour. This is 1% higher than the US average of $46.11.
Last updated on September 27, 2026. Based on active jobs on Vivian.com.
Medical Surgical Nurse salaries in Texas compared to National Averages
$46.64/hour
Texas
1% higher than the US average.
$46.11/hour
United States
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 Grapevine, Texas ($54). For comparison, the Texas average for Medical Surgical Nurses is $47 per hour — Little Elm, Texas and Euless, Texas pay 29% more.
| City | Average Hourly Salary | Max Hourly Salary |
|---|---|---|
| Little Elm, Texas | $60 | $60 |
| Euless, Texas | $60 | $60 |
| Grapevine, Texas | $54 | $57 |
| Prosper, Texas | $53 | $60 |
| Houston, Texas | $51 | $54 |
How does the pay for Med Surg Nurses in Texas compare to nearby states?
New Mexico pays Medical Surgical Nurses the most, averaging $61 per hour, followed by Colorado ($55) and Kansas ($50). New Mexico also has the highest ceiling, with max hourly pay reaching $72. For comparison, the Texas average for Medical Surgical Nurses is $47 per hour — New Mexico pays 31% more.
| Average Hourly Salary | Max Hourly Salary | |
|---|---|---|
| New Mexico | $61 | $72 |
| Colorado | $55 | $63 |
| Kansas | $50 | $59 |
| Missouri | $48 | $58 |
| Oklahoma | $46 | $46 |
| Arizona | $44 | $45 |
What are the highest paying Employers and Agencies for Medical Surgical Nurse jobs in Texas?
Cook Children’s Health Care System pays Medical Surgical Nurses the most, averaging $57 per hour, followed by Perm Staff Jobs ($45) and Parkland Health and Hospital System ($43). Perm Staff Jobs has the highest ceiling, with max hourly pay reaching $72. For comparison, the Texas average for Medical Surgical Nurses is $47 per hour — Cook Children’s Health Care System pays 22% more.
| Average Hourly Salary | Max Hourly Salary | |
|---|---|---|
| Cook Children’s Health Care System | $57 | $57 |
| Perm Staff Jobs | $45 | $72 |
| Parkland Health and Hospital System | $43 | $47 |
| TK Health | $42 | $42 |
| The Hospitals of Providence | $37 | $37 |
| Baptist Health System - San Antonio TX | $36 | $38 |
Last updated on September 27, 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
Registered Nurse (RN) - Correctional Med Surg
- 5030 US 69
- Beaumont, TX
$40-44/hour
Senior Registered Nurse (RN) - Med Surg
- Parkland Health and Hospital System
- Dallas, TX
- 3x12 hrs
$38-48/hour
Senior Registered Nurse (RN) - Med Surg
- Parkland Health and Hospital System
- Dallas, TX
- 3x12 hrs
$38-48/hour
Senior Registered Nurse (RN) - Med Surg
- Parkland Health and Hospital System
- Dallas, TX
- 3x12 hrs
$38-48/hour
Senior Registered Nurse (RN) - Med Surg
- Parkland Health and Hospital System
- Dallas, TX
- 3x12 hrs
$38-48/hour
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