Healthcare

Registered Nurse Salary in Texas (2026)

The average Registered Nurse in Texas earns around $87,000/year. After taxes, your estimated take-home is $70,035/year ($5,836/month).✓ No state income tax

Take-Home Pay Breakdown

CategoryAmount
Annual Take-Home Pay
$70,035
Monthly Take-Home Pay
$5,836
Biweekly Take-Home Pay
$2,694
Hourly Take-Home Pay

based on 2,080 hrs/year

$34/hr
Federal Tax
$10,310
State Tax
$0
FICA Taxes
$6,656
Effective Tax Rate

total taxes ÷ gross salary

19.5%
Estimates only — not tax advice. · Full disclaimer →

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Registered Nurse Salary Ranges in Texas

Entry Level (0–3 yrs)

$67,000

/year

See tax breakdown →

Mid Level (3–7 yrs)

$86,000

/year

See tax breakdown →

Senior Level (7+ yrs)

$133,000

/year

See tax breakdown →

Not all Registered Nurses earn the same — not even close

Texas nursing splits into a few worlds. Houston / TMC is the world-class destination — MD Anderson for oncology, Memorial Hermann for trauma, Houston Methodist for cardiac, Texas Children's for peds. Dallas-Fort Worth is the strong second tier with UTSW academic and Parkland (the busiest US public hospital). Austin's been growing fast since the tech boom expanded the tax base. San Antonio is the affordable pick with the largest US military medicine footprint at Brooke Army Medical Center. Pay overlaps. Texture and housing math don't. Here's what each specialty pays in 2026:

CRNA (Nurse Anesthetist)

$215,000–$275,000

Requires DNP · TX CRNA market 2nd-tier nationally · TMC + UTSW top

Nurse Practitioner

$118,000–$155,000

TX is reduced practice authority (not full) · MD collaboration required

ICU / Critical Care

$98,000–$128,000

Memorial Hermann + Methodist + UTSW Trauma I premium

ER / Emergency

$92,000–$118,000

Trauma I centers (Ben Taub, Parkland Dallas, UH) pay premium

OR / Surgical

$95,000–$122,000

CNOR cert · Texas Heart Institute / MD Anderson surgical premium

Pediatric (PICU / NICU)

$92,000–$120,000

Texas Children's is largest US pediatric hospital · top tier

Oncology (TMC anchor)

$95,000–$125,000

MD Anderson is #1 US cancer center · OCN cert premium

Med-Surg / Telemetry

$78,000–$98,000

Entry point — non-union state but TMC competition floors

Travel Nurse (TX assignment)

$3,000–$4,800/wk

TMC volume drives travel demand · tax-free stipend stacks

Worth knowing: Texas Medical Center (TMC) in Houston is the largest medical complex in the world by floor area, employees, and patient volume. 60+ institutions including MD Anderson Cancer Center (#1 US cancer hospital), Houston Methodist + DeBakey Heart Center, Memorial Hermann (Trauma I), Texas Children's Hospital (largest US pediatric hospital), and the Baylor / UT Health academic anchor. If you're moving for career depth in oncology, peds, cardiac, or transplant, TMC is hard to beat anywhere in the country.

Overtime, the new 2025 OBBBA deduction, and why 0% state tax stacks beautifully

$0

Texas state income tax — every dollar of base, OT, differential, travel income

$12.5K

OBBBA 2025 no-tax-on-overtime deduction cap (single, $25K MFJ)

106K

TMC Houston employees — the largest medical complex in the world

If you're picking up extra shifts in Texas, the math is genuinely good. Texas has no state income tax — nothing on your base, OT, shift differential, weekend pay, charge nurse, on-call, or travel income. Federal and still apply (the IRS has not, in fact, forgotten about you), but versus California or New York the math is dramatically better.

The 2025 law (One Big Beautiful Bill Act — yes, that's the actual name) created a brand-new federal deduction on the premium portion of overtime pay. For tax years 2025 through 2028, you can deduct up to $12,500/year (single) or $25,000 (married filing jointly) of qualifying OT premium from your federal taxable income.

What 'premium portion' means in plain English: if your hourly is $48, OT pays $72 ($48 × 1.5). Only the extra $24/hour counts toward the deduction — not the full $72. Just the half. Texas doesn't have California's aggressive double-time rule, so most TX nursing OT is straight 1.5×.

Real numbers for a Houston ICU nurse at $48/hour base, picking up 8 OT hours a week for 50 weeks. OT premium = $48 × 0.5 × 8 × 50 = $9,600. All $9,600 is -eligible (under the $12,500 cap). At your federal marginal bracket (~24%), that's roughly $2,300 back in your pocket every year. Push to 12 OT hours/week and you hit the cap — saving about $3,000 in federal tax annually. Texas's 0% state tax stacks on top — every dollar of you keep stays kept. The OBBBA savings are bigger here than in CA or NY because there's no state tax draining off the back end.

Two catches. First, only — straight-time and shift differentials probably don't qualify (the IRS is still issuing guidance on -eligible OT for nurses; expect clarity by mid-2026). Second, phaseout — the deduction phases out above $150K single / $300K MFJ, fully gone by $275K / $550K. Most Texas staff and senior specialty RNs are well under. Senior CRNAs and nursing directors should run the math on the calculator before counting on it.

Hurricane crisis premium is a real income stream in Texas. Hurricane Harvey 2017 was a 1-in-1,000-year flood event; Beryl 2024 and the ongoing pattern mean Gulf Coast crisis assignments are now expected income, not surprise income. CMS emergency declarations during major storms allow $4,000–5,500/week crisis travel rates for 4–12 week deployments. Texas-domiciled travel nurses can stay in-state and earn the premium without leaving — and yes, the OT premium portion qualifies for the deduction.

Texas as a place to live — the honest take for nurses

Texas housing affordability is the headline for relocators. Houston, San Antonio, and DFW outer-ring suburbs offer $300–450K family homes 25–35 minutes from major hospital systems — fundamentally different math than CA, NY, WA, or MA, where equivalent commute brackets run $700K+. Austin is the exception: post-2020 tech migration drove Austin urban-core housing to near Bay Area pricing, though outer-ring (Round Rock, Pflugerville, Cedar Park, Buda, Kyle) is still reasonable at $450–650K.

Property taxes are the big trade-off. Texas funds everything through property tax (since no income tax), and effective rates run 1.7–2.3% depending on county and school district. A $400K Houston nurse house pays $7–9K/year in property tax. For high-earning specialty RNs, the no-income-tax advantage easily exceeds the elevated property tax — at $135K senior cardiac comp, you're saving ~$10K/year in state income tax that doesn't exist, while paying maybe $3K more in property tax than you would in a low-property-tax state. Net positive. For lower-earning new-grad RNs at $80K, the math is closer to neutral. File homestead exemption immediately when you buy (one form, costs nothing) — instantly reduces the school-tax portion and caps annual appraisal increases at 10%. Appeal your appraisal annually; appraisal districts routinely over-assess.

Climate is the second trade-off. Houston in June-September is brutal (92-99°F + 70-80% humidity). DFW is drier, Austin's elevation gives mild evenings, San Antonio is hot. Hurricane exposure on the Gulf Coast (Houston, Galveston) is real — Harvey 2017 was generational; Beryl 2024 a reminder. Most TX nurses buy inland to avoid the windstorm-insurance hit.

Most TX nurses retire in-state. No tax reason to leave + homestead exemption + over-65 property tax freeze. Common intra-state retirement: Hill Country (Fredericksburg, Boerne), Gulf Coast (Galveston, Padre Island), or East Texas (Tyler, Longview).

How Texas taxes work for nurses (and why the math just works)

Texas doesn't tax your paycheck — no state income tax on base, OT, shift differential, weekend pay, charge nurse, on-call, or travel income. A $98K Houston ICU staff RN nets ~$76K after federal + vs ~$70K in CA — $6K/year delta. At $135K senior cardiac with cert + OT, you're up $9-11K/year vs CA. At $185K senior CRNA / NP / Director, $14-22K/year. At $245K MD Anderson oncology specialty, $24-32K/year. Cumulative 30-year delta $300-700K just from the zip code.

Pension structure varies by employer. UT system hospitals (UT Health Houston, UTSW Dallas, UT Health San Antonio, MD Anderson) let you elect TRS (Teacher Retirement System — defined-benefit, better if staying 25+ years) OR ORP (Optional Retirement Program — defined-contribution, portable, better if leaving before 10). Irrevocable election. Memorial Hermann, Houston Methodist, Texas Children's, Baylor Scott & White offer + dual-shelter at most non-profit tiers.

+ dual-shelter at TX non-profits is the biggest active-duty move. Combined $47K/year pre-tax. At $135K senior RN marginal rate, maxing both saves ~$10,300/year federal (no state to add — silent multiplier). Special 457(b) catch-up in final 3 years pre-retirement opens $141K pre-tax window almost nobody uses. Ask HR.

TMC + UTSW + MD Anderson specialty premium is valuable. Senior MD Anderson oncology RN with OCN cert + shift differential + on-call + OT routinely clears $135-185K. Memorial Hermann Trauma I or Methodist DeBakey Heart with cert $145-195K. Texas Children's peds specialty $130-180K. Wage compression vs CA exists at gross level, but post-tax + post-COL TX positions often net higher than equivalent CA.

If you're a travel nurse, set up TX as your tax home. This is the single best US state for travel nurse domicile. TX-domiciled travel nurses pay 0% state on travel income earned anywhere. CA-domiciled travelers pay 9-13% CA state tax on every dollar earned. Annual travel income $150-280K + housing stipend, all at 0% TX state.

TX NP reduced-practice-authority caveat. NPs must maintain a 'prescriptive authority agreement' with a delegating physician — cannot practice independently. NP wages compress vs full-practice states ($118-155K TX vs $185-245K CA), though COL offsets a portion. CRNA path is the biggest comp lever — $215-275K, second-tier nationally only to CA.

Property tax is the trade-off — TX funds everything through property tax (since no income tax), 1.7-2.3% effective. A $400K Houston nurse house pays $7-9K/year. File homestead exemption immediately (one form, costs nothing) — reduces school-tax portion + caps annual appraisal increases at 10%. Appeal annually; districts routinely over-assess. Over-65 school-tax freeze locks property tax at retirement.

  • Max AND at TX non-profit — $47K combined. At senior RN marginal rate, ~$10,300/year federal savings (no state to add — silent multiplier).
  • special catch-up in final 3 years pre-retirement — $141K pre-tax window. Ask HR.
  • TRS-vs-ORP election at UT system — TRS for 25+ year tenure (defined-benefit), ORP for shorter (defined-contribution, portable). Irrevocable; model carefully.
  • Pursue TMC / UTSW / MD Anderson specialty + cert. Senior specialty RN $135-195K with shift differential + OT.
  • CRNA path — $215-275K + 0% state. 3-year DNAP. TMC and UTSW top destinations.
  • Travel nurse? Set up Texas domicile. Gold-standard travel nurse home state. One weekend of paperwork, payoff for life.
  • at Houston Methodist / Memorial Hermann / Texas Children's / Baylor S&W — $47,500/year additional Roth shelter.
  • File homestead exemption immediately + appeal property tax appraisal annually. 10-20% reductions are common.
  • Coming from CA / NY / IL? Document the move properly — those states audit aggressively when high earners leave.

Three Texas nursing markets — what each one looks like

Texas nursing is functionally three large metros plus the South Texas / border region. Houston / TMC is the world-class destination. Dallas-Fort Worth is the strong second tier. Austin and San Antonio are the central-Texas options. Pay overlaps but lifestyle and housing math are very different.

Houston / TMC — the largest medical complex in the world

Staff RN $98–128K · ICU/OR/ER with cert $135–185K · CRNA $235–275K

Texas Medical Center (60+ institutions, 106K employees), MD Anderson Cancer Center (#1 US cancer hospital), Memorial Hermann-TMC + The Woodlands + Sugar Land (Trauma I), Houston Methodist + DeBakey Heart Center, Texas Children's Hospital (largest US pediatric hospital), Ben Taub Hospital (county Trauma I), UTHealth Houston, Harris Health System. Workforce housing in Sugar Land, Pearland, Katy, Cypress, The Woodlands — $380–550K, 25–40 minute commute to TMC.

If you're moving for career depth, TMC is genuinely hard to beat anywhere in the country. OCN, CCRN, RNC-OB, and TCRN cert premiums are all meaningful at the TMC tier. The trade-offs are summer heat (June–September is brutal) and hurricane exposure (Harvey 2017 was generational; the pattern is increasing).

Dallas-Fort Worth — UTSW + Parkland + Baylor + Children's

Staff RN $92–120K · ICU/OR with cert $128–170K · CRNA $220–260K

UT Southwestern Medical Center (top US academic, 6 Nobel laureates affiliated), Parkland Memorial Hospital (the busiest US public hospital and Dallas County Trauma I), Baylor Scott & White Health (largest TX non-profit system, ~50 hospitals), Texas Health Resources (~25 hospitals), Children's Health Dallas (pediatric specialty), Cook Children's Fort Worth. Workforce housing in Plano, Frisco, McKinney, Allen, Mansfield, Cedar Hill — $350–500K, 20–40 minute commute.

DFW is the strong second tier — slightly lower wages than Houston, but lower COL too, and the dry heat is more tolerable than Houston's humidity. UTSW pension stack identical to UTHealth Houston. Parkland is a serious teaching hospital if trauma or county-level care is your interest.

Austin + San Antonio — central Texas options

Staff RN $90–118K · ICU/OR with cert $125–165K · CRNA $215–255K

Austin: Dell Medical at UT (newest TX academic medical school), Ascension Seton + Dell Children's, St. David's HealthCare, Baylor Scott & White Round Rock. San Antonio: UT Health San Antonio + University Hospital (Bexar County safety net), Methodist Healthcare, Brooke Army Medical Center (largest US military hospital — civilian RN positions available), CHRISTUS Santa Rosa, Children's Hospital San Antonio. Austin housing has priced up dramatically since 2020 ($550–800K close-in), but San Antonio remains affordable ($300–420K — the cheapest TX major metro for nursing homeownership).

Austin is the fastest-growing TX nursing market driven by tech-corporate migration. The catch is housing — Austin's not the bargain it was in 2019. San Antonio is the the most affordable TX nursing market, with the unique Brooke Army Medical Center civilian-RN trauma + burn specialty option.

The Texas nursing career arc — entry, TMC specialty, retirement in-state

Year 1–2 (new grad RN): $78–98K. ADN or BSN graduate. Texas participates in the NLC nurse compact (since 2000), so your TX license is portable across 41+ states. Major TX hospitals (TMC, UTSW, Baylor S&W, Methodist) increasingly want BSN at hire. New-grad residency programs at TMC member hospitals are competitive — 15–25% acceptance, the application is real work.

Year 3–7 (staff RN, specialty pursuit): $98–135K. This is when you pick up cert (CCRN for critical care, CNOR for OR, CEN for emergency, OCN for oncology — MD Anderson pays extra for it, TCRN for trauma at Memorial Hermann or Parkland, RNC-OB for obstetrics). Specialty + shift differentials + OT add $15–30K to base. Texas isn't a mandate state, so OT availability is higher than California (no break-relief constraint on OT eligibility). Maxing your and at this tier is the single biggest move you can make for retirement.

Year 7–15 (senior specialty / charge / travel / NP-CRNA pivot): $130–195K. Senior ICU / OR / cardiac / oncology RN at TMC or UTSW lands at $145–195K. Travel nursing with Texas domicile clears $150–280K annual gross at 0% state tax. Many nurses pivot here — 3-year MSN-NP program or 3-year DNAP for CRNA. The CRNA jump is the biggest comp lever; NP is more accessible but TX's reduced-practice-authority caps the ceiling.

Year 15–25 (Director of Nursing / NP / CRNA / DNP / CNO): $185–310K. Director of Nursing at major TX system $195–275K. CRNA $235–275K. NP $135–170K (TX reduced-practice authority caps the ceiling vs CA's $185–245K). CNO at a large system runs $285–420K but that's executive comp, not RN scale.

Retirement (age 60–65 with 25+ year service): TRS pension (if elected at UT system) OR + IRA-rollover + home-sale exclusion. Most TX nurses retire in-state — 0% state tax on retirement income + low housing cost + Hill Country / Gulf Coast / Padre Island lifestyle. Common intra-state retirement patterns: Hill Country (Fredericksburg, Boerne, Marble Falls), Gulf Coast (Galveston, Rockport, Padre Island), or East Texas (Tyler, Longview) for lowest COL.

Where Texas nurses actually live

Most TX nurses commute 25–40 minutes from outer-ring suburbs. Houston: Sugar Land, Pearland, Katy, Cypress, The Woodlands ($380–550K). DFW: Plano, Frisco, McKinney, Allen, Mansfield, Cedar Hill ($350–500K). Austin: Round Rock, Cedar Park, Pflugerville ($450–650K — Austin's the outlier). San Antonio: Stone Oak, Alamo Ranch ($300–420K — most affordable major TX metro).

Sugar Land / Pearland / Katy (Houston SW/S/W)

TMC commute 25-40 min · $380K-$550K homes · top-tier ISDs

The Woodlands / Cypress (Houston N/NW)

TMC commute 30-45 min · master-planned · $400K-$600K

Plano / Frisco / McKinney (DFW N)

UTSW / Children's / Baylor commute · $400K-$550K · top ISDs

Mansfield / Cedar Hill (DFW S)

Parkland / Baylor / Children's commute · $300K-$420K · genuinely affordable

Round Rock / Cedar Park / Pflugerville (Austin)

Dell Medical / Ascension Seton commute · $450K-$650K · Austin growth metro

Stone Oak / Alamo Ranch (San Antonio)

UTHSC / Methodist / BAMC commute · $300K-$420K · cheapest TX major-metro RN housing

Texas summer heat is real — most nurses cluster errands early morning and evening and use indoor gyms or pools. Hurricane prep is part of Houston / Galveston life. Most senior TX nurses retire in-state because there's no tax reason to leave; the homestead exemption + over-65 freeze on property tax + intra-state lifestyle options keep people put.

Is this the right move?

Texas nursing — who it's best for

Working in your favor

  • +0% state income tax on every dollar of base, OT, differential, travel income, and retirement withdrawals
  • +Texas Medical Center is the largest medical complex on Earth — unmatched career depth in oncology, peds, cardiac, transplant
  • +UTSW Dallas + MD Anderson + Memorial Hermann + Texas Children's are world-class academic and specialty destinations
  • +Strongest US travel nursing home-base state — TX domicile = 0% state on travel income earned anywhere
  • +2025 OBBBA deduction newly applies to OT premium ($12.5K single / $25K MFJ) — and stacks beautifully with 0% state
  • +Dramatic housing affordability vs CA / NY / WA / MA at outer-ring suburbs
  • +NLC compact license portable across 41+ states (since 2000)
  • +TRS pension at UT system is a strong long-tenure retirement vehicle (if elected over ORP)

Worth knowing before you sign

  • Property taxes 1.7–2.3% effective — high vs national median, but offset by 0% income tax for high earners
  • Texas summer heat (92–99°F + 70–80% humidity in Houston) is genuinely difficult June–September
  • Hurricane exposure in Houston / Galveston is real and increasing (Harvey 2017 was generational; recent years have piled on)
  • NP reduced-practice authority caps the wage ceiling vs CA / WA full-practice states ($118–155K vs $185–245K)
  • Austin urban-core housing has priced up dramatically since 2020 — outer-ring is still reasonable, but the city's not the bargain it was
  • No state-level mandatory ratio law — staffing can run leaner than CA, which means harder shifts

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