TX · San Marcos · Updated October 15, 2026

Medical Biller jobs in San Marcos, TX

The median medical biller pay in the San Marcos area is $22.23 per hour ($46,240 a year), with the typical range running from $18.56 to $25.36. That ranks 135th of 384 U.S. metro areas for medical biller pay, and 176th of 341 once local prices are factored in. The CMS hospital directory lists 1 hospital in San Marcos. Tell us your role and we email current openings near San Marcos.

Medical Biller pay in San Marcos, TX

The metro median is 7% above the Texas statewide median of $20.81 per hour. Nationally the median is $22.68 per hour. BLS counts about 2,640 billing and posting clerks employed in the Austin-Round Rock-San Marcos metro area, 2.1 per 1,000 jobs. Employment is less concentrated here than in the country as a whole (location quotient 0.77).

LevelPer hourPer yearCompared with U.S.
Lowest 10%$16.74$34,82026% below U.S. median
Lower quartile$18.56$38,60018% below U.S. median
Median$22.23$46,2402% below U.S. median
Upper quartile$25.36$52,75012% above U.S. median
Top 10%$29.19$60,72029% above U.S. median

How San Marcos ranks

  • 135th of 384 U.S. metro areas by median hourly pay
  • 176th of 341 after adjusting for local prices
  • 2nd of 24 Texas metro areas

BLS does not publish a separate figure for medical biller. These numbers are for the broader category it belongs to, Billing and Posting Clerks.

Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2024, Billing and Posting Clerks (SOC 43-3021), all industries. This is what employers report paying, not an offer for a specific role.

What your pay buys in San Marcos

  • Overall prices in Austin-Round Rock-San Marcos run 2% below the U.S. average (index 98.1, U.S. = 100).
  • Housing is the biggest driver: 20% above the U.S. average (index 120.4).
  • Adjusted for local prices, a $22.23 median hour buys what $22.67 buys at the national price level, in line with the national median.

Source: U.S. Bureau of Economic Analysis, Regional Price Parities by metropolitan area, 2024. Prices are for the metro area, not for a single neighborhood.

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Estimate your San Marcos paycheck

Estimated weekly gross$800
  • Per year: $40,014
  • Per month: $3,334
  • Texas has no state income tax on wages.

Gross pay before taxes and benefits, from BLS pay levels for the Austin-Round Rock-San Marcos metro area. For take-home pay use the take-home pay calculator.

Hospitals in San Marcos

CMS lists 1 hospital in San Marcos.

HospitalTypeOwnershipCMS ratingEmergency
Christus Santa Rosa Hospital-San Marcos
San Marcos, TX
Acute careNonprofit4 of 5Yes

Source: CMS Hospital General Information, public data. A directory of hospitals, not a list of our clients.

Medical Biller pay in nearby cities

CityDistanceMedian payPopulation
Kyle, TX9 mi$22.23/hr65,833
New Braunfels, TX16 mi$20.56/hr116,477
Austin, TX31 mi$22.23/hr993,588
San Antonio, TX45 mi$20.56/hr1,526,656
Killeen, TX84 mi$18.60/hr160,616
Temple, TX91 mi$18.60/hr96,267

Medical Biller jobs in Texas · Medical Biller jobs nationwide

What employers ask for, and tax basics in Texas

Medical billers prepare and submit claims, follow up on denials and post payments.

  • Medical billing or coding training; CPB is a plus
  • Knowledge of payer rules and claim forms
  • Experience with billing and EHR systems

Texas does not tax wage income at the state level, so take-home pay is higher than the same gross pay in a state that does.

Texas state guide

Other healthcare roles in San Marcos

San Marcos city guide: hospitals, employers and licensing

Common questions

How much do medical billers make in San Marcos, TX?

Medical Billers in the Austin-Round Rock-San Marcos metro area have a median pay of $22.23 per hour, about $46,240 a year. The middle half earn between $18.56 and $25.36 per hour (BLS, May 2024).

Is San Marcos a good place for medical billers once cost of living is counted?

Austin-Round Rock-San Marcos ranks 176th of 341 metro areas for medical biller pay after adjusting for local prices, and 135th of 384 before adjusting. Overall prices run 2% below the U.S. average.

Where do medical billers work in San Marcos?

CMS lists 1 hospital in San Marcos, led by Christus Santa Rosa Hospital-San Marcos. Ask for the free report to see current openings and pay.

Do I need a Texas license to work in San Marcos as a medical biller?

Medical billing or coding training; CPB is a plus. Credentials are issued state by state, so confirm what Texas requires for your role with the Texas licensing board and with your recruiter before you commit to a start date. Confirm with the board before you accept a role.

Does Valorem Health place medical billers in San Marcos?

Yes. We place healthcare staff in San Marcos and across Texas. Tell us your profession and we email the roles open near San Marcos.

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Pay report · Biller near San Marcos, TX
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Your Biller pay reportTop-paying hospitals shown · your Texas list by name comes with the full report

1Pay for your role at other hospitals

  • OSF Healthcare SystemPeoria, IL · 1 posting$36.48/ hr$34–$39
  • ChristianaCareWilmington, DE · 1 posting$28.42/ hr$23–$34
  • Sentara HealthcareVirginia Beach, VA · 1 posting$27.34/ hr$22–$33
  • MarinHealthNovato, CA · 2 postings$25.20/ hr$23–$27

Median posted pay per hour, with the range each employer published. Request your Texas list

2What they are offering now

Low$18Median$22.18High$27

22 Biller postings with published pay in the US, 21 of them posted in the last 30 days. Month-by-month history by employer comes with your full report.

3Open Biller roles

Open Biller roles near San Marcos, TX, each with pay, shift and start date, arrive with your report.

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