Advanced Practice Nurse (Midwife)
Military Treatment Facilities under DHA · Fort Sam Houston, TX
The median nurse practitioner pay in the San Marcos area is $63.72 per hour ($132,530 a year), with the typical range running from $57.54 to $75.00. That ranks 81st of 372 U.S. metro areas for nurse practitioner pay, and 155th of 336 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.
The metro median is 2% above the Texas statewide median of $62.44 per hour. Nationally the median is $62.12 per hour. BLS counts about 2,570 nurse practitioners employed in the Austin-Round Rock-San Marcos metro area, 2.0 per 1,000 jobs. Employment is about as concentrated here than in the country as a whole (location quotient 1.02).
| Level | Per hour | Per year | Compared with U.S. |
|---|---|---|---|
| Lowest 10% | $52.30 | $108,780 | 16% below U.S. median |
| Lower quartile | $57.54 | $119,680 | 7% below U.S. median |
| Median | $63.72 | $132,530 | 3% above U.S. median |
| Upper quartile | $75.00 | $156,000 | 21% above U.S. median |
| Top 10% | $79.68 | $165,730 | 28% above U.S. median |
Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2024, Nurse Practitioners (SOC 29-1171), all industries. This is what employers report paying, not an offer for a specific role.
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.
Named employers near San Marcos, what they pay and the roles open now. Free for candidates, email only.
Get my free pay reportGross 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.
| Item | Federal rate |
|---|---|
| Lodging per night | $110 |
| Meals and incidentals per day | $68 |
| Per week (7 nights, 7 days) | $1,246 |
| 13-week assignment | $16,198 |
Travel nurse practitioner assignments commonly pay housing and meals stipends. The GSA per diem is the federal benchmark for what those stipends can be tax-free (this is the standard rate that applies here). Whether a stipend is tax-free for you depends on keeping a valid tax home, so confirm with your recruiter and a tax professional. Compare with your offer in the travel pay calculator.
Source: U.S. General Services Administration per diem rates, fiscal year 2026 (average across months).
Nearest open roles with published pay. Your free report adds roles in San Marcos as they open.
Military Treatment Facilities under DHA · Fort Sam Houston, TX
Military Treatment Facilities under DHA · Fort Hood, TX
Most are never shown on this page. Tell us your role and get the full list, with the pay on every one, in your inbox within 24 hours.
Veterans Health Administration · Big Spring, TX
CMS lists 1 hospital in San Marcos, 1 of the 1 rated ones with 4 or 5 stars. Hospitals are a major employer of nurse practitioners.
| Hospital | Type | Ownership | CMS rating | Emergency |
|---|---|---|---|---|
| Christus Santa Rosa Hospital-San Marcos San Marcos, TX | Acute care | Nonprofit | 4 of 5 | Yes |
Source: CMS Hospital General Information, public data. A directory of hospitals, not a list of our clients.
| City | Distance | Median pay | Population |
|---|---|---|---|
| Kyle, TX | 9 mi | $63.72/hr | 65,833 |
| New Braunfels, TX | 16 mi | $60.35/hr | 116,477 |
| Austin, TX | 31 mi | $63.72/hr | 993,588 |
| San Antonio, TX | 45 mi | $60.35/hr | 1,526,656 |
| Killeen, TX | 84 mi | $64.13/hr | 160,616 |
| Temple, TX | 91 mi | $64.13/hr | 96,267 |
Nurse Practitioner jobs in Texas · Nurse Practitioner jobs nationwide
Texas is in the Nurse Licensure Compact, so an RN or LPN/LVN with a multistate license from another compact state can work here without a new license. Nurses whose home state is not in the compact apply for a Texas license by endorsement.
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.
San Marcos city guide: hospitals, employers and licensing
Nurse Practitioners in the Austin-Round Rock-San Marcos metro area have a median pay of $63.72 per hour, about $132,530 a year. The middle half earn between $57.54 and $75.00 per hour (BLS, May 2024).
Austin-Round Rock-San Marcos ranks 155th of 336 metro areas for nurse practitioner pay after adjusting for local prices, and 81st of 372 before adjusting. Overall prices run 2% below the U.S. average.
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.
Texas is in the Nurse Licensure Compact, so an RN or LPN/LVN with a multistate license from another compact state can work here without a new license. Nurses whose home state is not in the compact apply for a Texas license by endorsement. Confirm with the board before you accept a role.
The federal per diem benchmark in San Marcos is $110 a night for lodging and $68 a day for meals and incidentals, about $1,246 a week (GSA, fiscal year 2026). Your actual stipend depends on the assignment and your tax home.
Yes. We place healthcare staff in San Marcos and across Texas. Tell us your profession and we email the roles open near San Marcos.
Tell us your role and city. Within 24 hours you get an email with three things, by employer name. It costs you nothing, because employers pay us.
The hourly pay at named employers near you, so you see who pays most.
The pay range and median across current postings, and how many were posted this month.
Every current opening near you with pay, shift and start date. Reply with one click.
190+ Nurse Practitioner roles in Texas, sent free by email
Tell us who you are and what you do. We email the report within 24 hours on business days.
Median pay per hour, with the range each employer published or reported in federal filings.
3 NP postings with published pay in Texas, 3 of them posted in the last 30 days. Month-by-month history by employer comes with your full report.
+ 1 more in your report. Each one has pay, shift and start date.