TX · San Marcos · Updated October 15, 2026

Registered Nurse jobs in San Marcos, TX

Pay for registered nurses in the San Marcos area centers on $45.63 per hour, or about $94,900 a year. The lower quarter earns under $37.57 and the upper quarter over $49.44. The CMS hospital directory lists 1 hospital in San Marcos. That ranks 97th of 379 U.S. metro areas for registered nurse pay, and 73rd of 335 once local prices are factored in. Tell us your role and we email current openings near San Marcos.

Open Registered Nurse roles near San Marcos

Roles in other cities of the Austin-Round Rock-San Marcos area.

More open Registered Nurse roles in San Marcos

2 more open roles from employers in San Marcos. Each employer’s range arrives with your free pay report.

PermanentPosted 22 days ago

REGISTERED NURSE - WEEKEND

Universal Health Services · San Marcos, TX

Pay range with your report
  • Full Time Nursing 40
  • Req 370654
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Registered Nurse pay in San Marcos, TX

The metro median is 5% above the Texas statewide median of $43.27 per hour. Nationally the median is $45.00 per hour. BLS counts about 18,420 registered nurses employed in the Austin-Round Rock-San Marcos metro area, 14.6 per 1,000 jobs. Employment is less concentrated here than in the country as a whole (location quotient 0.69).

LevelPer hourPer yearCompared with U.S.
Lowest 10%$30.87$64,21031% below U.S. median
Lower quartile$37.57$78,15017% below U.S. median
Median$45.63$94,9001% above U.S. median
Upper quartile$49.44$102,84010% above U.S. median
Top 10%$59.05$122,82031% above U.S. median

How San Marcos ranks

  • 97th of 379 U.S. metro areas by median hourly pay
  • 73rd of 335 after adjusting for local prices
  • 4th of 24 Texas metro areas

Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2024, Registered Nurses (SOC 29-1141), 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 $45.63 median hour buys what $46.53 buys at the national price level, 3% above 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.

Estimate your San Marcos paycheck

Estimated weekly gross$1,643
  • Per year: $82,134
  • Per month: $6,844
  • 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.

Travel assignment per diem in San Marcos

ItemFederal 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 registered nurse 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).

Hospitals in San Marcos

CMS lists 1 hospital in San Marcos, 1 of the 1 rated ones with 4 or 5 stars. Hospitals are a major employer of registered nurses.

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.

Registered Nurse pay in nearby cities

CityDistanceMedian payPopulation
Kyle, TX9 mi$45.63/hr65,833
New Braunfels, TX16 mi$41.88/hr116,477
Austin, TX31 mi$45.63/hr993,588
San Antonio, TX45 mi$41.88/hr1,526,656
Killeen, TX84 mi$45.77/hr160,616
Temple, TX91 mi$45.77/hr96,267

Registered Nurse jobs in Texas · Registered Nurse jobs nationwide

License and tax basics in Texas

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.

Texas state guide · Nurse Licensure Compact guide

Other healthcare roles in San Marcos

San Marcos city guide: hospitals, employers and licensing

Common questions

How much do registered nurses make in San Marcos, TX?

Registered Nurses in the Austin-Round Rock-San Marcos metro area have a median pay of $45.63 per hour, about $94,900 a year. The middle half earn between $37.57 and $49.44 per hour (BLS, May 2024).

Is San Marcos a good place for registered nurses once cost of living is counted?

Austin-Round Rock-San Marcos ranks 73rd of 335 metro areas for registered nurse pay after adjusting for local prices, and 97th of 379 before adjusting. Overall prices run 2% below the U.S. average.

Who is hiring registered nurses in San Marcos?

We list 2 open roles with published pay from 1 employer in the Austin-Round Rock-San Marcos area. Your free report adds named employers and pay near San Marcos.

Do I need a Texas license to work in San Marcos as a registered nurse?

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.

What is the per diem for a travel assignment in San Marcos?

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.

Does Valorem Health place registered nurses 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 for your role at other hospitals

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    What they are offering now

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The Joint Commission Gold Seal of Approval: Health Care Staffing Services Certification, since 2022American Staffing Association memberNATHO member: National Association of Travel Healthcare OrganizationsNALTO member: National Association of Locum Tenens Organizations

Pay report · RN near San Marcos, TX
Valorem Health Shift ReportFrom your recruiting team · [email protected]

Your RN pay reportSan Marcos, TX · pay published by hospitals, collected October 15, 2026

1Pay for your role at other hospitals

  • Veterans Health AdministrationSan Antonio, TX · 5 postings$62.40/ hr$36–$87
  • Military Treatment Facilities under DHAFort Hood, TX · 3 postings$55.88/ hr$47–$67
  • BrightSpring Health ServicesIRVING, TX · 4 postings$50.00/ hr$44–$55
  • Select MedicalDallas, TX · 3 postings$46.19/ hr$32–$53

Median posted pay per hour, with the range each employer published.

2What they are offering now

Low$35Median$45.41High$55

124 RN postings with published pay in Texas, 105 of them posted in the last 30 days. Month-by-month history by employer comes with your full report.

3Open now: 124 RN roles

  1. Registered Nurse (Critical Care) - Education Debt Reduction Program AuthorizedPermanent
    $86k–$174k/ year
    Veterans Health Administration · San Antonio, TX · posted today
  2. Nurse (Clinical/Ambulatory)Permanent
    $107k–$139k/ year
    Military Treatment Facilities under DHA · Fort Sam Houston, TX · posted today

+ 122 more in your report. Each one has pay, shift and start date.

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