TX · Round Rock · Updated October 15, 2026

Utilization Review Nurse jobs in Round Rock, TX

Pay for utilization review nurses in the Round Rock 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. That ranks 97th of 379 U.S. metro areas for utilization review nurse pay, and 73rd of 335 once local prices are factored in. The CMS hospital directory lists 4 hospitals in Round Rock. Your free pay report adds named employers and the roles open near Round Rock.

Utilization Review Nurse pay in Round Rock, 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 Round Rock 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

BLS does not publish a separate figure for utilization review nurse. These numbers are for the broader category it belongs to, Registered Nurses.

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 Round Rock

  • 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.

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Estimate your Round Rock 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.

Hospitals in Round Rock

CMS lists 4 hospitals in Round Rock.

HospitalTypeOwnershipCMS ratingEmergency
Ascension Seton Williamson
Round Rock, TX
Acute careNonprofit4 of 5Yes
Baylor Scott & White Medical Center - Round Rock
Round Rock, TX
Acute careNonprofit4 of 5Yes
Round Rock Medical Center
Round Rock, TX
Acute careFor-profit3 of 5Yes
Brushy Creek Family Hospital Llc
Round Rock, TX
Acute careFor-profitNot ratedNo

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

Utilization Review Nurse pay in nearby cities

CityDistanceMedian payPopulation
Pflugerville, TX7 mi$45.63/hr66,819
Cedar Park, TX9 mi$45.63/hr78,380
Killeen, TX38 mi$45.77/hr160,616
Temple, TX43 mi$45.77/hr96,267
New Braunfels, TX63 mi$41.88/hr116,477
Waco, TX77 mi$41.98/hr146,608

Utilization Review Nurse jobs in Texas · Utilization Review Nurse jobs nationwide

What employers ask for, and tax basics in Texas

Utilization review nurses assess admissions and services for medical necessity and coordinate with payers.

  • Active RN license
  • Clinical experience in acute care
  • InterQual or MCG experience

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 Round Rock

Round Rock city guide: hospitals, employers and licensing

Common questions

How much do utilization review nurses make in Round Rock, TX?

Utilization Review 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 Round Rock a good place for utilization review nurses once cost of living is counted?

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

Where do utilization review nurses work in Round Rock?

CMS lists 4 hospitals in Round Rock, led by Ascension Seton Williamson. Ask for the free report to see current openings and pay.

Do I need a Texas license to work in Round Rock as an utilization review 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.

Does Valorem Health place utilization review nurses in Round Rock?

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

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What do employers near Round Rock pay utilization review nurses? Get the report.

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Pay report · UR Nurse near Round Rock, TX
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1Pay for your role at other hospitals

  • Emanate HealthCovina, CA · 1 posting$66.34/ hr$52–$81
  • Veterans Health AdministrationPhiladelphia, PA · 1 posting$56.65/ hr$39–$74
  • MaineGeneral HealthAugusta, ME · 1 posting$53.62/ hr$39–$68
  • Trinity HealthConnecticut · 1 posting$48.05/ hr$36–$60

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

2What they are offering now

Low$36Median$45.44High$66

11 UR Nurse postings with published pay in the US, 10 of them posted in the last 30 days. Month-by-month history by employer comes with your full report.

3Open UR Nurse roles

Open UR Nurse roles near Round Rock, TX, each with pay, shift and start date, arrive with your report.

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