How much do Registered Nurses RNs make per hour in Texas?

By June 12, 2018nurse staffing

Registered Nurse (RN) is a licensed nurse registered with the governing body of the nation after taking up a qualifying examination. Nurses get paid very well in Texas. A report from 2013 says the state of Texas has the second highest no of nurses employed in the whole of the country. The average salary of a registered nurse is around 68,000 USD per year, 33 USD per hour which is marginally higher than the national average.

Texas, Medicine, and Regulations

Texas turns out to be the second most populous and second largest state in the nation. Despite the concentration of elite medical centers is considerably high than any other state, Texas ranks third from the last in quality of healthcare system. This is highly due to high poverty rate and countless illegal immigrants into the state. The Texas Medical Centre located in Houston, Texas has 47-member institutions, which is the world’s highest concentration of research and healthcare institutions.

What to study to get your registered nurse license?

To get your Registered Nurse license in Texas you need to hold a degree, either associate’s degree of bachelor’s degree in nursing and after which National Council Licensure Examination (NCLEx) has to be taken.

To get into nursing two-degree options are available- Associate Degree in Nursing (ADN) and Bachelors of Science in Nursing (BSN).

 Associate Degree in Nursing / Associate of Science in Nursing

ADN is the bare minimum that one should complete before registering for the NCLEx. Associates program deals notably with nursing, nutrition, chemistry, microbiology, and anatomy. The programme takes 2 to 3 years to complete.

 Bachelors of Science in Nursing

The bachelor’s degree is a comprehensive nursing programme that can get you higher pay scale. The course runs for 4 years after school. There are also other ways to get a BSN, ADN holders can get a BSN with a 2 years upgrade programme whereas bachelor degree holder of other sectors can apply their credit to get BSN in a period of 12 to 18 months.


The perks of choosing to do Associates programme and getting licensed as Registered Nurse over a BSN are,

  • ADN / ASN courses are less expensive comparatively.
  • Less duration of the study.
  • The simplest way to become a nurse.

The shortcomings are,

  • Fewer chances to advance in nursing.
  • You won’t be eligible for post-graduate programs.

National Council Licensure Examination

National Council of State Boards of Nursing is the one that regulates the nurse licensing. The NCSBN puts forth the test plan based on “Framework of client needs” for the NCLEx,

  • Safe and effective care environment: Management of the environment and its attributes.
  • Health promotion and maintenance: Healthy life practices and preventive measures.
  • Psychosocial integrity: Maintaining psychosocial adoption.
  • Physiology integrity: caring, comfort, therapies and physiological adoption.

In short, to qualify yourself as Registered Nurse, you need an associate degree in nursing or a diploma in nursing and take up the National Council Licensure Examination by NCSBN. Once the license is issued you are allowed practice as a nurse in any medical institution. The license is valid for 2 years after which the license has to be renewed just by applying for it and nothing more.

Pay Scale of Registered Nurses

The pay scale of RNs is 2% above national average salary which qualifies RNs in Texas a well-paid profession. Average base pay of Registered Nurses in Texas state is close to 68,000 USD annually as collected from various trusted sources, which converts to around 33 USD per hour of work.

The least pay of a nurse in TX is expected to be 55,000 USD and the highest paid is 82,000 USD. The least paid nurses, though earn lesser than the national average, are earning well considering the cost of living in Texas is 8% lesser than the national average.

Apart from the base pay, other expected payments are listed,

  • Hourly Tips -5.50 USD (avg)
  • Over time -7 to 59 USD
  • Bonus -101 to 5,500 USD
  • Profit sharing -494 USD (avg) 

Pay scale in various regions of Texas (statistics)

  • The Houston – Sugar Land – Baytown region has 76,000 USD as average pay per year and 36.50 USD per hour. This region has the most nurses employed in all of Texas. The cost of living when compared to national average is 5.6% less.
  • Next in order is the Dallas – Plano – Irving area with the second largest number of Registered Nurses employed. The average pay per hour is 33.60 USD which sums up to 70,000 USD yearly.
  • Texarkana region which also includes a small region of the state of Arkansas, is the last in the list for both, employing the least number of RNs and for paying the least. The per hour rate is as low as 25.81 USD.

Featured Image Source: Medscape

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