Anesthesiologist Pay

Houston vs San Marcos: Anesthesiologist Salary (2026)

Compare anesthesiologist salaries between Houston, TX and San Marcos, TX. All figures are 2026 estimates projected from BLS 2025 data.

Houston, TX
$219,690
$105.62/hr
San Marcos, TX
$397,882
$191.29/hr

Side-by-Side Comparison

MetricHouston, TXSan Marcos, TX
Median Salary$219,690$397,882
Hourly Rate$105.62$191.29
Entry Level (P10)$87,696$230,772
25th Percentile$219,690$286,475
75th Percentile$221,070$493,936
Top Earner (P90)$510,660$555,627
Total Employed1,16013
Side-by-side bar chart comparing Houston ($219,690) and San Marcos ($397,882) anesthesiologist salaries.HoustonSan MarcosMedian Salary$219,690$397,882Entry Level (P10)$87,696$230,772Top Earner (P90)$510,660$555,627US Median $409,107

Verdict

San Marcos, TX offers better overall compensation for anesthesiologists, winning 3 out of 4 metrics compared to Houston.

The salary gap between Houston and San Marcos is $178,192 (81.11%). San Marcos's median is -2.74% compared to the US national median of $409,107.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Houston spans $422,964,San Marcos spans $324,855. Houston has a wider pay range, meaning more potential for high earners but also more variation.

Houston
P10 (Entry)$87,696
P25$219,690
Median$219,690
P75$221,070
P90 (Top)$510,660
San Marcos
P10 (Entry)$230,772
P25$286,475
Median$397,882
P75$493,936
P90 (Top)$555,627

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, San Marcos ($414,460 effective) pays 86.07% more than Houston ($222,744 effective).

Houston
Nominal: $219,690
CoL Index: 98.629
Adjusted: $222,744
San Marcos
Nominal: $397,882
CoL Index: 96
Adjusted: $414,460

Cost-of-living adjustment: salary × (100 / CoL index). Index of 100 = national average.

Which City Is Right for You?

Choose Houston if…

  • Larger job market (1,160 employed)
  • You prefer the Texas area and lifestyle

Choose San Marcos if…

  • Higher median salary ($397,882/year)
  • Better top-earner potential ($555,627)
  • Better purchasing power (CoL-adjusted: $414,460)
  • You prefer the Texas area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, anesthesiologist salaries in Houston grew 10.5% from 2021 to 2025, compared to -6.8% growth in San Marcos over the same period.

Houston, TX

+10.5%

$190,180 (2021) → $210,230 (2025)

San Marcos, TX

+-6.8%

$408,477 (2024) → $380,748 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays anesthesiologists more: Houston or San Marcos?

San Marcos has a higher median anesthesiologist salary at $397,882/year, compared to Houston at $219,690/year — a difference of $178,192 (81.11%).

What is the hourly rate difference between Houston and San Marcos?

Houston anesthesiologists earn $105.62/hr while San Marcos hygienists earn $191.29/hr (2026 est.).

Should I relocate from Houston to San Marcos as a anesthesiologist?

Consider more than just salary when comparing Houston and San Marcos. Factor in cost of living (CoL-adjusted: Houston = $222,744, San Marcos = $414,460), job availability (1,160 vs 13 employed), commute, and career growth potential.

What do entry-level anesthesiologists earn in Houston vs San Marcos?

Entry-level (10th percentile) anesthesiologists earn $87,696 in Houston and $230,772 in San Marcos. The San Marcos area offers higher starting salaries.

Related Comparisons

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Written by Dr. Maria Chen, MD

Career Analyst

Dr. Chen has over 10 years of experience in anesthesiology. She specializes in perioperative care at a major metropolitan hospital.

Clinically reviewed by Dr. Raj Patel, MDData verified by Dr. Amina Khan, MD

Methodology & Data Source

All salary figures are 2026 projections based on BLS OEWS May 2025 data. A 4.50% CAGR (derived from 6-year national BLS trends) was applied to estimate current compensation. Cost-of-living adjustments use BEA Regional Price Parity data. Actual salaries vary by employer, certifications, and experience.

Data Sources & Methodology

Source: BLS, OEWS , released .

Compiled and verified by Dr. Maria Chen, MD, a licensed anesthesiologist with 10+ years of clinical experience. · View source data at BLS.gov