Entry-Level Anesthesiologist Salary in North Richland Hills, TX: $220,686 (2026)
Quick Answer:New anesthesiologists entering the North Richland Hills, TX job market in 2026 can expect a starting salary around $220,686 (BLS 10th-percentile benchmark for SOC 29-1211, projected from 2025 OEWS data). Stripping out North Richland Hills's local price level (BEA RPP 96.0 — 4% below national), a first-year paycheck buys what $229,881 would in average-cost America. Most reach the city median ($380,494) within a few years of clinical practice.
Based on BLS state-level estimates · View source

Starting salaries for entry-level anesthesiologists in North Richland Hills, TX, are projected to begin at around $220,686 in 2026. While this figure may feel modest compared to the city’s median annual salary of $380,494, it’s essential for new graduates to set realistic expectations. Over time, there is potential for significant salary growth, with projections showing that earners can reach up to $273,955 at the 25th percentile after a few years of experience. North Richland Hills offers a relatively favorable job market for new anesthesiologists, driven by a local healthcare environment that is both supportive and diverse, allowing for professional growth and the opportunity to build a solid career foundation.
About the North Richland Hills Market
Salary estimated from Texas average ($420,000) adjusted for local cost of living.
Career Earnings Timeline in North Richland Hills
New Graduate
Early Career
Mid Career
Experienced
Salary progression estimated from BLS percentile data. Actual progression varies by employer, certifications, and specialization.
2026 Salary Percentile Distribution in North Richland Hills
Entry-level anesthesiologists in North Richland Hills, TX typically start between $220,686 and $273,955 per year (2026 est.). The full salary range spans $314,677 from the 10th to 90th percentile, with the local median at $380,494 — 6.99% below the national median.
Return on Investment
The average anesthesiology program cost in Texas of $240,000 represents just 108.75% of the starting anesthesiologist pay ($220,686/year) in North Richland Hills. Most graduates begin earning back their investment from day one, though actual ROI varies based on living expenses, loan interest, and the 2-year opportunity cost of schooling.
Program cost estimates based on AAMC tuition reports for LCME-accredited MD programs and COCA-accredited DO programs, plus ACGME-accredited anesthesiology residency data. Totals include 4 years of medical school tuition, fees, and living expenses; residency is salaried but adds opportunity cost. Actual debt varies widely by public vs. private institution and state residency status.
ANES Salary Negotiation Tips for New Graduates in North Richland Hills
- 1Research the North Richland Hills market: entry-level anesthesiologist pay ranges from $220,686 to $273,955, so aim for at least the 25th percentile if you have strong credentials.
- 2Highlight any additional certifications or specialty training within the anesthesiology field — employers in TX often pay a premium for expanded scope of work.
- 3Evaluate the full compensation package — in North Richland Hills, benefits like health insurance, continuing-education allowances, and schedule flexibility can add 20-30% to your effective compensation.
- 4Consider starting with a larger hospital system or multi-site employer in North Richland Hills for competitive entry-level pay and structured mentorship, then move to a smaller employer once you have 2-3 years of experience.
- 5North Richland Hills's moderate cost of living means your starting salary goes further here compared to many larger metro areas.
Anesthesiologist Compensation Range
The anesthesiologist wage spread in North Richland Hills is $314,677 ( 142.59%) between entry-level and top earners. Starting at $220,686, experienced hygienists can earn up to $535,363.
Represents the current salary spread across experience levels, not projected career growth rate.
2019 BLS Actual
$258,265
2025 BLS Actual
$211,183
2026 Current Est.
$220,686
2019–2027 Growth
+-10.7%
Salary Trajectory for Anesthesiologists in North Richland Hills (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 4.50% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $258,265 | Actual |
| 2020 | $283,451 | Actual |
| 2021 | $244,757 | Actual |
| 2022 | $155,817 | Actual |
| 2023 | $176,798 | Actual |
| 2024 | $226,563 | Actual |
| 2025 | $211,183 | Actual |
| 2026(current) | $220,686 | Estimated |
| 2027 | $230,617 | Projected |
Entry-level anesthesiologist compensation (10th percentile) in North Richland Hills, TX grew -18.2% over 7 years based on actual BLS metropolitan area surveys, rising from $258,265 in 2019 to $211,183 in 2025. By 2027, starting salaries are projected to reach $230,617. New graduates entering the North Richland Hills job market can expect continued year-over-year gains.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the North Richland Hills metropolitan area, sourced from annual Occupational Employment and Wage Statistics surveys. 2026–2026 figures are current estimates, and 2027 values are projections, calculated using a 4.50% CAGR derived from 7-year BLS historical data. Actual salaries may vary based on employer, experience, certifications, and local market conditions.
Starting Your anesthesiology Career in North Richland Hills
In North Richland Hills, new graduates can find opportunities primarily at academic medical centers and large group practices, which actively seek candidates fresh from residency programs. Academic institutions often provide exposure to a broad range of practices, such as cardiac and pediatric anesthesiology, while larger practices may offer structured partnership tracks within 2-3 years. To enhance their starting anesthesiologist salary in North Richland Hills, new grads should focus on obtaining their MD or DO degrees, completing a four-year anesthesiology residency, and pursuing ABA board certification with MOCA. Competitive candidates often consider additional fellowships to specialize further. It's also important to understand varying compensation models; after the consolidation wave of the 2010s, there has been a significant divergence between W-2 hospital employment and private practice. New anesthesiologists should anticipate a robust, albeit gradual, salary increase over the first few years, reflecting the evolving landscape of the profession in Texas.
More salary data for North Richland Hills, TX:
Frequently Asked Questions
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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.
Methodology & Data Source
Entry-level salary figures on this page are 2026 projections based on the Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey, May 2026 release. The 10th percentile (entry-level) is used as the starting salary benchmark for new anesthesiology graduates. A 4.50% compound annual growth rate (CAGR), derived from 6-year national BLS wage trends, was applied to project current 2026 entry-level compensation in North Richland Hills. Program costs are averages and actual tuition varies by institution. ROI calculations are simplified estimates.
Data Sources & Methodology
Salary data for North Richland Hills is estimated from official BLS state-level occupational wage data (2025), adjusted for regional cost-of-living differences using BEA RPP (Regional Price Parities).
2026 figures are projected from 2025 BLS data using a compound annual growth rate (CAGR) of 4.50%, derived from historical BLS wage trends for anesthesiologists (SOC 29-1211).
Compiled and verified by Dr. Maria Chen, MD, a licensed anesthesiologist with 10+ years of clinical experience. · View source data at BLS.gov