Nurse Practitioner Pay

Houston vs Waco: Nurse Practitioner Salary (2026)

Compare nurse practitioner salaries between Houston, TX and Waco, TX. All figures are 2026 estimates projected from BLS 2025 data.

Houston, TX
$139,202
$66.92/hr
Waco, TX
$133,368
$64.12/hr

Side-by-Side Comparison

MetricHouston, TXWaco, TX
Median Salary$139,202$133,368
Hourly Rate$66.92$64.12
Entry Level (P10)$100,222$104,060
25th Percentile$120,519$120,374
75th Percentile$148,637$151,389
Top Earner (P90)$164,310$169,534
Total Employed5,970210
Side-by-side bar chart comparing Houston ($139,202) and Waco ($133,368) nurse practitioner salaries.HoustonWacoMedian Salary$139,202$133,368Entry Level (P10)$100,222$104,060Top Earner (P90)$164,310$169,534US Median $136,864

Verdict

Houston, TX offers better overall compensation for nurse practitioners, winning 3 out of 4 metrics compared to Waco.

The salary gap between Houston and Waco is $5,834 (4.37%). Houston's median is +1.71% compared to the US national median of $136,864.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Houston spans $64,088,Waco spans $65,474. Waco has a wider pay range, suggesting more variation in pay between entry-level and experienced nurse practitioners.

Houston
P10 (Entry)$100,222
P25$120,519
Median$139,202
P75$148,637
P90 (Top)$164,310
Waco
P10 (Entry)$104,060
P25$120,374
Median$133,368
P75$151,389
P90 (Top)$169,534

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Waco ($144,104 effective) pays 2.10% more than Houston ($141,137 effective).

Houston
Nominal: $139,202
CoL Index: 98.629
Adjusted: $141,137
Waco
Nominal: $133,368
CoL Index: 92.55
Adjusted: $144,104

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

Which City Is Right for You?

Choose Houston if…

  • Higher median salary ($139,202/year)
  • Larger job market (5,970 employed)
  • You prefer the Texas area and lifestyle

Choose Waco if…

  • Better top-earner potential ($169,534)
  • Better purchasing power (CoL-adjusted: $144,104)
  • You prefer the Texas area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, nurse practitioner salaries in Houston grew 12.8% from 2019 to 2025, compared to 17.1% growth in Waco over the same period.

Houston, TX

+12.8%

$119,290 (2019) → $134,560 (2025)

Waco, TX

+17.1%

$110,060 (2019) → $128,920 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays nurse practitioners more: Houston or Waco?

Houston has a higher median nurse practitioner salary at $139,202/year, compared to Waco at $133,368/year — a difference of $5,834 (4.37%).

What is the hourly rate difference between Houston and Waco?

Houston nurse practitioners earn $66.92/hr while Waco hygienists earn $64.12/hr (2026 est.).

Should I relocate from Houston to Waco as a nurse practitioner?

Consider more than just salary when comparing Houston and Waco. Factor in cost of living (CoL-adjusted: Houston = $141,137, Waco = $144,104), job availability (5,970 vs 210 employed), commute, and career growth potential.

What do entry-level nurse practitioners earn in Houston vs Waco?

Entry-level (10th percentile) nurse practitioners earn $100,222 in Houston and $104,060 in Waco. The Waco area offers higher starting salaries.

Related Comparisons

MG

Written by Maria Gonzalez, MSN, NP-C

Career Analyst

Maria has 10 years of experience in adult healthcare. She works in a community health clinic. Her specialty is chronic disease management.

Clinically reviewed by James Patel, DNP, APRNData verified by Aisha Khan, MSN, FNP-BC

Methodology & Data Source

All salary figures are 2026 projections based on BLS OEWS May 2025 data. A 3.45% 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 Maria Gonzalez, MSN, NP-C, a licensed nurse practitioner with 10+ years of clinical experience. · View source data at BLS.gov