Updated · 2026 tax rules · Data: IRS, BLS, BEA, HUD · How we calculate

Medical and Health Services Manager Salary in San Antonio, TX

Medical and Health Services Managers in the San Antonio-New Braunfels, TX metro area earn a median $119,870 a year — 3% less than the national median. After 2026 taxes, that is $93,159 take-home, or $7,763 a month.

Median salary
$119,870
$57.63 per hour
Typical range
$67,700 – $192,930
10th to 90th percentile
Jobs in San Antonio, TX
5,060
1.17× national concentration
▲11.2%
Pay trend: The median for medical and health services managers in San Antonio, TX rose from $107,760 (May 2024) to $119,870 (May 2025). That beat inflation (2.4%), a real raise of about 8.8%.

Take-home pay calculator

Pre-filled with the median medical and health services manager salary in San Antonio, TX. Enter your own offer to see your paycheck.

Medical and Health Services Manager in San Antonio, TX
Deductions, kids & local tax

2026 tax year. Federal brackets from IRS Rev. Proc. 2025-32.

Your take-home pay
$93,159
per year · effective tax rate 22.3%
$7,763Monthly
$3,882Twice a month
$3,583Every 2 weeks
$44.79Hourly
  • Federal income tax$17,541
  • Social Security (6.2%)$7,432
  • Medicare (1.45%)$1,738
  • Texas income tax$0
  • Take-home pay$93,159

Marginal rate: 22% federal + 0.00% state

Got an offer somewhere else? Compare it with this one after taxes and rent →

Medical and Health Services Manager pay by experience in San Antonio, TX

PercentileSalaryHourlyTake-home / yrPer month
10th percentile (entry level)$67,700$32.55$56,457$4,705
25th percentile$91,410$43.95$73,137$6,095
Median (50th)$119,870$57.63$93,159$7,763
75th percentile$147,350$70.84$111,980$9,332
90th percentile (top earners)$192,930$92.75$143,656$11,971

Wages: BLS Occupational Employment and Wage Statistics, May 2025. Take-home: single filer, Texas resident, 2026 tax rules.

What $119,870 buys in San Antonio, TX

Prices in San Antonio, TX are 5.3% lower than the U.S. average (housing costs are 5% below the national average). Adjusted for local prices, a median medical and health services manager's $93,159 take-home pay has the buying power of $98,356 in a typical American city.

1-bedroom rent
$1,171
15% of monthly take-home
2-bedroom rent
$1,419
18% of monthly take-home
Left after 1-BR rent
$6,592
per month for everything else

Rents: HUD Fair Market Rents, FY2026 (40th-percentile gross rent incl. utilities). Price levels: BEA Regional Price Parities, 2024.

Medical and Health Services Manager jobs are about as common in San Antonio, TX as in the U.S. overall (location quotient 1.17).

Best-paying cities for medical and health services managers, adjusted for cost of living

San Antonio, TX ranks #9 of 44 metro areas once taxes and local prices are taken into account.

#Metro areaMedian salaryTake-homeReal value*
1Seattle, WA $160,100$120,694$108,604
2New York, NY $167,580$116,960$103,906
3San Jose, CA $171,210$114,369$103,574
4Sacramento, CA $159,350$107,520$100,797
5Austin, TX $126,110$97,462$99,384
6Kansas City, MO $124,990$91,759$99,153
7Cleveland, OH $122,770$92,585$98,576
8Atlanta, GA $137,260$98,582$98,525
9San Antonio, TX$119,870$93,159$98,356

*Take-home pay divided by the BEA price level, so every city is measured in U.S.-average dollars. See all 44 metros →

About the job: medical and health services managers

Plan, direct, or coordinate medical and health services in hospitals, clinics, managed care organizations, public health agencies, or similar organizations.

Typical education
Bachelor's degree
Work experience
Less than 5 years
On-the-job training
None
Job outlook, 2025–35
+24.2% (much faster than average)

Source: BLS Standard Occupational Classification and Employment Projections, 2025–35.

Medical and Health Services Manager salaries elsewhere in Texas

Frequently asked questions

How much does a medical and health services manager make in San Antonio, TX?

The median medical and health services manager salary in the San Antonio-New Braunfels, TX metro area is $119,870 a year, or about $57.63 an hour, according to the Bureau of Labor Statistics (May 2025). The middle half earn between $91,410 and $147,350.

What is a medical and health services manager’s take-home pay in San Antonio, TX?

On the median $119,870 salary, a single filer living in Texas takes home about $93,159 a year ($7,763 a month) after federal tax, Social Security, Medicare in 2026.

Is San Antonio, TX a good place to work as a medical and health services manager?

Pay here is 3% below the national median of $123,860. Local prices are 5.3% below the U.S. average, so the take-home pay buys what $98,356 would in a typical U.S. city. San Antonio, TX ranks #9 of 44 metro areas for cost-of-living-adjusted pay in this job.

Can a medical and health services manager afford rent in San Antonio, TX?

HUD’s fair market rent for a one-bedroom in San Antonio, TX is $1,171 a month ($1,419 for two bedrooms) — 15% of a median medical and health services manager’s monthly take-home pay. Financial planners usually suggest keeping rent under about 30%.

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