Medical Records Specialists pay range in San Antonio
New workers and the lowest-paid 10% earn about $34,340 a year or less, while the top 10% make $72,260 or more. The middle half of medical records specialists in San Antonio earn between $38,900 and $59,790.
- $34K10th
- $39K25th
- $46KMedian
- $60K75th
- $72K90th
median average · bar = middle 50% of workers · how to read it
| Pay level | Per year | Per month | Per hour* |
|---|---|---|---|
| Average | $49,740 | $4,145 | $23.91 |
| Median | $46,110 | $3,842 | $22.17 |
| Entry level (25th percentile) | $38,900 | $3,242 | $18.70 |
| Experienced (75th percentile) | $59,790 | $4,982 | $28.75 |
*Hourly figures assume 2,080 paid hours a year. Hourly to annual salary.
Medical Records Specialists pay in San Antonio vs. Texas and the U.S.
Medical records specialists in San Antonio earn 6% less than the Texas average ($52,880) and 12% less than the U.S. average ($56,790). At the median the gap is -10% against the U.S. median of $51,140.
| Area | Average | Median | 10th pct. | 90th pct. | Jobs |
|---|---|---|---|---|---|
| San Antonio | $49,740 | $46,110 | $34,340 | $72,260 | 1,670 |
| Texas | $52,880 | $48,860 | $34,440 | $78,390 | 17,210 |
| United States | $56,790 | $51,140 | $37,000 | $81,150 | 194,720 |
State and U.S. rows: BLS statewide and national estimates, May 2025, which include rural areas.
Medical Records Specialists salary after taxes in San Antonio
On the average salary of $49,740, a single filer in San Antonio takes home about $42,146 a year, or $3,512 a month and $1,621 every two weeks. Taxes take 15% of gross pay.
Single filer, standard deduction: federal income tax (2026 brackets), Social Security, Medicare and no state income tax.
Is San Antonio a good place for medical records specialists? Pay vs. cost of living
Prices in the San Antonio area are 5% below the U.S. average (BEA price parity 94.7), so the average $49,740 buys what about $52,515 would buy in a typical U.S. metro. This job pays 1.0 times the median wage of all jobs in San Antonio ($47,010). A typical home costs $280,297, or 5.6 years of this average salary before tax.
Medical Records Specialists salary in other Texas cities
San Antonio ranks 11th of 25 Texas metro areas for this job; Midland pays the most ($57,470).
Highest-paying cities for medical records specialists
San Jose, CA pays this job the most of the metro areas we cover ($97,430).
- San Jose, CA$97,430
- Sacramento, CA$76,110
- Chattanooga, TN$76,090
- San Francisco, CA$75,570
- Seattle, WA$72,530
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Medical Records Specialists salary in San Antonio: questions
How much do medical records specialists make an hour in San Antonio?
$23.92 an hour on average, and $22.17 at the median (BLS, May 2025).
What is the entry-level medical records specialists salary in San Antonio?
The lowest-paid 10% earn about $34,340 a year and the 25th percentile is $38,900, a fair guide to starting pay.
What is the medical records specialists take-home pay in San Antonio?
About $42,146 a year ($3,512 a month) for a single filer on the average salary of $49,740. Texas has no state income tax.
Do medical records specialists earn more in San Antonio than elsewhere?
The average here is 12% less than the U.S. average for this job ($56,790).
Sources and how to read this page
- Wages: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (OEWS), May 2025 estimates for metropolitan areas. SOC code 29-2072; area San Antonio-New Braunfels, TX (41700). Relative standard error of the mean wage: 1.1%.
- U.S. and statewide figures: BLS OEWS national and state estimates, May 2025, every employer including rural areas.
- Cost of living: Bureau of Economic Analysis regional price parities (RPP), 2024; 100 = U.S. average.
- Home value: Zillow Home Value Index. Typical-wage figure: OEWS all occupations, same metro.
- Take-home pay: Single filer, standard deduction: federal income tax (2026 brackets), Social Security, Medicare and no state income tax.
- Job concentration: location quotient 1.18, this job is about as common as in the U.S. overall.
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