Texas Residency Salaries 2025

Comprehensive salary analysis for medical residency programs in Texas. Compare compensation across 118 specialties with cost of living adjustments and real value analysis.

$73,810
Average Salary
894
Total Programs
79.1
Cost of Living Index
$93,299
Adjusted Salary

Salary by Specialty in Texas

Average PGY-1 salaries across different medical specialties

SpecialtyProgramsAverage SalarySalary Range
Forensic Pathology (PTH)4$107,770$100,000 - $119,835
Craniofacial Surgery (PS)2$88,941$86,430 - $91,451
Pediatric Cardiac Anesthesiology (AN)2$86,420$86,336 - $86,503
Pediatric Rehabilitation Medicine (PM)2$86,097$84,095 - $88,098
Transplant Hepatology (IM)5$85,028$83,617 - $87,049
Plastic surgery3$83,944$81,086 - $86,503
Pediatric Urology (U)2$83,795$81,087 - $86,503
Pediatric Radiology (DR)2$83,568$83,519 - $83,617
Interventional Cardiology (IM)14$83,529$68,900 - $91,451
Adult Reconstructive Orthopaedics (ORS)4$83,241$81,087 - $84,244
Pediatric Surgery (GS)4$83,224$79,353 - $86,503
Complex General Surgical Oncology (GS)2$82,901$82,184 - $83,617
Clinical Cardiac Electrophysiology (IM)9$82,809$68,307 - $91,451
Neuromuscular Medicine (N)2$82,697$81,299 - $84,095
Interventional Radiology-Independent6$82,400$78,540 - $86,503
Brain Injury Medicine (PM)3$82,021$80,897 - $84,095
Advanced Heart Failure and Transplant Cardiology (IM)6$81,557$65,104 - $87,049
Colon and Rectal Surgery5$81,532$72,320 - $86,503
Neurotology (OTO)2$81,468$76,432 - $86,503
Neuroradiology (DR)5$81,313$78,725 - $86,503
Pediatric Orthopaedics (ORS)2$81,303$79,086 - $83,519
Pediatric Anesthesiology (AN)3$81,178$78,541 - $84,095
Epilepsy (N)5$81,080$78,540 - $86,503
Surgical Critical Care (GS)11$80,965$71,018 - $100,000
Gynecologic Oncology (OBG)3$80,676$78,540 - $84,095
Pediatric Pathology (PTH)2$80,616$77,136 - $84,095
Vascular Surgery (GS)8$80,429$76,128 - $84,244
Orthopaedic Sports Medicine (ORS)5$80,361$70,000 - $84,244
Adult Cardiothoracic Anesthesiology (AN)5$80,242$76,603 - $84,095
Urogynecology and Reconstructive Pelvic Surgery (OBG)4$80,235$76,603 - $84,095
Foot and Ankle Orthopaedics (ORS)2$80,214$79,353 - $81,074
Critical Care Medicine (AN)4$80,034$76,603 - $84,095
Clinical Neurophysiology (N)8$79,989$76,432 - $86,503
Adolescent Medicine (PD)4$79,893$77,135 - $85,000
Reproductive Endocrinology and Infertility (OBG)2$79,719$78,540 - $80,898
Vascular Neurology (N)6$79,670$76,603 - $84,095
Maternal-Fetal Medicine (OBG)6$79,603$76,603 - $84,095
Thoracic Surgery8$79,441$65,590 - $86,503
Addiction Psychiatry (P)3$79,354$76,642 - $80,898
Consultation-Liaison Psychiatry (P)3$79,354$76,642 - $80,898
Hematopathology (PTH)7$79,308$77,136 - $81,072
Geriatric Psychiatry (P)4$79,150$76,642 - $80,898
Rheumatology (IM)7$78,768$73,186 - $100,000
Pediatric Rheumatology (PD)2$78,718$77,136 - $80,299
Pediatric Pulmonology (PD)2$78,717$77,134 - $80,299
Molecular Genetic Pathology (MG and PTH)4$78,621$77,146 - $80,299
Neurocritical Care3$78,359$77,134 - $80,299
Obstetric Anesthesiology (AN)4$78,318$74,033 - $84,095
Sleep Medicine3$78,264$77,135 - $80,521
Blood Banking/Transfusion Medicine (PTH)5$78,151$77,135 - $80,299
Clinical Informatics (PTH)3$77,773$77,136 - $78,540
Medical Biochemical Genetics (MG)2$77,614$74,140 - $81,087
Hand Surgery (ORS)3$77,602$65,768 - $83,520
Pediatric Emergency Medicine (PD)3$77,601$75,368 - $80,299
Cytopathology (PTH)7$77,539$76,493 - $78,542
Spinal Cord Injury Medicine (PM)2$77,465$74,033 - $80,897
Pediatric Infectious Diseases (PD)3$77,441$74,889 - $80,299
Pediatric Gastroenterology (PD)4$77,365$74,889 - $80,299
Pediatric Critical Care Medicine (PD)4$77,364$74,888 - $80,299
Forensic Psychiatry (P)7$77,263$69,084 - $80,897
Pediatric Cardiology (PD)4$76,936$73,173 - $80,299
Allergy and Immunology3$76,888$73,229 - $80,299
Developmental-Behavioral Pediatrics (PD)2$76,815$76,493 - $77,136
Pediatric Endocrinology (PD)4$76,803$74,888 - $80,299
Neuropathology (PTH)3$76,743$75,450 - $77,643
Micrographic Surgery and Dermatologic Oncology (D)5$76,743$72,369 - $80,898
Pediatric Nephrology (PD)3$76,692$74,888 - $80,299
Pediatric Hematology/Oncology (PD)6$76,435$72,532 - $80,299
Selective Pathology (PTH)22$76,378$64,098 - $84,095
Clinical Informatics (IM)2$76,141$74,140 - $78,142
Emergency Medical Services (EM)3$76,125$72,707 - $80,299
Pediatric Hospital Medicine (PD)8$76,017$70,283 - $80,299
Dermatopathology (D)3$75,968$72,955 - $78,332
Infectious Disease (IM)9$75,950$66,936 - $80,299
Neonatal-Perinatal Medicine (PD)7$75,742$73,173 - $78,142
Endocrinology, Diabetes, and Metabolism (IM)8$75,369$66,936 - $80,299
Geriatric Medicine (IM)5$75,327$73,229 - $77,136
Hospice and Palliative Medicine12$75,131$68,900 - $80,299
Child Abuse Pediatrics (PD)4$75,045$72,707 - $77,134
Child and Adolescent Psychiatry (P)11$74,877$65,138 - $80,299
Gastroenterology (IM)16$74,834$68,900 - $80,299
Nephrology (IM)12$74,755$68,900 - $80,299
Critical Care Medicine (IM)5$74,696$66,936 - $84,317
Pain Medicine6$74,544$57,354 - $84,095
Pulmonary Disease and Critical Care Medicine (IM)12$73,914$66,936 - $80,299
Cardiovascular Disease (IM)20$73,789$60,850 - $80,299
Medical Genetics and Genomics3$73,715$69,583 - $76,672
Hematology and Medical Oncology (IM)11$73,628$61,877 - $80,299
Child Neurology4$72,715$70,101 - $74,142
Sports Medicine (FM)13$71,612$64,500 - $77,643
Geriatric Medicine (FM)4$70,736$67,189 - $75,394
Radiation Oncology5$70,507$68,654 - $72,672
Radiology8$69,480$62,000 - $73,123
Physical Medicine and Rehabilitation5$69,387$67,018 - $73,123
Pediatrics10$69,138$56,263 - $88,122
Internal Medicine/Pediatrics3$69,081$67,556 - $70,101
Interventional Radiology4$68,895$66,405 - $72,188
Plastic Surgery4$68,764$66,405 - $70,993
Pediatrics/Medical Genetics and Genomics2$68,571$67,558 - $69,583
Occupational and environmental medicine2$68,144$64,100 - $72,188
Anesthesiology9$68,100$61,700 - $70,993
Neurological Surgery7$68,009$65,590 - $70,101
Ophthalmology7$67,736$61,570 - $73,123
Dermatology11$67,275$48,500 - $73,123
Neurology10$66,932$61,114 - $70,993
Emergency Medicine15$66,802$40,500 - $93,869
Urology8$66,801$62,000 - $70,101
Vascular Surgery3$66,556$63,679 - $69,585
Laboratory Genetics and Genomics2$66,551$63,000 - $70,101
Pathology4$66,435$57,606 - $70,993
Orthopedic Surgery12$66,363$57,606 - $70,993
Otolaryngology - Head and Neck Surgery9$66,325$63,000 - $70,101
Obstetrics and Gynecology17$65,653$56,028 - $70,993
General Surgery20$65,224$60,154 - $70,993
Family Medicine35$64,301$56,650 - $71,492
Internal Medicine31$63,947$52,000 - $70,101
Psychiatry19$63,416$56,650 - $70,101
Transitional Year9$62,320$52,000 - $70,993

Cost of Living Analysis

Real Purchasing Power

While the average salary in Texas is $73,810, the cost of living index of 79.1 means your real purchasing power is equivalent to $93,299 in a location with average cost of living.

Key Considerations

  • • Housing costs vary significantly by city
  • • State income tax rates affect take-home pay
  • • Transportation and healthcare costs
  • • Quality of life factors