NP income in the State of TEXAS compared to California

[Stephgriffin6, BSN, MSN, NP]

Hello,

I'm a NP in San Diego CA, with 2 years of experience. I'm looking at possibly relocating to Texas particularly the Austin area. I know my income would drop but I would like to know the average income for NPs in Texas. I realize there is no state tax in Texas but the property taxes are much higher than CA. Not sure if it would be worth making such a big move. Anyone from Texas have any thoughts or advice on this subject.

Thank you  for the help,

Stephanie NP

[casa_bella, NP]

I'd say 95-125k in Houston.

I had several new grad offers at about 100k.

 

Just saw Austin. Austin is notoriously low paying for nurses and NPs.

[Stephgriffin6, BSN, MSN, NP]

Great, thank you for response!! Good to know Austin pays low! I’m also looking at areas north of Dallas and Houston so sounds like the pay is better. Texas seems to pay just a little less than CA.

[casa_bella, NP]

4 hours ago, Stephgriffin6 said:

Great, thank you for response!! Good to know Austin pays low! I’m also looking at areas north of Dallas and Houston so sounds like the pay is better. Texas seems to pay just a little less than CA.

Yes, less, but even with property taxes considered, Texas has no where near the col of San Diego.

[djmatte, ADN, MSN, RN, NP]

The best thing you can do is understand what you bring in and clearly articulate to a future employer. Insurance reimbursement is flat and doesn’t regard where you live. How many patients do you see currently? How many will you anticipate where you move to? Sort out what you actually Bill for/get reimbursed for and negotiate based on those numbers. If you’re seeing similar numbers then there’s no justification for a lower salary. 

[Stephgriffin6, BSN, MSN, NP]

That makes sense, thank you!

[Alain]

On 2/5/2021 at 9:45 PM, djmatte said:

The best thing you can do is understand what you bring in and clearly articulate to a future employer. Insurance reimbursement is flat and doesn’t regard where you live. How many patients do you see currently? How many will you anticipate where you move to? Sort out what you actually Bill for/get reimbursed for and negotiate based on those numbers. If you’re seeing similar numbers then there’s no justification for a lower salary. 

Thank you! This is exactly correct. Many many do not think about it like you've stated and it's very important to make this broadly known. You earn what you are worth and in medicine this is billings. You are an FNP and do Emergency Medicine but can't do procedures or treat more acute issues? Probably will be fast track, far less in way of billings, far less income. But you're able to do many key procedures (thora/paracentesis, CT, bedside US, intubation, etc.) and see sicker patients? That bills for a lot more! You can negotiate a lot more and an employer would be moronic not to negotiate so long as he can still make more off you than you cost them.