SalariesByCity
Registered Nurse · Salary Comparison · 2026

Registered Nurse Salary: San Francisco, CA vs Houston, TX

Side-by-side comparison of salary, taxes, cost of living, and take-home pay for Registered Nurses in San Francisco, CA and Houston, TX, based on BLS OEWS 2026 data.

1Which City Pays More After Tax?

Higher Gross Salary
San Francisco, CA
$130,000 vs $74,000
Better Purchasing Power
San Francisco, CA
$69,892 vs $69,159
Best Take-Home (COL-Adj)
Houston, TX
$58,575 vs $63,903
2

Detailed Comparison

MetricSan Francisco, CAHouston, TXDiff
Median Annual Salary$130,000$74,000+$56,000
25th Percentile$100,000$56,000+$44,000
75th Percentile$165,000$95,000+$70,000
90th Percentile$200,000$116,000+$84,000
Cost of Living Index186107+79
State Income Tax9.3%0%+9.3%
COL-Adjusted Median$69,892$69,159+$733
Est. Annual Take-Home$108,949$68,376+$40,573
COL-Adj. Take-Home$58,575$63,903-$5,328
Total Employment28,00048,000-20,000
▲ = Higher value wins for this metric. Diff = San Francisco, CA minus Houston, TX.

3Summary Analysis

On paper, San Francisco, CA pays $56,000 more (median: $130,000 vs $74,000). However, after adjusting for cost of living (index 186 vs 107), San Francisco, CA provides better purchasing power ($69,892 vs $69,159 equivalent). Houston, TX has no state income tax, which is a significant advantage.

4More Registered Nurse City Comparisons

5How to Weigh This Comparison

The $56,000 nominal pay gap between San Francisco, CA and Houston, TX is the wrong number to focus on in isolation. Cost-of-living indices of 186 and 107 mean the same paycheck stretches very differently in each market. The COL-adjusted figures above — $69,892 in San Francisco vs $69,159 in Houston— are the closest proxy for "how much will your money actually buy." A small gap of $733 on that axis usually beats any nominal salary difference.

Housing is the single biggest driver of cost-of-living differences. In San Francisco, CA, expect housing to consume a larger share of gross income than in Houston, TX. If you're planning to rent, the COL index is a reasonable proxy for rent differences. If you're buying, expect purchase price differences to be sharper than the composite index suggests — housing tends to be the most inelastic component of cost of living.

Tax treatment matters but is usually smaller than COL impact. The 9.3% state tax rate difference (9.3% in California vs 0% in Texas) translates to roughly $12,090 per year at these salary levels. States with no income tax (Texas, Florida, Washington, Nevada, Tennessee) often offset with higher property tax or sales tax, so factor in your housing and consumption patterns.

Career factors that don't show up in these numbers: total employment (with 28,000 positions in San Francisco vs 48,000 in Houston, the larger market offers more lateral moves and promotion paths), industry concentration (tech-heavy cities like San Francisco, Seattle, Austin pay premiums for engineering roles but may underpay other occupations), and 3–5 year career trajectory (year-over-year employment growth of 3.5% in San Francisco vs 3.8% in Houston reveals whether each market is expanding or contracting). For a broader context, see our California overview and the full Registered Nurse city ranking.

Data: U.S. Bureau of Labor Statistics OEWS · 2026 · Cost-of-living indices from composite metro area data. Take-home estimates approximate only — consult a tax professional for accurate figures.