Home Health Aide Salary in San Antonio, TX: 2026
Home Health Aide salary data for San Antonio, TX, adjusted for local cost of living. Entry-level to senior pay ranges, take-home pay calculator, and local job market insights.
The estimated median Home Health Aide salary in San Antonio, TX is $31,504 per year ($2,625/month, $15/hr). This modeled estimate scales Salario's national benchmark (calibrated to the BLS OEWS May 2025 national median) by the local cost of living index of 88, which is 12% below the national average.
All four figures are Salario estimates (national benchmark scaled by San Antonio's cost-of-living index); BLS does not publish a metro median for this title here.
Home Health Aide Take-Home Pay in San Antonio
Tax Breakdown (Median Salary)
| Gross Annual | $31,504 |
| Federal Tax | -$1,600 |
| State Tax (0.0% eff.) | -$0 |
| FICA (SS + Medicare) | -$2,410 |
| Annual Take-Home | $27,493 |
| Monthly Take-Home | $2,291 |
Living Cost Comparison
Home Health Aide Requirements
Key Skills
San Antonio Job Market Overview
San Antonio, Texas has a population of 1,434,625 and an unemployment rate of 3.5%. The top industries are Military, Healthcare, Tourism. The local job growth rate is 2.2%, and the average commute time is 25minutes. These local figures come from Salario's city dataset; verify current values with BLS Local Area Unemployment Statistics and Census QuickFacts.
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Home Health Aide Salary in Nearby Texas Cities
Salary Percentile Breakdown: Home Health Aide in San Antonio
Based on Salario's cost-of-living-adjusted salary tiers for Home Health Aide in San Antonio, TX, here is an estimated percentile breakdown:
| Percentile | Annual Salary | Hourly Equivalent | Career Stage |
|---|---|---|---|
| 10th (lowest) | $25,608 | $12/hr | Entry-level, < 1 yr exp. |
| 25th | $28,556 | $14/hr | Junior, 1-3 yrs exp. |
| 50th (median) | $31,504 | $15/hr | Mid-career, 0 years |
| 75th | $37,400 | $18/hr | Senior, 5-10 yrs exp. |
| 90th (top) | $44,264 | $21/hr | Lead/Principal, 10+ yrs |
Percentiles are approximations, not measured local percentiles: P10, P50, P75, and P90 map to Salario's entry, median, senior, and top salary tiers scaled by the local cost-of-living index, and P25 is interpolated halfway between entry and median. Top earners (P90) typically include managers, specialists with rare skills, or those at high-paying employers in San Antonio's Military sector.
5-Year Salary Trajectory
Salario's national dataset models approximately 5.0% salary growth for Home Health Aides over the past 5 years. That national assumption is applied to the San Antonio estimate below; it is not a measured local trend, and it should be compared with cumulative CPI inflation before treating it as a real-terms gain:
Year-over-year, an average Home Health Aide can expect a 9.9% annual increase moving from entry to senior level over 4 years in San Antonio. Negotiation, certifications (State Certification, CPR/First Aid), and changing employers strategically can accelerate this trajectory.
San Antonio vs National Average
The national median Home Health Aide salary is $35,800 (BLS OEWS May 2025, Home Health and Personal Care Aides). In San Antonio, the cost-of-living-adjusted median of $31,504 is 12.0% below the national figure. This reflects San Antonio's cost of living index of 88 (lower than the national average of 100).
For Home Health Aides, this means: rent typically consumes 52.4% of take-home pay (households spending >30% are considered rent-burdened), and a median home in San Antonio costs about 9.1× annual take-home. Homeownership in San Antonio on this salary is challenging, most experts recommend keeping home costs to 3-4× income.
Industry Context: Military in San Antonio
San Antonio's economy is anchored by Military, Healthcare, Tourism, with 1,434,625 residents and an unemployment rate of 3.5% in Salario's city dataset. Pay for Home Health Aides can differ by sector, so compare Military employers with other local employers. The local job growth rate in Salario's city dataset is 2.2%, and Salario's job dataset lists a 25.0% growth outlook for Home Health Aide roles; check the BLS Occupational Outlook Handbook for the official 2024-2034 projection for the closest matching occupation.
Methodology & Data Sources
How we calculate Home Health Aide salaries in San Antonio, TX:
- Base salary model starts with Salario occupation data and public wage references, including BLS OEWS and O*NET when a direct or related occupational crosswalk is available (the national median is calibrated to the BLS OEWS May 2025 median for Home Health and Personal Care Aides). For niche titles, we do not treat a broader SOC family as an exact job-title wage.
- Cost-of-living adjustment applied using the San Antonio index of 88 relative to the national baseline of 100, with local rent, home price, unemployment, and tax inputs stored separately in Salario's city dataset.
- Percentile distribution (P10-P90) estimated from the entry, median, senior, and top compensation tiers in the Salario salary model rather than claimed as exact employer payroll data.
- Take-home pay calculated using 2026 federal tax brackets (10%-37%), TX 2026 state income tax brackets after the standard deduction (top rate 0.0%), and FICA (Social Security 6.2% + Medicare 1.45%).
- Tax brackets and standard deduction ($16,100 single filer for tax year 2026) sourced from IRS Revenue Procedure 2025-32 and updated annually.
Authoritative data sources:
- BLS Occupational Employment and Wage Statistics, national and metro-area salary data
- O*NET OnLine, occupation tasks, alternate job titles, skills, and SOC crosswalks
- BLS Occupational Outlook Handbook, occupation outlook where a matching profile is available
- BLS Consumer Price Index (CPI-U), regional inflation data (CPI measures price changes, not city-to-city price levels)
- U.S. Census Bureau, San Antonio QuickFacts, population and demographic data
- IRS Revenue Procedure 2025-32 summary, 2026 federal tax brackets and standard deductions
- BLS Local Area Unemployment Statistics, official local unemployment rates to verify the San Antonio figure above
Last reviewed: 2026. Salario's salary dataset is refreshed periodically, not automatically; check the linked BLS releases for the latest official data. Home Health Aide salaries can vary significantly based on employer, sector (Military vs others in San Antonio), specific skill set (Patient Care, Vital Signs, Hygiene Assistance), and individual negotiation. Always verify current compensation through multiple sources before making career decisions.
Frequently Asked Questions
What is the average Home Health Aide salary in San Antonio, TX?
How much does a Home Health Aide take home in San Antonio after taxes?
Is San Antonio a good city for Home Health Aides?
What skills are needed for a Home Health Aide in San Antonio?
How does Home Health Aide salary in San Antonio compare to the national average?
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Frequently Asked Questions
What is the average Home Health Aide salary in San Antonio, TX?
Salario estimates the median Home Health Aide salary in San Antonio, TX at $31,504 per year for 2026. This is a modeled figure: Salario's national Home Health Aide benchmark scaled by the local cost of living index of 88, not a measured local wage survey. The modeled entry-level estimate is around $25,608, and the senior estimate is $37,400 or more.
How much does a Home Health Aide take home in San Antonio after taxes?
A Home Health Aide earning the median salary of $31,504 in San Antonio, TX takes home approximately $27,493 per year ($2,291/month) after federal, state, and local taxes. The effective tax rate is 12.7%.
Is San Antonio a good city for Home Health Aides?
San Antonio, TX has a cost of living index of 88 (below national average). Home Health Aides here earn below the city median. The local unemployment rate is 3.5% and top industries include Military, Healthcare, Tourism.
What skills are needed for a Home Health Aide in San Antonio?
Key skills for Home Health Aides include Patient Care, Vital Signs, Hygiene Assistance, Medication Reminders, Mobility Support. Typical education requirement is Certificate. Valuable certifications include State Certification, CPR/First Aid.
How does Home Health Aide salary in San Antonio compare to the national average?
Salario's national median benchmark for Home Health Aide is $35,800 (calibrated to the BLS OEWS May 2025 national median). In San Antonio, the cost-of-living-adjusted estimate is $31,504, which is 12.0% lower than the national average, reflecting the local cost of living.