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Physician Assistant Salary in Houston, TX — 2026

Physician Assistant salary data for Houston, TX — adjusted for local cost of living. Entry-level to senior pay ranges, take-home pay calculator, and local job market insights.

The median Physician Assistant salary in Houston, TX is $118,080 per year ($9,840/month, $57/hr). This reflects the local cost of living index of 96, which is 4% below the national average.

Also known as: PA, Physician Associate, Medical Assistant. Salary data on this page applies to all of these job titles in Houston, TX.

Entry Level
$88K
$42/hr
Median
$118K
$57/hr
Senior
$151K
$72/hr
Top Earner
$180K
$86/hr

Physician Assistant Take-Home Pay in Houston

Tax Breakdown (Median Salary)

Gross Annual$118,080
Federal Tax-$17,148
State Tax (0.0%)-$0
FICA (SS + Medicare)-$9,033
Annual Take-Home$91,899
Monthly Take-Home$7,658

Living Cost Comparison

Median Rent$1,350/mo
Rent-to-Income Ratio13.7%
Median Home Price$280,000
Cost of Living Index96
City Median Salary$65,000
Physician Assistant vs City Median+$53,080

Physician Assistant Requirements

Education
Master's Degree
Experience
0-2 years
Job Growth
28.0% (2024-2034)

Key Skills

Clinical ExaminationDiagnosisProcedure AssistanceEHRPatient Education

Physician Assistant salary search terms in Houston

People comparing Physician Assistant pay in Houston, TX may use related job-title wording. Salario keeps the main estimate tied to the Physician Assistant role, then treats the terms below as comparison phrases that should be checked for licensing, employer type, seniority, and role scope.

PAPhysician AssociateMedical Assistant
Comparison pointHow to use it
Primary local answer$118,080 median salary, $88,320-$150,720 modeled range, and $91,899 estimated take-home pay in Houston.
Title variantsPA, Physician Associate, Medical Assistant can point to similar searches, but some variants may represent a narrower specialty or a higher/lower seniority band.
Offer comparisonCompare base salary, hourly equivalent, take-home pay, certifications, local cost of living, and whether the job is employee, contractor, public-sector, commission-heavy, or management-level.

Houston Job Market Overview

Houston, Texas has a population of 2,304,580 and an unemployment rate of 3.8%. The top industries are Energy, Healthcare, Aerospace. The local job growth rate is 2.5%, and the average commute time is 28 minutes.

Salary Percentile Breakdown — Physician Assistant in Houston

Based on the cost-of-living-adjusted distribution for Physician Assistant in Houston, TX, here's how earnings break down across the workforce:

PercentileAnnual SalaryHourly EquivalentCareer Stage
10th (lowest)$88,320$42/hrEntry-level, < 1 yr exp.
25th$103,200$50/hrJunior, 1-3 yrs exp.
50th (median)$118,080$57/hrMid-career, 0-2 years
75th$150,720$72/hrSenior, 5-10 yrs exp.
90th (top)$179,520$86/hrLead/Principal, 10+ yrs

Percentiles estimated using a log-normal salary distribution model calibrated to Physician Assistant compensation data. Top earners (P90) typically include managers, specialists with rare skills, or those at high-paying employers in Houston's Energy sector.

5-Year Salary Trajectory

Physician Assistant salaries in Houston have grown approximately 15.0% over the past 5 years, outpacing local CPI inflation in many cases. Here's the historical and projected trajectory:

5 Years Ago
$102,678
Adjusted for Houston COL
Today (2026)
$118,080
+15.0% vs 5y ago
Projected 2031
$135,792
If growth continues

Year-over-year, an average Physician Assistant can expect a 14.3% annual increase moving from entry to senior level over 4 years in Houston. Negotiation, certifications (PANCE, NCCPA Certification), and changing employers strategically can accelerate this trajectory.

Houston vs National Average

The national median Physician Assistant salary is $123,000. In Houston, the cost-of-living-adjusted median of $118,080 is 4.0% below the national figure. This reflects Houston's cost of living index of 96 (lower than the national average of 100).

For Physician Assistants, this means: rent typically consumes 17.6% of take-home pay (households spending >30% are considered affordable), and a median home in Houston costs about 3.0× annual take-home. Homeownership is relatively attainable on this salary in Houston.

Industry Context: Energy in Houston

Houston's economy is anchored by Energy, Healthcare, Aerospace, with 2,304,580 residents and 3.8% unemployment as of 2026. Physician Assistants working in the Energy sector typically earn at or above the local median due to industry-specific demand. The state's overall job growth rate is 2.5%, and Physician Assistant occupations specifically are projected to grow 28.0% nationally through 2034 (BLS Occupational Outlook Handbook).

Methodology & Data Sources

How we calculate Physician Assistant salaries in Houston, TX:

  1. 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. For niche titles, we do not treat a broader SOC family as an exact job-title wage.
  2. Cost-of-living adjustment applied using the Houston index of 96 relative to the national baseline of 100, with local rent, home price, unemployment, and tax inputs checked separately.
  3. 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.
  4. Take-home pay calculated using 2026 federal tax brackets (10%-37%), TX state income tax of 0.0%, and FICA (Social Security 6.2% + Medicare 1.45%).
  5. 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:

Last reviewed: 2026. Salary data updated annually as new BLS releases become available. Physician Assistant salaries can vary significantly based on employer, sector (Energy vs others in Houston), specific skill set (Clinical Examination, Diagnosis, Procedure Assistance), and individual negotiation. Always verify current compensation through multiple sources before making career decisions.

Frequently Asked Questions

What is the average Physician Assistant salary in Houston, TX?
The median Physician Assistant salary in Houston, TX is $118,080 per year as of 2026. This is adjusted for the local cost of living index of 96. Entry-level Physician Assistants earn around $88,320, while senior-level professionals can earn $150,720 or more.
How much does a Physician Assistant take home in Houston after taxes?
A Physician Assistant earning the median salary of $118,080 in Houston, TX takes home approximately $91,899 per year ($7,658/month) after federal, state, and local taxes. The effective tax rate is 22.2%.
Is Houston a good city for Physician Assistants?
Houston, TX has a cost of living index of 96 (below national average). Physician Assistants here earn above the city median. The local unemployment rate is 3.8% and top industries include Energy, Healthcare, Aerospace.
What skills are needed for a Physician Assistant in Houston?
Key skills for Physician Assistants include Clinical Examination, Diagnosis, Procedure Assistance, EHR, Patient Education. Typical education requirement is Master's Degree. Valuable certifications include PANCE, NCCPA Certification.
How does Physician Assistant salary in Houston compare to the national average?
The national median Physician Assistant salary is $123,000. In Houston, the adjusted salary is $118,080, which is 4.0% lower than the national average, reflecting the local cost of living.
What job titles are similar to Physician Assistant in Houston?
Related search terms for Physician Assistant in Houston, TX include PA, Physician Associate, Medical Assistant. Use them as comparison terms, not always exact matches: licensing, employer type, seniority, public-sector rules, and whether the role is W-2, contractor, clinical, technical, management, or sales-focused can change the salary range.

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Frequently Asked Questions

What is the average Physician Assistant salary in Houston, TX?

The median Physician Assistant salary in Houston, TX is $118,080 per year as of 2026. This is adjusted for the local cost of living index of 96. Entry-level Physician Assistants earn around $88,320, while senior-level professionals can earn $150,720 or more.

How much does a Physician Assistant take home in Houston after taxes?

A Physician Assistant earning the median salary of $118,080 in Houston, TX takes home approximately $91,899 per year ($7,658/month) after federal, state, and local taxes. The effective tax rate is 22.2%.

Is Houston a good city for Physician Assistants?

Houston, TX has a cost of living index of 96 (below national average). Physician Assistants here earn above the city median. The local unemployment rate is 3.8% and top industries include Energy, Healthcare, Aerospace.

What skills are needed for a Physician Assistant in Houston?

Key skills for Physician Assistants include Clinical Examination, Diagnosis, Procedure Assistance, EHR, Patient Education. Typical education requirement is Master's Degree. Valuable certifications include PANCE, NCCPA Certification.

How does Physician Assistant salary in Houston compare to the national average?

The national median Physician Assistant salary is $123,000. In Houston, the adjusted salary is $118,080, which is 4.0% lower than the national average, reflecting the local cost of living.

What job titles are similar to Physician Assistant in Houston?

Related search terms for Physician Assistant in Houston, TX include PA, Physician Associate, Medical Assistant. Use them as comparison terms, not always exact matches: licensing, employer type, seniority, public-sector rules, and whether the role is W-2, contractor, clinical, technical, management, or sales-focused can change the salary range.