Average Neurosurgeon Salary in Texas
As of September 28, 2025, a Neurosurgeon in Texas earns approximately $1,200,000 per year ($100,000 monthly). Based on an average 76-hour work week, this translates to about $318 per hour. Looking for a broader view? See the Neurosurgeon salary overview or compare nearby states like Arizona, Nevada, and Oregon.
How Much Do Neurosurgeons Make in Texas?
From 5 verified physician salary submissions in Texas, SalaryDr is seeing total compensation ranging from $1,100,000 to $1,500,000, with top performers (90th percentile) earning up to $1,500,000 annually. Compared to the national median of $1,200,000, Neurosurgeon salaries in Texas are in line with the national median.
Bonuses, Hours Worked, and Job Satisfaction
In Texas, the salary progression for neurosurgeon physicians shows significant growth potential. Entry-level positions start at $1,037,500, while those with more than 10 years of experience earn a typical salary of $1,400,000 - a 35% increase.
Local Practice Settings and Employers
On average, base salary accounts for 73% of total compensation—about $910,000—with the remaining amount coming from bonuses, profit sharing, and incentives.
Work-Life Balance in Texas
Local neurosurgeon physicians report 4.4/5 career satisfaction, with 80% of those surveyed saying they would choose this specialty again.
Salary Distribution
Distribution based on 5 verified physician salary submissions.
Median Salary: $1,200,000
Physician Satisfaction in Neurosurgery
Satisfaction Rating
Average satisfaction rating reported by Neurosurgery physicians (1-5 scale).
Would Choose Again
Percentage of Neurosurgery physicians who would choose this specialty again.
Career Satisfaction
Physicians cite the variety of cases and patient relationships as most rewarding aspects of this specialty.
Primary Challenges
On-call demands, administrative burden, and work-life balance are cited as the top challenges.
Salary Comparison
Location Statistics
Average Salary
$1,255,000
Median Salary
$1,200,000
Salary Range
$1,100,000 - $1,500,000
National Comparison
National Average
$1,255,000
Difference
+0% vs National Average
Sample Size
5 local / 5 national reports
Salary by Practice Type
| Practice Type | Average Salary | Sample Size |
|---|---|---|
| Private Practice | $1,500,000 | 2 submissions |
| Hospital-employed | $1,091,667 | 3 submissions |
* Practice types with fewer than 3 submissions may be omitted for privacy.
Salary by Experience Level
| Years of Experience | Average Salary | Sample Size |
|---|---|---|
| 0-2 years | $975,000 | 1 submissions |
| 6-10 years | $1,100,000 | 1 submissions |
| 16+ years | $1,400,000 | 3 submissions |
* Experience levels with fewer than 3 submissions may be omitted for privacy.
Take-Home Pay Calculator
Subspecialty Comparison
Oncology
Vascular
Spine
Pediatric
Functional
| Subspecialty | Average Salary | Sample Size | Description |
|---|---|---|---|
| Oncology | $1,754,167 | 3 submissions | Focuses on specialized oncology procedures and treatments within neurosurgery, providing expert care in this specific area. |
| Vascular | $1,028,700 | 10 submissions | Treats diseases of blood vessels, including complex arterial reconstructions, aneurysm repairs, and minimally invasive endovascular procedures. |
| Spine | $991,711 | 19 submissions | Addresses complex spinal disorders through both surgical and non-surgical means, including minimally invasive spine surgery. |
| Pediatric | $952,861 | 9 submissions | Provides specialized surgical care for infants, children, and adolescents, addressing congenital conditions and childhood diseases. |
| Functional | $905,556 | 9 submissions | Focuses on specialized functional procedures and treatments within neurosurgery, providing expert care in this specific area. |
* Subspecialties with fewer than 3 submissions may be omitted for privacy.
* Data is aggregated from verified physician submissions.
Popular Locations
New York City, NY
Average Salary: $400,000
Based on 150 reports
Los Angeles, CA
Average Salary: $380,000
Based on 120 reports
Chicago, IL
Average Salary: $350,000
Based on 100 reports
Houston, TX
Average Salary: $340,000
Based on 90 reports
Miami, FL
Average Salary: $360,000
Based on 80 reports
Boston, MA
Average Salary: $370,000
Based on 70 reports
* Showing locations with the most reported salaries.
* Some locations may be omitted if they have fewer than 3 reports.
Neurosurgery Market Insights: Texas
Local market conditions, cost of living, and opportunities for Neurosurgery physicians in Texas.
Cost of Living Analysis
Major Healthcare Employers
Market Opportunities
Teaching hospitals and medical schools offer Neurosurgery positions with research opportunities.
Established and startup practices seeking Neurosurgery physicians with partnership potential.
High-demand temporary positions offering flexibility and competitive hourly rates.
Key Market Factors for Neurosurgery in Texas
Advantages:
- • No state income tax
- • Below-average cost of living
- • Multiple major healthcare employers
- • Growing demand for Neurosurgery services
- • Established medical community
Considerations:
- • Malpractice insurance requirements
- • State licensing and credentialing process
- • Competition from established practices
Considering a move to Texas?
Compare Neurosurgery salaries across different locations and practice settings.
Frequently Asked Questions
Get answers to the most common questions about physician salaries in Neurosurgery in Texas.
Data Source: All salary information is based on verified submissions from practicing physicians and is updated regularly to reflect current market conditions.
How to Transition to Neurosurgery in Texas
Complete guide for physicians looking to transition careers or relocate to Neurosurgery in Texas.
Assess Your Current Position
Evaluate your current specialty, compensation, job satisfaction, and career goals. Identify specific reasons for wanting to transition and what you hope to achieve.
Research Target Opportunities
Investigate Neurosurgery opportunities in Texas, including salary ranges, practice settings, required qualifications, and market demand.
Learn more →Identify Skill Gaps
Compare your current qualifications with requirements for your target role. Identify any additional training, certifications, or experience needed for a successful transition.
Network with Professionals
Connect with Neurosurgery physicians in Texas through medical associations, conferences, and professional networks. Conduct informational interviews to gain insights.
Develop Transition Plan
Create a timeline for your transition including any required training, licensing requirements, financial planning for potential income changes, and family considerations.
Execute Your Transition
Begin applying for positions, complete any required training, and manage the logistics of your career change including contract negotiations and relocation if necessary.
Professional Tip: This guide provides general recommendations. Always consult with career advisors, mentors, and legal professionals for personalized advice specific to your situation.
Neurosurgery Career Opportunities in Texas
Explore current job openings and career paths for Neurosurgery physicians
Neurosurgery - Hospital Employed
Join our healthcare team as a Neurosurgery physician. We offer competitive compensation, comprehensive benefits, and opportunities for professional growth in a collaborative environment.
Benefits & Perks
- ✓Comprehensive health insurance
- ✓Retirement plan with matching
- ✓CME allowance and paid time off
- ✓Malpractice insurance coverage
- ✓Sign-on bonus available
Requirements
- •Board certification in Neurosurgery
- •Valid medical license
- •Excellent communication skills
- •Commitment to quality patient care
Neurosurgery - Private Practice Opportunity
Exciting private practice opportunity for an experienced Neurosurgery physician. Partnership track available with established patient base and modern facilities.
Benefits & Perks
- ✓Partnership opportunity
- ✓Productivity bonuses
- ✓Flexible scheduling
- ✓Modern equipment and facilities
- ✓Marketing support
Requirements
- •Board certification in Neurosurgery
- •2+ years of experience preferred
- •Strong clinical skills
- •Business acumen desired
Neurosurgery - Locum Tenens
Flexible locum tenens opportunities for Neurosurgery physicians. Choose your schedule and location while earning competitive hourly rates.
Benefits & Perks
- ✓Flexible scheduling
- ✓Travel and housing provided
- ✓Malpractice coverage
- ✓Competitive hourly rates
- ✓No administrative duties
Requirements
- •Board certification in Neurosurgery
- •Active medical license
- •Willingness to travel
- •Adaptability to different settings
Ready to Advance Your Neurosurgery Career?
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Note: Job postings are representative examples based on current market conditions. Actual positions may vary in requirements, compensation, and benefits. Always verify details with employers directly.
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About Our Data
Our salary data is based on anonymous submissions from practicing physicians across the United States. We verify and clean the data to ensure accuracy and remove outliers.
Last updated: September 28, 2025