Medical Records Specialist salary in Texas
Medical Records Specialists in Texas earn a median of $48,860 a year ($23.49 an hour), based on BLS data for 17,210 workers.
Pay ranges from $34,440 for the lowest-paid 10% to $78,390 for the top 10%. That is 4% lower than the national median of $51,140. Texas ranks 37th of 51 states for medical records specialists pay. There are 1.2 medical records specialists per 1,000 jobs here — close to the national average. The average (mean) salary is $52,880, above the median because a few high earners pull it up.
Pay range for medical records specialists in Texas
| Pay level | Yearly | Hourly |
|---|---|---|
| 10th percentile (entry level) | $34,440 | $16.56 |
| 25th percentile | $39,470 | $18.98 |
| Median | $48,860 | $23.49 |
| 75th percentile | $63,970 | $30.76 |
| 90th percentile (top earners) | $78,390 | $37.69 |
| Average (mean) | $52,880 | $25.42 |
Half of medical records specialists earn more than the median and half earn less. Percentiles show the spread: 10% earn less than the 10th percentile, and 10% earn more than the 90th.
Median paycheck, before taxes
| Pay period | Amount |
|---|---|
| Monthly | $4,071.67 |
| Semi-monthly (24 a year) | $2,035.83 |
| Biweekly (26 a year) | $1,879.23 |
| Weekly | $939.62 |
| Hourly | $23.49 |
Based on a full-time year of 2,080 hours. Convert any amount with the hourly to salary converter.
Medical Records Specialist salary in cities in Texas
| Metro area | Median salary | Workers |
|---|---|---|
| Midland, TX | $52,740 | 80 |
| Dallas-Fort Worth-Arlington, TX | $52,140 | 5,210 |
| Houston-Pasadena-The Woodlands, TX | $51,250 | 3,680 |
| Victoria, TX | $51,250 | 60 |
| Odessa, TX | $50,410 | 50 |
| Killeen-Temple, TX | $49,440 | 220 |
| Austin-Round Rock-San Marcos, TX | $48,990 | 1,320 |
| Abilene, TX | $48,390 | 80 |
| El Paso, TX | $47,860 | 560 |
| Amarillo, TX | $47,410 | 170 |
| San Angelo, TX | $46,930 | 120 |
| San Antonio-New Braunfels, TX | $46,110 | 1,670 |
| Wichita Falls, TX | $45,100 | 110 |
| Longview, TX | $44,590 | 110 |
| Tyler, TX | $44,500 | 170 |
| College Station-Bryan, TX | $44,400 | 120 |
| Lubbock, TX | $43,980 | 200 |
| Sherman-Denison, TX | $43,160 | 50 |
| Waco, TX | $43,130 | 110 |
| Beaumont-Port Arthur, TX | $41,280 | 130 |
| McAllen-Edinburg-Mission, TX | $39,150 | 410 |
| Brownsville-Harlingen, TX | $38,800 | 190 |
| Laredo, TX | $38,370 | 60 |
| Corpus Christi, TX | $38,080 | 190 |
| Texarkana, TX-AR | $34,940 | 60 |
Highest-paying states for medical records specialists
| State | Median salary |
|---|---|
| District of Columbia | $72,040 |
| Rhode Island | $63,960 |
| Hawaii | $63,180 |
| Washington | $62,270 |
| California | $61,810 |
| New York | $61,720 |
| Minnesota | $61,530 |
| Alaska | $61,090 |
| Connecticut | $60,940 |
| Massachusetts | $60,350 |
Related jobs in Texas
| Job | Median salary | Hourly |
|---|---|---|
| Licensed Practical and Licensed Vocational Nurses | $62,240 | $29.92 |
| Pharmacy Technician | $45,900 | $22.07 |
| Clinical Laboratory Technologists and Technicians | $59,290 | $28.51 |
| Radiologic Technologists and Technicians | $78,630 | $37.80 |
| Veterinary Technologists and Technicians | $39,410 | $18.95 |
| Health Technologists and Technicians, All Other | $47,870 | $23.01 |
| Emergency Medical Technician | $37,260 | $17.91 |
| Psychiatric Technician | $39,970 | $19.22 |
| Surgical Technologist | $65,220 | $31.35 |
| Paramedic | $57,500 | $27.65 |
| Diagnostic Medical Sonographer | $92,580 | $44.51 |
| Opticians, Dispensing | $38,720 | $18.61 |
| Ophthalmic Medical Technician | $43,640 | $20.98 |
| Cardiovascular Technologists and Technicians | $53,000 | $25.48 |
More: Healthcare Practitioners and Technical Occupations · all salaries in Texas
Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025 estimates, occupation code 29-2072. Wages include base pay, tips, commissions and shift pay, but not overtime, bonuses or benefits, and exclude the self-employed.
Frequently asked questions
How much does a medical records specialist make in Texas?
The median salary for medical records specialists in Texas is $48,860 a year, or $23.49 an hour. Pay ranges from $34,440 for the lowest-paid 10% to $78,390 for the top 10%.
How much do the highest-paid medical records specialists make in Texas?
The top 10% of medical records specialists in Texas earn at least $78,390 a year. The top 25% earn $63,970 or more.
What is the starting pay for medical records specialists in Texas?
Entry-level pay (the 10th percentile) is about $34,440 a year, and a quarter of medical records specialists earn $39,470 or less.
How many medical records specialists work in Texas?
About 17,210 medical records specialists are employed in Texas, not counting the self-employed.