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San Antonio, TX posts a psychiatrist median of $243,000, which is 17% under the United States average. The useful question is whether lower prices (COL index 100) and a modeled 1-bedroom near $1,650/month close that gap in real life.
Psychiatrists diagnose and treat mental health conditions through therapy and medication. Healthcare pay in San Antonio, TX is sensitive to setting, shifts, and public vs private employers. The $243,000 median is a useful average, not what a night-shift specialist or a clinic role will actually land. Long-term employment for this occupation is modeled at about +8% over a decade — a national sketch, not a San Antonio, TX hiring guarantee.
The percentiles on this page are observed metro figures for Psychiatrist in San Antonio, TX, not a national median multiplied by a pay index. That matters: you are looking at how this labour market actually priced the role, including local industry mix. They are still estimates of the market — not a promise of what one employer will offer.
Among the 9 United States metros we can compare for this role, San Antonio ranks 8 by median. Washington DC leads this comparison at $394,000 (+62% vs San Antonio), while Dallas sits at $241,000. Use those gaps to test a relocation thesis: a 15% cash raise that lands in a much more expensive metro can disappear in rent.
San Antonio’s COL index (100) sits nearer the global baseline, so headline and adjusted pay are not far apart ($243,000 vs $243,000). Rent still matters: the 1-bedroom model is $1,650 / month, about 10% of take-home, with leftover near $12,660.
If you are comparing a San Antonio office offer with a location-flexible one, the United States national median for this role is about $293,000. Local pay is 17% lower — a $50,000 gap. Remote employers often anchor to the national figure; on-site employers in San Antonio are anchoring to this page.
World Bank consumer-price inflation for United States was about 2.9% in 2024; an illustrative model tied to inflation and the occupation’s outlook suggests pay has risen about 16% over the last few years. H-1B / employment-based green card is the usual skilled-hire route (selective for typical hires): Most skilled foreign hires enter via employer-sponsored H-1B (lottery-capped) or specialty routes; permanent residence usually follows an employment-based petition. At 2.7× United States GDP per capita, this median is well above a typical national living standard. Unemployment was about 4.2% in 2025. None of that is tax, immigration, or career advice — run the calculators and confirm rules officially.
How to read a psychiatrist offer in San Antonio
Start with gross cash, not the recruiting headline. If an offer lands near $243,000, you are in the lower half of this metro’s observed distribution; near $243,000 you are already paid like a stronger local hire. Then subtract a realistic tax path (simplified national effective rate here is about 20%, leaving $193,936 a year) and a housing number you would actually accept — not only the $1,650 model.
Because this distribution is relatively compact (2.0× from 10th to 90th), a “market” offer in San Antonio will often cluster near $243,000. Negotiation still matters, but the bigger lever may be seniority rules, a different setting, or a different occupation rather than a 3% cash bump.
Demand and the psychiatrist pipeline
Occupation-level employment for psychiatrists is projected at about +8% over ten years. That is a national sketch of demand, not a forecast that San Antonio will hire at that rate. Local openings still follow San Antonio’s industry mix — hospitals, studios, public employers, or product companies — which is already baked into the observed percentiles more than into the outlook percentage.
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