BLS metro-level wage data places Home Health and Personal Care Aides pay in San Antonio-New Braunfels, TX at a median of $25,960 per year ($12.48/hr/hour), drawn from the OEWS May 2025 release for this Metropolitan Statistical Area. Compared to the national median of $35,800, San Antonio-New Braunfels pays 27% below, which typically tracks with a lower local cost of living or smaller specialized-employer cluster. Approximately 31,420 home health and personal care aidess are employed across the San Antonio-New Braunfels MSA in SOC 31-1120.

The San Antonio-New Braunfels pay distribution spans from $22,210 at the 10th percentile to $31,370 at the 90th — a 1.4× spread that reflects experience tenure, specialization, employer size, and the difference between public-sector, nonprofit, and private-sector compensation inside the metro. The 25th percentile sits at $22,910 and the 75th at $27,680, so half of San Antonio-New Braunfels-based home health and personal care aidess earn within that middle band.

Metro figures capture where you actually work, not just where you live — which matters for commuters. BLS draws metro boundaries from the OMB MSA definitions, so San Antonio-New Braunfels, TX covers the central city plus outlying counties tied to the metro economically. Remember that OEWS wages reflect base pay only: employer-provided health insurance, retirement matches, stock options, signing bonuses, overtime, and tips are excluded and can add 20-40% to real total compensation. Before using this metro median as a negotiation anchor, triangulate against the same occupation's national profile (linked below), its state-wide TX data, and peer-metro comparisons — a median is a starting point, not a ceiling.