BLS metro-level wage data places Home Health and Personal Care Aides pay in Waco, TX at a median of $23,910 per year ($11.50/hr/hour), drawn from the OEWS May 2025 release for this Metropolitan Statistical Area. Compared to the national median of $35,800, Waco pays 33% below, which typically tracks with a lower local cost of living or smaller specialized-employer cluster. Approximately 2,200 home health and personal care aidess are employed across the Waco MSA in SOC 31-1120.

The Waco pay distribution spans from $22,340 at the 10th percentile to $32,640 at the 90th — a 1.5× 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 $22,580 and the 75th at $27,720, so half of Waco-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 Waco, 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.