BLS metro-level wage data places Medical Transcriptionists pay in San Antonio-New Braunfels, TX at a median of $27,400 per year ($13.17/hr/hour), drawn from the OEWS May 2025 release for this Metropolitan Statistical Area. Compared to the national median of $40,410, San Antonio-New Braunfels pays 32% below, which typically tracks with a lower local cost of living or smaller specialized-employer cluster. Approximately 780 medical transcriptionistss are employed across the San Antonio-New Braunfels MSA in SOC 31-9094.

The San Antonio-New Braunfels pay distribution spans from $17,260 at the 10th percentile to $45,930 at the 90th — a 2.7× 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 $22,440 and the 75th at $45,760, so half of San Antonio-New Braunfels-based medical transcriptionistss 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.