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Compensation, Contracts & Benefits
Graduate Medical Education
Living in San Antonio
San Antonio offers a wonderful array of attractions to fill your days and nights with entertainment, exploration, education, and just plain fun! San Antonio is the top tourist destination in the state of Texas, whether it be the River Walk, Six Flags Fiesta Texas, or the numerous food spots all around the city.
San Antonio offers the most balanced and affordable lifestyle compared to other major Texas cities. It combines competitive salaries with a lower cost of living, making it easier for individuals to stretch their income. Housing is more affordable, and everyday expenses such as groceries, dining, and transportation are generally less costly. This creates a unique opportunity for professionals to enjoy a high quality of life while maintaining financial flexibility. With its affordability and strong career opportunities, San Antonio provides an ideal environment for those looking to enhance both their professional and personal lives.
| Cost of Living Comparison | San Antonio | Austin | Dallas | Houston |
|---|---|---|---|---|
| Average Rent**** | $1,228 | $1,425 | $1,620 | $1,195 |
| Salary* | $67,556.67 | $65,537.00 | $66,918.00 | $67,557.00 |
| Cost of living index** | 58.6 | 61.5 | 67 | 61.1 |
*Salary based on the pay scale below and other benchmarked locations
** Cost of living index uses for the data.
***How to read data for Cost of living: This index measures the relative prices of consumer goods and services—including groceries, dining, transportation, and utilities—but excludes housing costs like rent or mortgage payments. For example, a city with a Cost of Living Index of 120 suggests that everyday expenses are 20% higher than in NYC, excluding rent.
**** Average rent- is based on a one-bedroom apartment (not including studio apartments)
Medical Benefits begin on the first day of employment, and all other benefits begin on the contract start date.
Looking to view more about our residents and fellows living in San Antonio? View our New Resident and Fellow Guidebook for 2025!
Stipends (*effective as of July 1, 2025)
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| Post Level | 2024-2025 Annual Salary | New Projected Annual Salary for 2025-2026 | Orientation Pay June 2025 |
|---|---|---|---|
| PGY-I | $65,589.00 | $67,556.67 | $3,377.92 |
| PGY-ll | $68,044.00 | $70,085.32 | $3,504.80 |
| PGY-llI | $69,884.00 | $71,980.52 | $3,599.44 |
| PGY-IV | $72,707.00 | $74,888.21 | $3,745.04 |
| PGY-V | $76,253.00 | $78,540.59 | $3,927.04 |
| PGY-Vl | $78,725.00 | $81,086.75 | $4,054.96 |
| PGY-Vll | $81,380.00 | $83,821.40 | $4,191.20 |
| PGY-Vlll | $83,415.00 | $85,917.45 | $4,296.24 |
*Orientation Pay subject to attendance and eligibility criteria.
Compensation and Benefits
- ACGME Leave of Absence Frequently Asked Questions
- 2025-2026 GME - Funded Resident Contract (Pgy 1)
- 2025-2026 GME - Other Funded Resident Contract (Pgy 1)
- University Health System Child Care Options
- Free Parking
Vacation
PGY-1 year - 15 days paid leave; cannot be carried over. There are no exceptions to this rule.
PGY-2 year and above - 15 days paid leave; cannot be carried over except as determined by program and Professional Staff Services.
Sick Leave
All years - 10 working days paid leave per academic year; cannot be carried over except as determined by program and Professional Staff Services.
Parental, Medical and Caregiver Leave
Over the course of an entire residency, House Staff participating in an ACGME program are provided the opportunity, beginning the first day they are required to report, to a one-time, six-week term of paid leave for approved parental, medical, or caregiver purposes which will be utilized in conjunction with any sick or vacation leave. While such paid leave is limited to six weeks, House Staff may be eligible for additional, unpaid leave for parental, medical, or caregiver under FMLA or other unpaid leave policies. House Staff will remain eligible for any available health or disability insurance benefits during a Parental/Medical/Caregiver LOA.
For more information, see the GME Policy on Parental, Medical, and Caregiver Leave.
House Staff Manual Policy on Parental, Medical, and Caregiver Leave.
Insurance
- Major Medical Insurance: shared cost
- Major Medical Insurance for Dependents: shared cost
- Group Life Insurance: paid by the institution
- Dependent Term Life Insurance: participant paid
- Dental Insurance: participant paid
- Disability Insurance: paid by the institution
- Flex Accounts - Hlth & Dep: participant paid
- 457 Deferred Comp Plan: participant paid
- Professional Medical Liability Benefit Plan Handbook
Children's Health Services -
For all residents with children, please view the for pediatric clinics in San Antonio.
Counseling and Psychological Support Services Employee Assistant Program (EAP)
For more information on employee assistance programs regarding psychological support and counseling, please view the flyer.