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Orthopedic Surgeons, Except Pediatric Salary in Texas: Cost of Living Adjusted (2025)

Last updated: 2025 BLS data · Page refreshed:

What does a Orthopedic Surgeons, Except Pediatric salary really buy you in Texas?

Texas is 2.5% cheaper than the US average

Data: BLS OEWS 2025 + BEA Regional Price Parities 2022 • Updated 2026-05-19

Nominal Salary
$200,780
Median annual (2025)
+2.6%
Real Purchasing Power
$205,928
COL-adjusted (RPP=97.5)

Texas Cost of Living Index

Texas's Regional Price Parity (RPP) is 97.5, meaning prices are 2.5% lower the national average. A Orthopedic Surgeons, Except Pediatric earning $200,780 in Texas has the equivalent purchasing power of $205,928 in an average-cost US state.

TX: 97.5
Cheapest (~85) US Avg (100) Priciest (~115)

Salary Breakdown: Nominal vs. COL-Adjusted

Every dollar goes further in low-cost states. Here is how each salary percentile compares after adjusting for Texas's cost of living.

Percentile Nominal Salary COL-Adjusted Difference
10th Percentile (P10) $75,580 $77,517 +$1,937
25th Percentile (P25) $155,250 $159,230 +$3,980
Median (P50) $200,780 $205,928 +$5,148
75th Percentile (P75) $639,500 $655,897 +$16,397
90th Percentile (P90) $758,150 $777,589 +$19,439
Key Insight

Texas's cost of living is close to the national average, so $200,780 keeps most of its value at $205,928 in real terms. Location choice here is more about career opportunities than cost arbitrage.

What the Cost-of-Living Data Says

Texas Sits Near the National Cost Benchmark

RPP 97.5

With an RPP of 97.5, Texas is within a few percent of the national cost-of-living baseline. Salary adjustment for Orthopedic Surgeons, Except Pediatric is therefore minor — what you earn is close to what you'd keep in real purchasing power.

Minor COL Adjustment for This Salary

+2.6%

After adjusting for Texas's cost of living, $200,780 nominal nets out to $205,928 in real purchasing power — a small 2.6% gain. The state's cost profile is close enough to average that COL alone shouldn't drive location decisions for this Orthopedic Surgeons, Except Pediatric.

Bottom-Quartile COL-Adjusted Pay

#30 / 31

Texas ranks #30 of 31 — bottom quartile for Orthopedic Surgeons, Except Pediatric real purchasing power. Relocation, employer negotiation, or remote roles at higher-paying markets tend to generate the biggest ROI.

Best States for Orthopedic Surgeons, Except Pediatric (After Cost of Living)

Where does Orthopedic Surgeons, Except Pediatric salary stretch the furthest? Top 10 states ranked by COL-adjusted median salary.

$925,137
RPP 91.1
$670,112
RPP 89.2
$623,287
RPP 87.3
4. Montana
$621,063
RPP 90.3
$619,783
RPP 92.3
$596,925
RPP 88.8
$565,445
RPP 89.8
8. Arizona
$559,529
RPP 99.9
$550,491
RPP 97.7
$516,421
RPP 107.6

Texas ranks #30 out of 31 states for Orthopedic Surgeons, Except Pediatric after cost-of-living adjustment.

How much do you actually take home? See Orthopedic Surgeons, Except Pediatric take-home pay in Texas after taxes →

Frequently Asked Questions

What is the real salary for a Orthopedic Surgeons, Except Pediatric in Texas after cost of living?

A Orthopedic Surgeons, Except Pediatric in Texas earns a median salary of $200,780 per year. After adjusting for Texas's cost of living (RPP=97.5), the real purchasing power is $205,928 — a +2.6% difference.

Is Texas expensive to live in?

Texas's cost of living is 2.5% lower than the national average according to the BEA Regional Price Parities (2022). The RPP index for Texas is 97.5 (US average = 100).

What are Regional Price Parities (RPP)?

Regional Price Parities (RPPs) are price indexes published by the U.S. Bureau of Economic Analysis (BEA) that measure differences in price levels across states. They are expressed as a percentage of the national average (US = 100). Higher RPP means higher cost of living.

How is the cost-of-living adjusted salary calculated?

The adjusted salary is calculated as: Nominal Salary x (100 / RPP). For a Orthopedic Surgeons, Except Pediatric in Texas: $200,780 x (100 / 97.5) = $205,928. This represents what the salary would be worth in a state with average living costs.

Is it better to be a Orthopedic Surgeons, Except Pediatric in Texas financially?

From a purchasing power perspective, yes. A Orthopedic Surgeons, Except Pediatric in Texas enjoys 2.6% more buying power than the nominal salary suggests, because living costs are below the national average. However, other factors like job availability, career growth, and quality of life also matter.

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